TY - JOUR
T1 - A scoping review of literature exploring factors affecting vaccine uptake within Roma communities across Europe
AU - Cronin, Anne
AU - Ibrahim, Nuha
N1 - Publisher Copyright:
© 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2022
Y1 - 2022
N2 - Introduction: Vaccine hesitancy is described by the WHO as one of the top threats to global health. The trajectory of the current COVID-19 pandemic depends upon the vaccination of a global population; therefore, barriers to routine vaccination within marginalized groups considered vaccine hesitant are of critical importance. Consistently, vaccination levels within Roma communities across Europe rate very poorly in comparison with general population coverage, and a number of measles and hepatitis outbreaks over the past 10 years have included Roma communities. This study aims to identify barriers to Roma vaccination in general with a view to informing analysis of potential low levels of vaccination within Roma communities for COVID-19. Areas covered: The research question explores factors and barriers affecting general vaccine (non-COVID-19 vaccine) uptake within Roma communities across Europe. This scoping review was conducted using the Arksey & O’Malley framework, complying with PRISMA-SR for Scoping Review guidelines. Expert opinion: Using Thomson’s 5A’s Taxonomy, access was identified as the greatest barrier to vaccination within Roma communities. Access factors had the greatest number of references in this scoping review and were considered the most relevant in terms of increasing vaccination uptake. Important access themes identified are health system issues, socioeconomic conditions, and mobility.
AB - Introduction: Vaccine hesitancy is described by the WHO as one of the top threats to global health. The trajectory of the current COVID-19 pandemic depends upon the vaccination of a global population; therefore, barriers to routine vaccination within marginalized groups considered vaccine hesitant are of critical importance. Consistently, vaccination levels within Roma communities across Europe rate very poorly in comparison with general population coverage, and a number of measles and hepatitis outbreaks over the past 10 years have included Roma communities. This study aims to identify barriers to Roma vaccination in general with a view to informing analysis of potential low levels of vaccination within Roma communities for COVID-19. Areas covered: The research question explores factors and barriers affecting general vaccine (non-COVID-19 vaccine) uptake within Roma communities across Europe. This scoping review was conducted using the Arksey & O’Malley framework, complying with PRISMA-SR for Scoping Review guidelines. Expert opinion: Using Thomson’s 5A’s Taxonomy, access was identified as the greatest barrier to vaccination within Roma communities. Access factors had the greatest number of references in this scoping review and were considered the most relevant in terms of increasing vaccination uptake. Important access themes identified are health system issues, socioeconomic conditions, and mobility.
KW - COVID-19 vaccination
KW - Roma
KW - low immunization
KW - social determinants of health
KW - vaccine hesitancy
UR - http://www.scopus.com/inward/record.url?scp=85135222684&partnerID=8YFLogxK
U2 - 10.1080/14760584.2022.2104715
DO - 10.1080/14760584.2022.2104715
M3 - Review article
C2 - 35877604
AN - SCOPUS:85135222684
SN - 1476-0584
VL - 21
SP - 1429
EP - 1442
JO - Expert Review of Vaccines
JF - Expert Review of Vaccines
IS - 10
ER -