Ethnic disparities in vaccine safety attitudes and perceptions of family doctors/general practitioners |
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| Affiliation: | 1. Department of Economics and CEBI, University of Copenhagen, Copenhagen, Denmark;2. Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, United States;3. Department of Economics, University of North Carolina at Chapel Hill, United States;4. Department of Finance, Copenhagen Business School, Denmark;1. Women and Babies Research, Kolling Institute, Northern Sydney Local Health District, St Leonards, NSW, Australia;2. The University of Sydney Northern Clinical School, NSW, Australia;3. National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases, Sydney, NSW, Australia;4. School of Public Health and Community Medicine, UNSW Medicine, University of NSW, Sydney, NSW, Australia;5. Wesfarmers Centre of Vaccines and Infectious Diseases, Telethon Kids Institute, The University of Western Australia, Perth, WA, Australia;6. Communicable Diseases Branch, Health Protection NSW, Sydney, NSW, Australia;7. Perth Children''s Hospital, WA, Australia;8. School of Medicine, University of Western Australia, Perth, WA, Australia;9. Department of Microbiology, PathWest Laboratory Medicine WA, Perth Children''s Hospital, Perth, WA, Australia;10. Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia;11. National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australian Capital Territory, Australia;12. School of Public Health, Curtin University, Perth, WA, Australia;1. University of Alberta, Faculty of Nursing, 5-308 Edmonton Clinic Health Academy, Edmonton, AB T6G 1C9, Canada;2. University of Calgary, Cumming School of Medicine, 3330 Hospital Drive NW, Calgary, AB T2N 4N1, Canada;3. Strategic Clinical Networks, Alberta Health Services, Seventh Street Plaza, 14th Floor, North Tower, 10030 – 107 Street NW, Edmonton, AB T5J 3E4, Canada;4. University of Calgary, Faculty of Nursing, 2800 University Way N.W., Calgary, AB T2N 1N4, Canada;5. Population, Public and Indigenous Health, Alberta Health Services, Seventh Street Plaza, 14th Floor, North Tower, 10030 – 107 Street NW, Edmonton, AB T5J 3E4, Canada;1. Centre de recherche du CHU de Québec, Axe SP-POS, Québec, Canada;2. Département de médecine sociale et préventive, Université Laval, Québec, Canada;3. Public Health Ontario, Ontario, Canada;4. Dalla Lana School of Public Health, University of Toronto, Toronto, Canada;5. CancerCare Manitoba, Manitoba, Canada;6. University of Manitoba, Manitoba, Canada;7. British Columbia Cancer Agency, British Columbia, Canada;8. Department of Infectious Disease Epidemiology, Imperial College, London, UK;1. Health Analysis Division, Statistics Canada, Ottawa, Ontario, Canada;2. Migration Health Branch, Immigration, Refugees and Citizenship Canada, Ottawa, Ontario, Canada;3. Ottawa Health Research Institute, University of Ottawa, Ottawa, Ontario, Canada |
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| Abstract: | Ethnic groups have disparate perceptions of and experiences with family doctors/General Practitioners (GP), yet little is known about differences in GP influence on vaccine safety perceptions across ethnic groups in New Zealand. Using data from the 2017 New Zealand Attitudes and Values Study survey (N = 17,072), the current study investigates the correlation between vaccine safety agreement and GP satisfaction, perceived GP cultural similarity, GP cultural respect, healthcare access and diverse demographic factors among Māori, Pacific, Asian and European New Zealanders. Europeans expressed greater positive perceptions of GPs and high vaccine safety agreement (74.7%) relative to other ethnic groups (Asian: 72.3%; Pacific: 65.8%; Māori: 59.4%). Increased GP satisfaction, healthcare access and education were key correlates of higher vaccine safety agreement among Europeans. Increased GP satisfaction, healthcare access and being non-religious were key correlates among Māori. Higher vaccine safety agreement was significantly and strongly associated with being non-religious, born overseas and having a partner among Pacific peoples. Among Asian peoples, men, younger, more educated individuals, and those with greater perceived GP cultural respect showed higher agreement. Our findings highlight important ethnic differences in the shaping of vaccine attitudes and inform the development of tailored interventions for specific ethnic groups. |
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| Keywords: | Vaccine safety perception Ethnic groups New Zealand General practitioners |
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