The role of trust in engaging community-based task forces and agencies among minoritized communities during a public health emergency.

IF 2.9 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-06-30 DOI:10.17269/s41997-025-01074-w

Denessia Blake-Hepburn, Kadidiatou Kadio, Subrana Rahman, M Hashim Khan, Samiya Abdi, Shaza A Fadel, Sara Allin, Anushka Ataullahjan, Erica Di Ruggiero

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引用次数: 0

Abstract

Objectives: To investigate how task forces, networks, and community agencies engaged with faith-based, and ethnoracial communities to improve vaccine confidence and uptake of COVID-19 vaccines, and to understand the perceived enablers and barriers to the implementation of vaccine confidence and uptake in the Peel Region and Toronto, Ontario.

Methods: Between June 2023 and March 2024, we conducted ten online focus groups with three task forces and six community agencies. We conducted four interviews with representatives from two task forces and one network. We used thematic analysis to explore respondents' perceptions and experiences.

Results: The data revealed that trust operated at interpersonal and organizational levels, which are mutually reinforcing. At the interpersonal level, members of the task forces, network, and ambassadors from community agencies drew on relationships with members of minoritized communities by addressing community concerns on their terms and using in-person, online, regular contact, and active listening approaches. At the organizational level, trust was facilitated through conducting outreach (i.e., vaccine promotion) at trusted and familiar locations (e.g., faith-based organizations). COVID-related information was better received from community representatives who were already known and trusted among community members. Common outreach strategies included door-to-door outreach; informational videos and sessions; mass awareness-raising campaigns; townhalls; and ethnic media and social media.

Conclusion: Community leaders play an instrumental role in establishing and sustaining trust in vaccine promotion among community members. Trust established among community leaders and ambassadors enabled vaccine promotion efforts among minoritized communities. These findings may help to further strengthen community engagement for future public health emergency responses.

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在突发公共卫生事件期间，信任对少数群体社区工作队和机构参与的作用。

目的：调查工作组、网络和社区机构如何与信仰社区和族裔社区合作，以提高对COVID-19疫苗的信心和吸收，并了解在皮尔地区和安大略省多伦多实施疫苗信心和吸收的因素和障碍。方法：在2023年6月至2024年3月期间，我们与三个工作组和六个社区机构进行了10次在线焦点小组。我们与两个专责小组和一个网络的代表进行了四次访谈。我们使用主题分析来探讨受访者的看法和经验。结果：信任在人际层面和组织层面运行，两者相互促进。在人际关系层面，工作组成员、网络成员和社区机构大使利用与少数族裔社区成员的关系，根据他们的条件解决社区关注的问题，并采用面对面、在线、定期接触和积极倾听的方法。在组织一级，通过在信任和熟悉的地点（如信仰组织）开展外联活动（即疫苗宣传），促进了信任。从社区成员已经认识和信任的社区代表那里更好地获得了与新冠病毒相关的信息。常见的外联战略包括上门外联；信息录像和会议；大规模提高认识运动；对话;族裔媒体和社交媒体。结论：社区领导人在建立和维持社区成员对疫苗推广的信任方面发挥了重要作用。社区领导人和大使之间建立的信任使少数群体社区能够开展疫苗宣传工作。这些发现可能有助于进一步加强社区参与，以应对未来的突发公共卫生事件。

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来源期刊

Canadian Journal of Public Health-Revue Canadienne De Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.10

自引率

4.70%

发文量

128

期刊介绍： The Canadian Journal of Public Health is dedicated to fostering excellence in public health research, scholarship, policy and practice. The aim of the Journal is to advance public health research and practice in Canada and around the world, thus contributing to the improvement of the health of populations and the reduction of health inequalities. CJPH publishes original research and scholarly articles submitted in either English or French that are relevant to population and public health. CJPH is an independent, peer-reviewed journal owned by the Canadian Public Health Association and published by Springer. Énoncé de mission La Revue canadienne de santé publique se consacre à promouvoir l’excellence dans la recherche, les travaux d’érudition, les politiques et les pratiques de santé publique. Son but est de faire progresser la recherche et les pratiques de santé publique au Canada et dans le monde, contribuant ainsi à l’amélioration de la santé des populations et à la réduction des inégalités de santé. La RCSP publie des articles savants et des travaux inédits, soumis en anglais ou en français, qui sont d’intérêt pour la santé publique et des populations. La RCSP est une revue indépendante avec comité de lecture, propriété de l’Association canadienne de santé publique et publiée par Springer.