The influence of health service interactions and local policies on vaccination decision-making in immigrant women: A multi-site Canadian qualitative study

Abstract
Research on immigrant and refugee vaccination uptake in Canada shows that immunization decisions vary by vaccine type, location, age and migration status. Despite their diversity, these studies often treat immigrant and refugee populations as a single group relative to other Canadians. In this comparative study, we explored how previous risk communication and immunization experiences influence immunization decisions by immigrant and refugee women from three communities across Canada. Participants included women from the Punjabi immigrant community located in Surrey and Abbotsford, British Columbia (n = 36), the Nigerian immigrant community located in Winnipeg, Manitoba (n = 43), and the Congolese refugee community in Edmonton, Alberta (n = 18). Using focus groups, we sought to understand immunization experiences in Canada and before arrival, and what information sources influenced the immunization decision-making process by the women in the three communities. Given our participants' different communication preferences and needs, we argue that a one-size-fits-all communication approach is inappropriate for immigrant and refugee populations.
Authors: Stephanie P. Brooks,Kamaljit Sidhu,Elizabeth Cooper,S. Michelle Driedger,Linda Gisenya,Gagandeep Kaur,Marinel Kniseley,Cynthia G. Jardine Publication Date: 4/19/2024