Susan Waigwa, Caroline Bradbury-Jones, Lucy Doos, Julie Taylor
Six aspects of female genital mutilation education (SAFE) model: findings from a qualitative study
BMJ open
newly emergent covid19 virus reached pandemic levels march 2020 middle august 2020 1 million deaths attributed covid19 us rural areas outpacing urban counterparts prior emergency approval pfizer moderna johnson johnson vaccine formulations mitigation efforts addressing individual behavior challenging however even entrance three new vaccines herd immunity achieved rural areas vaccine uptake remained low although since abundance covid19related research addressing health literacy vaccine hesitancy overall medical mistrust studies focus appalachia study identifies barriers facilitators adherence covid19 mitigation focusing specifically vaccine hesitancy south central appalachia secondary data study conducted subset appalachian residents covid19 public health survey participants grouped county using arc economic county designations analysis dependent variable vaccine hesitancy explored relation five categories independent variable 1 demographics four conceptual areas 2 belief 3 action 4 medical mistrust 5 health literacy findings indicate vaccine hesitancy attributes include beliefs addressing covid19 threat overstatement severity illness risk vaccines vaccine safety information present manufacturer independent decision vaccinate findings study comparable hpv vaccine studies appalachia interventions developed appalachia paramount focus vaccine administration individual population level