Anna E Epperson, Nanibaa' A Garrison, Thomas Kim, Mark LeBeau, Luke C Nez, Arleen F Brown, Savanna L Carson
{"title":"美国印第安人社区的COVID-19疫苗接种，可接受性和大流行恢复。","authors":"Anna E Epperson, Nanibaa' A Garrison, Thomas Kim, Mark LeBeau, Luke C Nez, Arleen F Brown, Savanna L Carson","doi":"10.1037/cdp0000749","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The present study explored perspectives on COVID-19 vaccine acceptability, access, and strategies for pandemic recovery among rural and urban/suburban American Indian (AI) community leaders and members in California.</p><p><strong>Method: </strong>The qualitative study was initiated by a community-academic partnership with a large AI health organization and two universities and included virtual focus groups focused on COVID-19 vaccine acceptability (concerns, risks, benefits), initial vaccine rollout accessibility (vaccination site preferences, accessibility, strategies for improving vaccination), and recommendations for pandemic recovery. Reflexive thematic analysis was used to generate themes.</p><p><strong>Results: </strong>In Fall 2021, three urban/suburban (<i>n</i> = 9) and three rural (<i>n</i> = 9) AI focus groups in California were held virtually. A majority of participants were Tribal or community leaders (<i>n</i> = 12). Participants in both urban/suburban and rural settings reported preferences for Tribal or Indian Health Service clinics for vaccination and recommended culturally tailored COVID-19 educational materials, health services, and community events to promote pandemic recovery. Participants in rural groups provided examples of tailored community-led pandemic care but illustrated how health care access limited vaccination, how basic needs affected vaccine prioritization, and how gaps in data on AI communities limited local informed decision-making.</p><p><strong>Conclusion: </strong>Findings demonstrate differences in the COVID-19 experience among AI adults living in urban/suburban and rural regions, including vaccine access and basic needs concerns. Findings also highlight local preferences in the pandemic community response and recommendations for culturally tailored health information, health services, and gatherings. Public health campaigns may require additional resources for AI communities to improve equitable distribution and uptake. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48151,"journal":{"name":"Cultural Diversity & Ethnic Minority Psychology","volume":" ","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"COVID-19 vaccination access, acceptability, and pandemic recovery in American Indian communities.\",\"authors\":\"Anna E Epperson, Nanibaa' A Garrison, Thomas Kim, Mark LeBeau, Luke C Nez, Arleen F Brown, Savanna L Carson\",\"doi\":\"10.1037/cdp0000749\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>The present study explored perspectives on COVID-19 vaccine acceptability, access, and strategies for pandemic recovery among rural and urban/suburban American Indian (AI) community leaders and members in California.</p><p><strong>Method: </strong>The qualitative study was initiated by a community-academic partnership with a large AI health organization and two universities and included virtual focus groups focused on COVID-19 vaccine acceptability (concerns, risks, benefits), initial vaccine rollout accessibility (vaccination site preferences, accessibility, strategies for improving vaccination), and recommendations for pandemic recovery. Reflexive thematic analysis was used to generate themes.</p><p><strong>Results: </strong>In Fall 2021, three urban/suburban (<i>n</i> = 9) and three rural (<i>n</i> = 9) AI focus groups in California were held virtually. A majority of participants were Tribal or community leaders (<i>n</i> = 12). Participants in both urban/suburban and rural settings reported preferences for Tribal or Indian Health Service clinics for vaccination and recommended culturally tailored COVID-19 educational materials, health services, and community events to promote pandemic recovery. Participants in rural groups provided examples of tailored community-led pandemic care but illustrated how health care access limited vaccination, how basic needs affected vaccine prioritization, and how gaps in data on AI communities limited local informed decision-making.</p><p><strong>Conclusion: </strong>Findings demonstrate differences in the COVID-19 experience among AI adults living in urban/suburban and rural regions, including vaccine access and basic needs concerns. Findings also highlight local preferences in the pandemic community response and recommendations for culturally tailored health information, health services, and gatherings. Public health campaigns may require additional resources for AI communities to improve equitable distribution and uptake. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>\",\"PeriodicalId\":48151,\"journal\":{\"name\":\"Cultural Diversity & Ethnic Minority Psychology\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2025-05-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cultural Diversity & Ethnic Minority Psychology\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1037/cdp0000749\",\"RegionNum\":2,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ETHNIC STUDIES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cultural Diversity & Ethnic Minority Psychology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1037/cdp0000749","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ETHNIC STUDIES","Score":null,"Total":0}
COVID-19 vaccination access, acceptability, and pandemic recovery in American Indian communities.
Objective: The present study explored perspectives on COVID-19 vaccine acceptability, access, and strategies for pandemic recovery among rural and urban/suburban American Indian (AI) community leaders and members in California.
Method: The qualitative study was initiated by a community-academic partnership with a large AI health organization and two universities and included virtual focus groups focused on COVID-19 vaccine acceptability (concerns, risks, benefits), initial vaccine rollout accessibility (vaccination site preferences, accessibility, strategies for improving vaccination), and recommendations for pandemic recovery. Reflexive thematic analysis was used to generate themes.
Results: In Fall 2021, three urban/suburban (n = 9) and three rural (n = 9) AI focus groups in California were held virtually. A majority of participants were Tribal or community leaders (n = 12). Participants in both urban/suburban and rural settings reported preferences for Tribal or Indian Health Service clinics for vaccination and recommended culturally tailored COVID-19 educational materials, health services, and community events to promote pandemic recovery. Participants in rural groups provided examples of tailored community-led pandemic care but illustrated how health care access limited vaccination, how basic needs affected vaccine prioritization, and how gaps in data on AI communities limited local informed decision-making.
Conclusion: Findings demonstrate differences in the COVID-19 experience among AI adults living in urban/suburban and rural regions, including vaccine access and basic needs concerns. Findings also highlight local preferences in the pandemic community response and recommendations for culturally tailored health information, health services, and gatherings. Public health campaigns may require additional resources for AI communities to improve equitable distribution and uptake. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
期刊介绍：
Cultural Diversity & Ethnic Minority Psychology seeks to publish theoretical, conceptual, research, and case study articles that promote the development of knowledge and understanding, application of psychological principles, and scholarly analysis of social–political forces affecting racial and ethnic minorities.
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