dc.contributor.author
Grune, Julianna
dc.contributor.author
Savelsberg, Darius
dc.contributor.author
Kobus, Marta
dc.contributor.author
Lindner, Andreas K.
dc.contributor.author
Herrmann, Wolfram J.
dc.contributor.author
Schuster, Angela
dc.date.accessioned
2023-09-21T11:50:30Z
dc.date.available
2023-09-21T11:50:30Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/40935
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-40656
dc.description.abstract
Introduction: People experiencing homelessness face lower life expectancy, higher prevalence of somatic and mental diseases and a more difficult access to healthcare compared to people in secure living. During the COVID-19 pandemic transmission rates were higher among people experiencing homelessness and preventive public health measures were not properly adapted to the specific needs of people experiencing homelessness. Thus, goal of our study was understanding the determinants of acceptability and access of the COVID-19 vaccine.
Materials and methods: We conducted a qualitative interview study with twenty guideline interviews with adult people currently experiencing homelessness in Berlin, Germany (August 2021 - April 2022). Participants were approached in a purposive sampling strategy. The interviews were analyzed with qualitative content analysis according to Mayring.
Results: Acceptance and attitude toward the COVID-19 vaccine is influenced by confidence in the vaccine as well as in the political and healthcare system, the individual COVID-19 risk perception and sense of collective responsibility. Overall, the acceptance of the vaccine was high among our participants. Facilities offering low threshold COVID-19 vaccines for people experiencing homelessness were perceived as helpful. Language barriers and the need for identity documents were major barriers to access the COVID 19 vaccine.
Discussion: People experiencing homelessness are a marginalized and vulnerable group often underrepresented in the public and scientific discourse. During the COVID-19 pandemic, preventive public health measures, including the COVID-19 vaccine, failed to consider specific needs of people experiencing homelessness. Multidimensional strategy to enhance inclusive healthcare are needed to improve access and to reduce discrimination and stigmatization.
en
dc.rights.uri
https://creativecommons.org/licenses/by/4.0/
dc.subject
homelessness
en
dc.subject
vaccine acceptance
en
dc.subject
vaccine hesitancy
en
dc.subject
vaccine access
en
dc.subject
primary care
en
dc.subject
access to health care
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
Determinants of COVID-19 vaccine acceptance and access among people experiencing homelessness in Germany: A qualitative interview study
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.articlenumber
1148029
dcterms.bibliographicCitation.doi
10.3389/fpubh.2023.1148029
dcterms.bibliographicCitation.journaltitle
Frontiers in Public Health
dcterms.bibliographicCitation.originalpublishername
Frontiers Media SA
dcterms.bibliographicCitation.volume
11
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
37033048
dcterms.isPartOf.eissn
2296-2565