📊 Ontario Science table’s survey shows significantly lower vaccination intention amongst groups who experience a disproportionate burden of COVID outcomes: low income & racialized.
As someone who belongs to this group & does literacy outreach I’d like to dissect it further 🧵⤵️
As someone who belongs to this group & does literacy outreach I’d like to dissect it further 🧵⤵️
1️⃣
This phenomenon isn’t new. In every aspect of medicine, racialized, marginalized, underserved & low-income groups, who often experience the highest burden of bad outcome, also happen to be the most reluctant to seek medical intervention, including vaccination. But why⁉️
This phenomenon isn’t new. In every aspect of medicine, racialized, marginalized, underserved & low-income groups, who often experience the highest burden of bad outcome, also happen to be the most reluctant to seek medical intervention, including vaccination. But why⁉️
2️⃣
Barriers to access is at the root of the issue‼️
These barriers include:
📌 Mistrust
📌 Low health literacy
📌 Financial & logistical burden
Let’s take a look at these one-by-one:
Barriers to access is at the root of the issue‼️
These barriers include:
📌 Mistrust
📌 Low health literacy
📌 Financial & logistical burden
Let’s take a look at these one-by-one:
3️⃣
Mistrust: in most cases mistrust in medical professionals & the gov’t is rooted in VALID historical reasons.
From underrepresentation to unethical practices & systemically discriminatory & oppressive policies, most marginalized & immigrants have been MADE to mistrust authority
Mistrust: in most cases mistrust in medical professionals & the gov’t is rooted in VALID historical reasons.
From underrepresentation to unethical practices & systemically discriminatory & oppressive policies, most marginalized & immigrants have been MADE to mistrust authority
4️⃣
Health literacy: is different from pros literacy & relates to the ability to access*, understand, critically appraise, and *communicate health-related information.
*Access in health literacy goes beyond clinical access & includes linguistic, cultural & context-specific access
Health literacy: is different from pros literacy & relates to the ability to access*, understand, critically appraise, and *communicate health-related information.
*Access in health literacy goes beyond clinical access & includes linguistic, cultural & context-specific access
5️⃣
*Communication aspect of healthy literacy includes social psychology components like cognitive-affective, decision-making skills, feelings of empowerment, trust & confidence to express one’s anxieties, questions, wishes & decisions, as well as linguistic & cultural competence
*Communication aspect of healthy literacy includes social psychology components like cognitive-affective, decision-making skills, feelings of empowerment, trust & confidence to express one’s anxieties, questions, wishes & decisions, as well as linguistic & cultural competence
6️⃣
Interestingly, whilst 🇨🇦 ranks 1st among OECD countries in the proportion of college/uni grads, ~60% of Canadians have low health literacy —this percentage ⬆️ for immigrants & older adults regardless of their educational background.
journals.sagepub.com/doi/abs/10.117…
Interestingly, whilst 🇨🇦 ranks 1st among OECD countries in the proportion of college/uni grads, ~60% of Canadians have low health literacy —this percentage ⬆️ for immigrants & older adults regardless of their educational background.
journals.sagepub.com/doi/abs/10.117…
7️⃣
Furthermore, Health literacy is highly reliant on the systems & people who provide healthcare.
Lack of familiarity with historical, linguistic & cultural context of marginalized groups on the part of the provider can negatively affect health literacy of marginalized groups.
Furthermore, Health literacy is highly reliant on the systems & people who provide healthcare.
Lack of familiarity with historical, linguistic & cultural context of marginalized groups on the part of the provider can negatively affect health literacy of marginalized groups.
8️⃣
Financial & logistical barriers:
📌Inability to to commute to a vaccination clinic (don’t assume people can afford transit fare)
📌Inability to afford time off from work to get vaccinated & recover from side effects
📌Inability to produce documentation/ make reservations
etc.
Financial & logistical barriers:
📌Inability to to commute to a vaccination clinic (don’t assume people can afford transit fare)
📌Inability to afford time off from work to get vaccinated & recover from side effects
📌Inability to produce documentation/ make reservations
etc.
9️⃣
Logistical & financial barriers are the easiest to fix:
📌Ensure ALL employers offer #PaidSickLeave for vaccination AND recovery.
📌MOBILE VACCINATION CLINICS
📌Community-based booking & administration hubs
📌Use non-discriminatory documentation (refugee & recent immigrants)
Logistical & financial barriers are the easiest to fix:
📌Ensure ALL employers offer #PaidSickLeave for vaccination AND recovery.
📌MOBILE VACCINATION CLINICS
📌Community-based booking & administration hubs
📌Use non-discriminatory documentation (refugee & recent immigrants)
1️⃣0️⃣
Mistrust & health literacy need multipronged approach that ALWAYS include community leaders & influencers: don’t talk at communities, rather elevate & empower their members to do the outreach internally.
We @COVID_19_Canada @MoriartyLab are indeed developing such an approach
Mistrust & health literacy need multipronged approach that ALWAYS include community leaders & influencers: don’t talk at communities, rather elevate & empower their members to do the outreach internally.
We @COVID_19_Canada @MoriartyLab are indeed developing such an approach
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