IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v348y2024ics0277953624002569.html
   My bibliography  Save this article

COVID-19 vaccination of at-risk and marginalised groups: recentering the state in vaccine uptake

Author

Listed:
  • Attwell, Katie
  • Turvey, Jake
  • Wood, Lisa

Abstract

Recent studies have used the World Health Organization's new Behavioural and Social Drivers (BeSD) framework to analyse vaccine uptake. However, this study of COVID-19 vaccination among marginalised population groups highlights the framework's limitations regarding the centrality of the state in shaping people's vaccination intentions in high income countries. We conducted interviews and focus groups with service providers and community members to explore COVID-19 vaccination amongst Western Australians experiencing homelessness and/or from other marginalised populations (such as people with substance use dependence). Analysing this data iteratively to emphasise the state's role and functions, we elaborate how trauma and mistrust of government drive thoughts, feelings, and social interactions regarding vaccination programs, which are mutually reinforcing and which inhibit individuals' willingness to engage. Government systems that leave some populations behind increase those populations' susceptibility to misinformation. Policies may generate new unintended problems: social service providers worried about vaccine advocacy damaging clients' trust, especially in the context of vaccine mandates. Reframing the state's responsibility for designing culturally and socially appropriate services, we outline how end-users and trusted providers can lead this process. We share a new framework, “Recentering the State in Vaccine Uptake,” arising from our analyses.

Suggested Citation

  • Attwell, Katie & Turvey, Jake & Wood, Lisa, 2024. "COVID-19 vaccination of at-risk and marginalised groups: recentering the state in vaccine uptake," Social Science & Medicine, Elsevier, vol. 348(C).
  • Handle: RePEc:eee:socmed:v:348:y:2024:i:c:s0277953624002569
    DOI: 10.1016/j.socscimed.2024.116812
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953624002569
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2024.116812?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Jane Currie & Olivia Hollingdrake & Elizabeth Grech & Georgia McEnroe & Lucy McWilliams & Dominic Le Lievre, 2022. "Optimizing Access to the COVID-19 Vaccination for People Experiencing Homelessness," IJERPH, MDPI, vol. 19(23), pages 1-16, November.
    2. Jamison, Amelia M. & Quinn, Sandra Crouse & Freimuth, Vicki S., 2019. "“You don't trust a government vaccine”: Narratives of institutional trust and influenza vaccination among African American and white adults," Social Science & Medicine, Elsevier, vol. 221(C), pages 87-94.
    3. Katie Attwell & Adam Hannah & Julie Leask, 2022. "COVID-19: talk of ‘vaccine hesitancy’ lets governments off the hook," Nature, Nature, vol. 602(7898), pages 574-577, February.
    4. Sayil Camacho & Sarah C. Henderson, 2022. "The Social Determinants of Adverse Childhood Experiences: An Intersectional Analysis of Place, Access to Resources, and Compounding Effects," IJERPH, MDPI, vol. 19(17), pages 1-21, August.
    5. Heinrich, Carolyn J. & Camacho, Sayil & Binsted, Kaitlin & Gale, Shadlan, 2022. "An audit test evaluation of state practices for supporting access to and promoting Covid-19 vaccinations," Social Science & Medicine, Elsevier, vol. 301(C).
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Sweet, Rachel & Kasali, Noé, 2024. "Public health intervention amidst conflict: Violence, politics, and knowledge frames in the 2018-20 Ebola epidemic in Democratic Republic of the Congo," Social Science & Medicine, Elsevier, vol. 350(C).
    2. Ricardi S. Adnan & Sonny Harry B. Harmadi & Sudarsono Hardjosoekarto & Nur Muhammaditya, 2023. "Institutional Reconstruction of Promoting and Maintaining the Level of Compliance with Health Protocols in Indonesia during the Pandemic," Systemic Practice and Action Research, Springer, vol. 36(3), pages 377-406, June.
    3. Jian Cao & Christina M. Ramirez & R. Michael Alvarez, 2022. "The politics of vaccine hesitancy in the United States," Social Science Quarterly, Southwestern Social Science Association, vol. 103(1), pages 42-54, January.
    4. Choi, Yongjin & Fox, Ashley M., 2022. "Mistrust in public health institutions is a stronger predictor of vaccine hesitancy and uptake than Trust in Trump," Social Science & Medicine, Elsevier, vol. 314(C).
    5. Samuel Stroope & Rhiannon A. Kroeger & Courtney E. Williams & Joseph O. Baker, 2021. "Sociodemographic correlates of vaccine hesitancy in the United States and the mediating role of beliefs about governmental conspiracies," Social Science Quarterly, Southwestern Social Science Association, vol. 102(6), pages 2472-2481, November.
    6. Hornsey, Matthew J. & Lobera, Josep & Díaz-Catalán, Celia, 2020. "Vaccine hesitancy is strongly associated with distrust of conventional medicine, and only weakly associated with trust in alternative medicine," Social Science & Medicine, Elsevier, vol. 255(C).
    7. Ramey Moore & Don E. Willis & Sumit K. Shah & Rachel S. Purvis & Xochitl Shields & Pearl A. McElfish, 2021. "“The Risk Seems Too High”: Thoughts and Feelings about COVID-19 Vaccination," IJERPH, MDPI, vol. 18(16), pages 1-9, August.
    8. Athias, Laure & Macina, Moudo, 2022. "Demand for vaccination in Sub-Saharan Africa: The vertical legacy of the slave trade," Social Science & Medicine, Elsevier, vol. 293(C).
    9. Lahijani, Ariana Y. & King, Adrian R. & Gullatte, Mary M. & Hennink, Monique & Bednarczyk, Robert A., 2021. "HPV Vaccine Promotion: The church as an agent of change," Social Science & Medicine, Elsevier, vol. 268(C).
    10. Van Oost, Pascaline & Yzerbyt, Vincent & Schmitz, Mathias & Vansteenkiste, Maarten & Luminet, Olivier & Morbée, Sofie & Van den Bergh, Omer & Waterschoot, Joachim & Klein, Olivier, 2022. "The relation between conspiracism, government trust, and COVID-19 vaccination intentions: The key role of motivation," Social Science & Medicine, Elsevier, vol. 301(C).
    11. Elena Savoia & Maxwell Su & Rachael Piltch-Loeb & Evelyn Masterson & Marcia A. Testa, 2021. "COVID-19 Vaccine Early Skepticism, Misinformation and Informational Needs among Essential Workers in the USA," IJERPH, MDPI, vol. 18(24), pages 1-16, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:348:y:2024:i:c:s0277953624002569. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.