Evidence map›Paper›PMID 38409490›Full record

ArticleJournal of racial and ethnic health disparities2025

Intersecting Inequities in COVID-19 Vaccination: A Discourse Analysis of Information Use and Decision-Making Among Ethnically Diverse Parents in Canada.

Emmanuel A Marfo, Terra Manca, Eunah Cha, Laura Aylsworth, S Michelle Driedger, Samantha B Meyer, Catherine Pelletier, Ève Dubé, Shannon E MacDonald

Abstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

9 authors.

Emmanuel A MarfoFaculty of Nursing, University of Alberta, Edmonton, AB, Canada.
Terra MancaFaculty of Nursing, University of Alberta, Edmonton, AB, Canada.
Eunah ChaFaculty of Nursing, University of Alberta, Edmonton, AB, Canada.
Laura AylsworthFaculty of Nursing, University of Alberta, Edmonton, AB, Canada.
S Michelle DriedgerDepartment of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Samantha B MeyerSchool of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada.
Catherine PelletierCentre de Recherche du CHU de Quebec- Université Laval, Quebec City, QC, Canada.
Ève DubéDepartment of Anthropology, Université Laval, Quebec City, QC, Canada.
Shannon E MacDonaldFaculty of Nursing, University of Alberta, Edmonton, AB, Canada. smacdon@ualberta.ca.ORCID 0000-0003-4675-4433

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about how intersecting social privilege and disadvantage contribute to inequities in COVID-19 information use and vaccine access. This study explored how social inequities intersect to shape access to and use of COVID-19 information and vaccines among parents in Canada.

methodsWe conducted semi-structured interviews on COVID-19 vaccination information use with ethnically diverse parents of children ages 11 to 18 years from April to August 2022. We purposefully invited parents from respondents to a national online survey to ensure representation across diverse intersecting social identities. Five researchers coded transcripts in NVivo using a discourse analysis approach informed by intersectionality. Our analysis focused on use of vaccine information and intersecting privileges and oppressions, including identifying with equity-denied group(s).

resultsInterview participants (N = 48) identified as ethnically diverse non-Indigenous (n = 40) and Indigenous (n = 8) Peoples from seven Canadian provinces. Racialized minority or Indigenous participants reflected on historical and contemporary events of racism from government and medical institutions as barriers to trust and access to COVID-19 information, vaccines, and the Canadian healthcare system. Participants with privileged social locations showed greater comfort in resisting public health measures. Despite the urgency to receive COVID-19 vaccines, information gaps and transportation barriers delayed vaccination among some participants living with chronic medical conditions.

conclusionHistoricization of colonialism and ongoing events of racism are a major barrier to trusting public health information. Fostering partnerships with trusted leaders and/or healthcare workers from racialized communities may help rebuild trust. Healthcare systems need to continuously implement strategies to restore trust with Indigenous and racialized populations.

Indexed as

COVID-19COVID-19 VaccinesDecision MakingEthnicityHealthcare DisparitiesParentsVaccinationAdolescentAdultCanadaChildFemaleHumansIndigenous CanadiansMaleMiddle AgedCOVID-19 VaccinesCOVID-19 vaccinationEthnically diverse parentsHealth inequitiesInformation

Identifiers

PMID38409490
PMCPMC11914301

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.