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oai:scholarsbank.uoregon.edu:1794/275142024-10-21T21:09:06Zcom_1794_7557com_1794_7555com_1794_7552col_1794_169

Melissa Graboyes Camille Cioffi Hardin, Blake 2022-09-28T21:12:32Z 2022-09-28T21:12:32Z 2022-06 https://hdl.handle.net/1794/27514 115 pages People who use injection drugs are at greater risk of mortality from vaccine-preventable diseases, but express higher levels of vaccine hesitancy than the general public. In the context of the COVID-19 pandemic, identifying common vaccine hesitancy motivators among people who inject drugs (PWID) is key to mitigating the mortality rate for the high-risk population. However, very little research has used qualitative methods to examine why PWID are often more vaccine hesitant. This thesis used 41 semi-structured interviews and 260 quantitative surveys with people who use drugs in Lane County to identify the most influential motivators of vaccine hesitancy. The interviews and surveys demonstrated a consistent connection between poor social determinants of health and reduced willingness to receive a COVID-19 vaccine. Using these findings, this thesis proposes a new model for assessing vaccine hesitancy among PWID that is directly informed by the actual experiences shared by collaborators in this project. Moreover, the findings of this thesis provide evidence for the need to address systemic barriers for marginalized communities in healthcare that decrease accessibility, trust, and confidence in health services. en University of Oregon Creative Commons BY-NC-ND 4.0-US Public Health Mixed-Methods COVID-19 Vaccines Vaccine Hesitancy People who Inject Drugs Lane County Oregon Identifying COVID-19 Vaccine Hesitancy Motivators for People Who Inject Drugs in Lane County Thesis / Dissertationopen.access