摩洛哥儿童和成年移民接种疫苗的行为和社会驱动因素：一项定性访谈研究

IF 4.5 3区医学 Q2 IMMUNOLOGY

Vaccine Pub Date : 2025-05-03 DOI:10.1016/j.vaccine.2025.127166

Oumnia Bouaddi , Mohamed Khalis , Moudrike Abdellatifi , Farah Seedat , Anna Deal , Wafa Chemao-Elfihri , Bouchra Assarag , Hassan Chrifi , Nelly Chavassieux , Ibrahim M. Sorie Turay , Cédric Kané Gohi , Tarik Oufkir , Ana Requena-Méndez , Sally Hargreaves , Stella Evangelidou , On behalf of the MENA Migrant Health Working Group

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引用次数: 0

摘要

世界卫生组织的《2030年免疫议程》呼吁确保包括移民在内的所有群体在整个生命过程中普遍获得疫苗接种。本研究的目的是探索推动摩洛哥移民接种疫苗的因素。方法采用半结构化访谈对摩洛哥成年移民和卫生专业人员进行了多站点探索性定性研究。我们在世卫组织接种疫苗的行为和社会驱动因素（BeSD）摄取框架的指导下进行了混合主题分析。结果共采访了23名移民参与者（女性15/23，平均年龄30.0±2.0岁，平均在摩洛哥停留时间4.72±8.79年）和8名初级保健专业人员。我们发现，尽管流动儿童和成人有权免费接种疫苗，但各种个人、社会和实际问题影响了他们的积极性和接受程度。对于儿童疫苗接种，护理人员对疫苗的益处和安全性表现出高度的信心，但面临管理困难、信息有限、定向和语言障碍。对于成人疫苗接种，对特定疫苗（如COVID-19疫苗）的不信任和怀疑仍然存在，主要是由于错误信息。除了孕妇破伤风疫苗和COVID-19疫苗外，移民成年人很少获得成人疫苗或补种疫苗，这往往是由于缺乏卫生工作者的建议和未核实疫苗接种史。移徙者强调有必要改善与卫生专业人员的沟通，解决语言障碍，并呼吁加强宣传，以减少对疫苗的怀疑和犹豫，特别是通过社区组织更好地了解服务地点，并为难以接触的移徙者开展外联工作。结论：尽管摩洛哥移民有权获得疫苗接种服务，但接种疫苗的情况可能受到各种个人、社会和实际因素的影响。迫切需要有针对性和针对性的干预措施，包括努力优先改善与卫生专业人员的沟通，消除语言障碍，并为这些社区制定适当的交付和沟通战略。

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Behavioural and social drivers of vaccination among child and adult migrants in Morocco: A qualitative interview study

Background

The World Health Organization's Immunization Agenda 2030 calls for ensuring universal access to vaccination across the life course for all groups including migrants. The aim of this study is to explore factors driving uptake of vaccination among migrants in Morocco.

Methods

We conducted a multi-site exploratory qualitative study using semi-structured interviews with adult migrants and health professionals in Morocco. We did a hybrid thematic analysis guided by the WHO's Behavioural and Social Drivers of Vaccination (BeSD) uptake framework.

Results

We interviewed 23 migrant participants (15/23 female, mean age 30.0 years ±2.0, average time of stay in Morocco 4.72 years ±8.79) and 8 primary care professionals. We found that although migrant children and adults were entitled to free vaccinations, various individual, social, and practical issues influenced their motivation and uptake. For childhood vaccination, caregivers showed high confidence in vaccine benefits and safety, but faced administrative difficulties, limited information, orientation, and language barriers. For adult vaccination, mistrust and scepticism toward specific vaccines, such as the COVID-19 vaccine, persisted, mainly due to misinformation. Except for the tetanus vaccine for pregnant women and the COVID-19 vaccine, migrant adults were rarely offered adult or catch-up vaccinations, often due to the absence of health worker recommendations and non-verification of vaccine history. Migrants emphasized the need for improved communication with health professionals and addressing language barriers and called for increased sensitization to reduce vaccine scepticism and hesitancy, better information on service locations, particularly through community-based organizations and outreach efforts for hard-to-reach migrants.

Conclusions

Despite entitlement to vaccination services, vaccination uptake among migrants in Morocco may be influenced by various individual, social, and practical factors. Tailored and targeted interventions are urgently needed, including efforts to prioritize improving communication with health professionals, removing language barriers, and developing appropriate delivery and communication strategies for these communities.

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来源期刊

Vaccine 医学-免疫学

CiteScore

8.70

自引率

5.50%

发文量

992

审稿时长

131 days

期刊介绍： Vaccine is unique in publishing the highest quality science across all disciplines relevant to the field of vaccinology - all original article submissions across basic and clinical research, vaccine manufacturing, history, public policy, behavioral science and ethics, social sciences, safety, and many other related areas are welcomed. The submission categories as given in the Guide for Authors indicate where we receive the most papers. Papers outside these major areas are also welcome and authors are encouraged to contact us with specific questions.