Evidence map›Paper›PMID 38346919›Full record

ArticleHuman vaccines & immunotherapeutics2024

Peter A Newman, Duy Anh Dinh, Notisha Massaquoi, Charmaine C Williams, Ashley Lacombe-Duncan, Suchon Tepjan, Thabani Nyoni

Open access · goldAbstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Peter A NewmanFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-0444-5915
Duy Anh DinhFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-0488-1143
Notisha MassaquoiFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-9674-4500
Charmaine C WilliamsFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-0094-6325
Ashley Lacombe-DuncanSchool of Social Work, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0002-9023-8877
Suchon TepjanVOICES-Thailand Foundation, Chiang Mai, Thailand.ORCID 0000-0001-7452-6003
Thabani NyoniFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-0100-6258
University of Toronto · CADalhousie University · CAUniversity of Michigan · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High levels of COVID-19 vaccine hesitancy have been reported among Black and Latinx populations, with lower vaccination coverage among racialized versus White sexual and gender minorities. We examined multilevel contexts that influence COVID-19 vaccine uptake, barriers to vaccination, and vaccine hesitancy among predominantly racialized sexual and gender minority individuals. Semi-structured online interviews explored perspectives and experiences around COVID-19 vaccination. Interviews were recorded, transcribed, uploaded into ATLAS.ti, and reviewed using thematic analysis. Among 40 participants (mean age, 29.0 years [SD, 9.6]), all identified as sexual and/or gender minority, 82.5% of whom were racialized. COVID-19 vaccination experiences were dominated by structural barriers: systemic racism, transphobia and homophobia in healthcare and government/public health institutions; limited availability of vaccination/appointments in vulnerable neighborhoods; absence of culturally-tailored and multi-language information; lack of digital/internet access; and prohibitive indirect costs of vaccination. Vaccine hesitancy reflected in uncertainties about a novel vaccine amid conflicting information and institutional mistrust was integrally linked to structural factors. Findings suggest that the uncritical application of "vaccine hesitancy" to unilaterally explain undervaccination among marginalized populations risks conflating structural and institutional barriers with individual-level psychological factors, in effect placing the onus on those most disenfranchised to overcome societal and institutional processes of marginalization. Rather, disaggregating structural determinants of vaccination availability, access, and institutional stigma and mistrust from individual attitudes and decision-making that reflect vaccine hesitancy, may support 1) evidence-informed interventions to mitigate structural barriers in access to vaccination, and 2) culturally-informed approaches to address decisional ambivalence in the context of structural homophobia, transphobia, and racism.

Indexed as

COVID-19Sexual and Gender MinoritiesVaccinesAdultCOVID-19 VaccinesHumansQualitative ResearchRacial GroupsVaccinationCOVID-19 VaccinesVaccinesCanadaCOVID-19LGBTQmedical mistrustracial/ethnic minoritystructural determinants of healthvaccinationvaccine acceptancevaccine equityvaccine hesitancy

Identifiers

PMID38346919
PMCPMC10863362
OpenAlexW4392729548

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.