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Article ; Online: “The needle is already ready to go”

Eve Dubé / Marie-Pierre Renaud / Marie-Claude Lyonnais / Catherine Pelletier / Christopher Fletcher

International Journal of Circumpolar Health, Vol 83, Iss

communities’ and health care professionals’ perceptions of routine vaccination in Nunavik, Canada

2024 Volume 1

Abstract: ABSTRACTInuit living in the northern region of Nunavik continue to experience significant health inequalities, which are rooted in colonialism that still have repercussions on their health-related perceptions and practices, including vaccination. This ... ...

Abstract	ABSTRACTInuit living in the northern region of Nunavik continue to experience significant health inequalities, which are rooted in colonialism that still have repercussions on their health-related perceptions and practices, including vaccination. This study aimed to explore the perceptions and determinants of routine vaccination among the Inuit of Nunavik by describing factors influencing vaccination decisions from the perspective of community members and health professionals. Semi-structured interviews focusing on the perception of vaccination and experience with vaccination and health services were conducted with 18 Inuit and 11 non-Inuit health professionals. Using the socio-ecological model, factors acting at the community and public policy (e.g. rumours and misinformation about vaccination, language barrier), organisational (e.g. complexity of the vaccination process, staff turnover, lack of specialised vaccination workers and interpreters), and intrapersonal and interpersonal (e.g. past experiences with vaccination, vaccine attitudes, social norms) levels were identified as having an impact on vaccination decisions. Improving vaccination coverage in Nunavik requires a more global reflection on how to improve and culturally adapt the health care and services offered to the Inuit population.
Keywords	Vaccination ; experiences ; Inuit ; socio-ecological model ; qualitative research ; infectious diseases prevention ; Arctic medicine. Tropical medicine ; RC955-962
Subject code	360
Language	English
Publishing date	2024-12-01T00:00:00Z
Publisher	Taylor & Francis Group
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Les enjeux des bactéries multi-résistantes à l’hôpital

Armelle Lorcy / Eve Dubé

Anthropologie & Santé, Vol

2018 Volume 16

Abstract: Given the increasing prevalence of antibiotic « multi » or « extremely » resistant bacteria, the implementation of efficient infection prevention and control (IPAC) measures in hospitals is strongly recommended by public health authorities. There are ... ...

Abstract	Given the increasing prevalence of antibiotic « multi » or « extremely » resistant bacteria, the implementation of efficient infection prevention and control (IPAC) measures in hospitals is strongly recommended by public health authorities. There are diverse strategies, including the use of new diagnostic practices such as point-of-care diagnostic tests. This article presents anthropological research about the implementation of new diagnostic technology in hospitals in the province of Quebec. The article highlights the multiple issues and challenges that arise by implementing these rapid point-of-care diagnostic tests as an IPAC measure. In a political context of austerity in which hospitals’ medical laboratories are merged in larger, central laboratories, these tests could not only provide faster and more appropriate care to patients suffering from a hospital cross infection, but also help to reduce mortality rates and hospitalisation costs. The adoption of point-of-care diagnostic tests aims to meet health, political, economic, technical and scientific objectives. However, it presents significant organizational, normative and even interpersonal challenges for potential users (nurses and laboratory professionals). In a changing health system and in a restrictive economic context, we are interested in the professionals’ experiences. In other words, we have used a phenomenological approach to study the implementation of the technology in hospitals and also take into account the political dimension.
Keywords	multi-resistant bacteria ; technology ; laboratory ; clinic ; affects ; policy ; Anthropology ; GN1-890
Subject code	360
Language	French
Publishing date	2018-02-01T00:00:00Z
Publisher	Association Anthropologie Médicale Appliquée au Développement et à la Santé
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Vaccine safety concerns

Noni E MacDonald / Eve Dube

EClinicalMedicine, Vol 23, Iss , Pp 100402- (2020)

Should we be changing the way we support immunization?

2020

Keywords	Medicine (General) ; R5-920
Language	English
Publishing date	2020-06-01T00:00:00Z
Publisher	Elsevier
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: What do adolescents think about vaccines? Systematic review of qualitative studies.

Hana Mitchell / Rebecca Lim / Prubjot K Gill / Joban Dhanoa / Ève Dubé / Julie A Bettinger

PLOS Global Public Health, Vol 2, Iss 9, p e

2022 Volume 0001109

Abstract: Adolescence presents a key opportunity to build vaccine-related health literacy and promote vaccine confidence and uptake. Although adolescents are central to vaccination programs, their views around vaccines are frequently underrepresented in ... ...

Abstract	Adolescence presents a key opportunity to build vaccine-related health literacy and promote vaccine confidence and uptake. Although adolescents are central to vaccination programs, their views around vaccines are frequently underrepresented in qualitative literature. We reviewed qualitative studies to systematically identify and summarize existing evidence on adolescents' own understanding of vaccines and experiences with vaccine decision-making, including self-consent when applicable. CINAHL; Embase; Ovid Medline; and Psych Info database searches were last updated on May 28, 2022. Data pertaining to general study characteristics, participant demographics, and qualitative content were extracted independently by two reviewers and analyzed using textual narrative synthesis. Out of 3559 individual records, 59 studies were included. The majority of the studies were conducted in high-income countries and 75% focused on human papilloma virus vaccines, with the remaining studies looking at COVID-19, meningococcal, hepatitis B and influenza vaccines or adolescent experiences with vaccines in general. Adolescent self-consent was explored in 7 studies. Perspectives from sexual and gender minorities were lacking across studies. Adolescents often had limited understanding of different vaccines and commonly perceived vaccine information to be directed towards their parents rather than themselves. Many adolescents felt school-based vaccine education and information available through healthcare providers were insufficient to make informed decisions about vaccines. While adolescents described obtaining vaccine information from traditional and online media, face-to-face interactions and opinions from trusted adults remained important. Adolescents generally relied on their parents for vaccine-decision making, even when self-consent was an option. A notable exception to this included marginalized adolescents who could not rely on parents for health-related advice. Qualitative literature about adolescent vaccines would be enriched ...
Keywords	Public aspects of medicine ; RA1-1270
Subject code	370
Language	English
Publishing date	2022-01-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Examining an Altruism-Eliciting Video Intervention to Increase COVID-19 Vaccine Intentions in Younger Adults

Patricia Zhu / Ovidiu Tatar / Ben Haward / Veronica Steck / Gabrielle Griffin-Mathieu / Samara Perez / Ève Dubé / Gregory Zimet / Zeev Rosberger

Vaccines, Vol 11, Iss 628, p

A Qualitative Assessment Using the Realistic Evaluation Framework

2023 Volume 628

Abstract: COVID-19 vaccine-induced immunity wanes over time, and with the emergence of new variants, additional “booster” doses have been recommended in Canada. However, booster vaccination uptake has remained low, particularly amongst younger adults aged 18–39. A ...

Abstract	COVID-19 vaccine-induced immunity wanes over time, and with the emergence of new variants, additional “booster” doses have been recommended in Canada. However, booster vaccination uptake has remained low, particularly amongst younger adults aged 18–39. A previous study by our research team found that an altruism-eliciting video increased COVID-19 vaccination intentions. Using qualitative methods, the present study aims to: (1) identify the factors that influence vaccine decision-making in Canadian younger adults; (2) understand younger adults’ perceptions of an altruism-eliciting video designed to increase COVID-19 vaccine intentions; and (3) explore how the video can be improved and adapted to the current pandemic context. We conducted three focus groups online with participants who: (1) received at least one booster vaccine, (2) received the primary series without any boosters, or (3) were unvaccinated. We used deductive and inductive approaches to analyze data. Deductively, informed by the realist evaluation framework, we synthesized data around three main themes: context, mechanism, and intervention-specific suggestions. Within each main theme, we deductively created subthemes based on the health belief model (HBM). For quotes that could not be captured by these subthemes, additional themes were created inductively. We found multiple factors that could be important considerations in future messaging to increase vaccine acceptance, such as feeling empowered, fostering confidence in government and institutions, providing diverse (such as both altruism and individualism) messaging, and including concrete data (such as the prevalence of vulnerable individuals). These findings suggest targeted messaging tailored to these themes would be helpful to increase COVID-19 booster vaccination amongst younger adults.
Keywords	COVID-19 vaccination ; booster vaccination ; altruism ; qualitative ; public health ; health promotion ; Medicine ; R
Subject code	360
Language	English
Publishing date	2023-03-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: How is the COVID-19 pandemic impacting our life, mental health, and well-being? Design and preliminary findings of the pan-Canadian longitudinal COHESION study

Stephan Gabet / Benoit Thierry / Rania Wasfi / Guido Simonelli / Catherine Hudon / Lily Lessard / Ève Dubé / Bouchra Nasri / Yan Kestens / Grégory Moullec

BMC Public Health, Vol 23, Iss 1, Pp 1-

2023 Volume 20

Abstract: Abstract Background With the advent of the COVID-19 pandemic, in-person social interactions and opportunities for accessing resources that sustain health and well-being have drastically reduced. We therefore designed the pan-Canadian prospective COVID-19: ...

Abstract	Abstract Background With the advent of the COVID-19 pandemic, in-person social interactions and opportunities for accessing resources that sustain health and well-being have drastically reduced. We therefore designed the pan-Canadian prospective COVID-19: HEalth and Social Inequities across Neighbourhoods (COHESION) cohort to provide a deeper understanding of how the COVID-19 pandemic context affects mental health and well-being, key determinants of health, and health inequities. Methods This paper presents the design of the two-phase COHESION Study, and descriptive results from the first phase conducted between May 2020 and September 2021. During that period, the COHESION research platform collected monthly data linked to COVID-19 such as infection and vaccination status, perceptions and attitudes regarding pandemic-related measures, and information on participants’ physical and mental health, well-being, sleep, loneliness, resilience, substances use, living conditions, social interactions, activities, and mobility. Results The 1,268 people enrolled in the Phase 1 COHESION Study are for the most part from Ontario (47%) and Quebec (33%), aged 48 ± 16 years [mean ± standard deviation (SD)], and mainly women (78%), White (85%), with a university degree (63%), and living in large urban centers (70%). According to the 298 ± 68 (mean ± SD) prospective questionnaires completed each month on average, the first year of follow-up reveals significant temporal variations in standardized indexes of well-being, loneliness, anxiety, depression, and psychological distress. Conclusions The COHESION Study will allow identifying trajectories of mental health and well-being while investigating their determinants and how these may vary by subgroup, over time, and across different provinces in Canada, in varying context including the pandemic recovery period. Our findings will contribute valuable insights to the urban health field and inform future public health interventions.
Keywords	COVID-19 ; Mental health ; Prospective cohort ; Social interactions ; Study design ; Well-being ; Public aspects of medicine ; RA1-1270
Subject code	360
Language	English
Publishing date	2023-12-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Feasibility and ethical issues

Armelle Lorcy / Rodica Gilca / Eve Dubé / Marie Rochette / Gaston De Serres

International Journal of Circumpolar Health, Vol 79, Iss

experiences and concerns of healthcare workers regarding a new RSV prophylaxis programme in Nunavik, Quebec

2020 Volume 1

Abstract: Background: The respiratory syncytial virus (RSV) is a major cause of hospitalisation in young Inuit children. Prophylaxis with palivizumab is routinely recommended for premature infants and those with severe pulmonary or cardiac diseases. In the fall ... ...

Abstract	Background: The respiratory syncytial virus (RSV) is a major cause of hospitalisation in young Inuit children. Prophylaxis with palivizumab is routinely recommended for premature infants and those with severe pulmonary or cardiac diseases. In the fall 2016, the Quebec Ministry of Health expanded the criteria to include healthy full-term (HFT) newborns from Nunavik based on their high RSV hospitalisation rates. Objectives: The aim of this study was to describe the impact of this programme on Nunavik health services during the first RSV season after its implementation (2016–2017) by studying challenges, concerns and needs of healthcare workers (HCWs). Methods: An ethnographic approach was used. Semi-structured interviews focusing on HCWs experiences, and opinions to improve the new programme were conducted with 20 HCWs involved in its implementation. Results: Main reported challenges and concerns were: additional work(over)load, lack of information and evidence about the need and efficacy of palivizumab in HFT newborns, communication issues between stakeholders, and ethical issues regarding the Inuit population. Conclusion: The study revealed significant feasibility and acceptability issues. The programme was highly resource consuming. To address HCWs’ concerns, evidence-based data regarding palivizumab effectiveness in HFT infants, as well as consultation and involvement of Inuit population are warranted.
Keywords	respiratory syncytial virus ; palivizumab ; health-care workers ; experiences ; opinions ; inuit ; health services ; Arctic medicine. Tropical medicine ; RC955-962
Subject code	360
Language	English
Publishing date	2020-01-01T00:00:00Z
Publisher	Taylor & Francis Group
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Informing efforts beyond tailored promotional campaigns by understanding contextual factors shaping vaccine hesitancy among equity-deserving populations in Canada

Lena G. Nascimento / Ève Dubé / Kathleen E. Burns / Patrick Brown / Michael Calnan / Paul R. Ward / Eric Filice / Hoda Herati / Nnenna A. U. Ike / Bobbi Rotolo / Samantha B. Meyer

International Journal for Equity in Health, Vol 22, Iss 1, Pp 1-

an exploratory qualitative study

2023 Volume 13

Abstract: Abstract Background Vaccine hesitancy exists on a continuum ranging between complete adherence and complete refusal due to doubts or concerns within a heterogeneous group of individuals. Despite widespread acknowledgement of the contextual factors ... ...

Abstract	Abstract Background Vaccine hesitancy exists on a continuum ranging between complete adherence and complete refusal due to doubts or concerns within a heterogeneous group of individuals. Despite widespread acknowledgement of the contextual factors influencing attitudes and beliefs shaping COVID-19 vaccine hesitancy, qualitative research with equity-deserving groups, accounting for unique lived experiences, remains a gap in the literature. We aim to identify and begin to understand and document the unique contextual factors shaping hesitancy by equity-deserving groups as it relates to relationships with government and health authorities. Methods Participants were recruited and interviewed between Aug-Dec 2021. Semi-structured interviews using a convergent interviewing technique were conducted with individuals from the general population, as well as individuals who identify as First Nations, Métis, or Inuit, members of the LGBT2SQ + community, low-income Canadians, Black Canadians, and newcomers. Interviews were audio recorded and transcribed by a team of researchers. Memos were written following interviews and used to complement the thematic analysis of the interview data. Themes are presented in the results section. Results The rationale for hesitancy among equity-deserving groups is consistent with literature documenting hesitancy in the general population. Contextual factors surrounding equity-deserving groups’ attitudes and beliefs, however, are unique and relate to a history of oppression, discrimination, and genocide. We identified factors unique to subgroups; for example, religious or fatalistic beliefs among participant who identify as FNMI, fear associated with lack of testing and speed of vaccines’ production among participants who identify as FNMI, Black, and LGBT2SQ + , distrust of the healthcare system for LGBT2SQ + and Black Canadians, and distrust of the government and opposition to vaccine mandates for participating who identify as LGBT2SQ + , low-income, FNMI, or Black Canadian. Newcomers stood ...
Keywords	COVID-19 ; Equity-deserving groups ; Marginalized groups ; Canada ; Vaccine hesitancy ; Contextual factors ; Public aspects of medicine ; RA1-1270
Subject code	360
Language	English
Publishing date	2023-10-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: “If I'm a naturopath, It's because I trust nature above everything else”

Benjamin Malo / Samantha B. Meyer / Eric Filice / Janice E. Graham / Noni E. MacDonald / Julie A. Bettinger / Devon Greyson / Shannon E. MacDonald / S. Michelle Driedger / Gregory Kawchuk / Fabienne Labbé / Eve Dubé

SSM: Qualitative Research in Health, Vol 3, Iss , Pp 100203- (2023)

Canadian naturopaths' construction of vaccination as a risk object

2023

Abstract: Canadians and Quebecers increasingly consult complementary and alternative medicine (CAM) practitioners in parallel with biomedical providers. The close relationship between vaccine hesitancy and CAM use remains under explored in Western countries. We ... ...

Abstract	Canadians and Quebecers increasingly consult complementary and alternative medicine (CAM) practitioners in parallel with biomedical providers. The close relationship between vaccine hesitancy and CAM use remains under explored in Western countries. We present the results of a qualitative study conducted among one of Quebec's most used CAM approaches: naturopathy. Using Boholm and Corvellec's relational theory of risk to illustrate naturopaths' construction of vaccination as an “object of risk”, we describe how the health representations of 30 Quebec naturopath interviewees are associated with the ways they perceived the risks of infectious diseases and vaccination. Our findings illustrate how Quebec naturopaths' view the body as “at risk” from the possible harmful effects of vaccines. For these naturopaths, the body is a site, a “terrain”, where homeostasis must continually be preserved, and needs to be protected from risks such as vaccines—which were seen as far riskier than infectious diseases—through natural means. Such views are often perceived as unscientific or even irrational by public health researchers. Our study highlights that naturopaths' attitudes towards vaccination are perfectly aligned with the epistemological tenets of their risk representations and conceptions of health.
Keywords	Public aspects of medicine ; RA1-1270
Subject code	300
Language	English
Publishing date	2023-06-01T00:00:00Z
Publisher	Elsevier
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Exploring the acceptability of the available pneumococcal conjugate vaccines in Canadian health care professionals and immunization experts

Berman, Melissa / Caroline Quach / Eve Dubé

Vaccine. 2017 June 05, v. 35, no. 25

2017

Abstract: In children, the 13 and 10-valent pneumoccocal conjugate vaccines (PCV13/10) are currently approved for the prevention of invasive pneumococcal disease (IPD). Acceptability is a key consideration in the implementation of a vaccine program and it is ... ...

Abstract	In children, the 13 and 10-valent pneumoccocal conjugate vaccines (PCV13/10) are currently approved for the prevention of invasive pneumococcal disease (IPD). Acceptability is a key consideration in the implementation of a vaccine program and it is recognized that health professional’s attitudes and opinions towards vaccines are independent predictors of the success of an immunization program. We aimed to survey the beliefs and attitudes for the two available PCVs in health care professionals and immunization experts.We interviewed 21 members of Canadian immunization committees and/or participants working in frontline healthcare delivery. Overall, participants predominantly preferred PCV-13 over PCV10. For most, AOM should not be taken into considerations in decisions for pneumococcal vaccination programs implementation. AOM was considered an important endpoint of the program but an ineffective measure of program success due to the lack of surveillance for the condition. Recent evidence pertaining to PCV10 cross-protection against 19A did not affect preference but had an impact on perceptions regarding pricing.To consider implementing any changes to the current program, most participants would require more evidence regarding PCV10 cross-protection and effectiveness against OM. Decreasing vaccine price was cited as a positive outcome of funding both vaccines.
Keywords	attitudes and opinions ; children ; committees ; cross immunity ; experts ; funding ; health care workers ; health services ; monitoring ; prices ; surveys ; vaccination ; vaccines
Language	English
Dates of publication	2017-0605
Size	p. 3326-3332.
Publishing place	Elsevier Ltd
Document type	Article
ZDB-ID	605674-x
ISSN	1873-2518 ; 0264-410X
ISSN (online)	1873-2518
ISSN	0264-410X
DOI	10.1016/j.vaccine.2017.04.083
Database	NAL-Catalogue (AGRICOLA)

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