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Identifier 000449875
Title Διερεύνηση παραγόντων που σχετίζονται με την εμβολιαστική διστακτικότητα σε πληθυσμό χαμηλών οικονομικών πόρων στην Κρήτη
Alternative Title Investigating factors that are associated with vaccine hesitancy pf low-income population in Crete
Author Γκαμαλέτσου, Μαρία
Thesis advisor Λιονής, Χρήστος
Reviewer Παπαδάκη, Σοφία
Αναστασάκη, Μαριλένα
Abstract Introduction: The Covid-19 pandemic outbreak brought back to light the vaccine hesitancy issue. Scientific community is consistently examining the factors that lead to this phenomenon. Evidence from international studies indicate that low socioeconomic level is associated with higher levels of vaccination hesitancy and/or refusal. The aim of this study was to investigate the vaccination hesitancy of vulnerable socioeconomic populations in Crete. Side goals were the illustration of the necessity of interventions regarding the increase of notification, the vaccination coverage and the adoption of positive behaviours of the population under investigation. Methods: A qualitative research was conducted which included people registered in Fund for European Aid to the Most Deprived (FEAD), since bibliography suggests that low socioeconomic level increases the risk of the virus’ spread and disease, while vaccine hesitancy is expected to be higher within this population. Specifically, two focus groups were conducted in a rural area in Heraklion and in an urban area in Rethymno, in the Region of Crete. Participants were selected in such a way to have representation of gender and age. Sample was purposely and conveniently selected. Conversations were guided by a specific interview structure that was conducted according to the international bibliography. Theoretical framework utilised for the development of the interview structure and that guided the methodology of the research was the Health Belief Model (HBM), considering also elements and parameters of the Theory of Planned Behavior (TPB) and the Vaccine Hesitancy Determinants Model. The data collected included; knowledge about COVID-19 disease and the ways of its spread and protection, reasons for vaccination hesitancy, information resources about the disease, the vaccines and the progress of both, the family’s and friends’ influence and the trust towards the doctor and health system. Thematic analysis was utilized to analyze the verbatim transcripts. Results: 11 people participated in this research, aged between 21 to 68 years, from which 9 were women and 2 were men. Thematic analysis released 6 themes. The first one was about the beliefs about the virus and the vaccine, within which many participants seemed to have formulated mistaken beliefs. The second theme was about the influence of family and friends in the decision about the vaccine uptake. The third theme was about the mass media effect, where the large number of affairs and the preference to specific sources found to be related to the vaccine uptake. The fourth theme was about the relationship between people and health system and the health professionals, where people expressing negative opinions about the abovementioned to be found with greater vaccine hesitancy. The fifth theme was about the trust in authorities, with those expressing mistrust to illustrate hesitancy and refusal about the vaccination. The last theme was about the cultural norms, where religiosity and popularised way of thinking were associated with increased vaccine hesitancy. Conclusion: This research affirms that vaccine hesitancy is a multidimensional issue and underlines the necessity of interventions within the vulnerable populations to increase the vaccination coverage and to improve the attitudes within the health sector. Further research, which should include quantitative methodology, is required to confirm the findings.
Language Greek
Subject Covid 19
Low social-economic status
Public health
Ευάλωτες ομάδες
Χαμηλό κοινωνικό -οικονομικό επίπεδο
Issue date 2022-07-29
Collection   School/Department--School of Medicine--Department of Medicine--Post-graduate theses
  Type of Work--Post-graduate theses
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