{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:34:09Z","timestamp":1786116849222,"version":"build-2736575974"},"reference-count":48,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"vor","delay-in-days":36,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["FRN 172676"],"award-info":[{"award-number":["FRN 172676"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011094","name":"Public Health Agency of Canada","doi-asserted-by":"publisher","award":["2122-HQ-000062"],"award-info":[{"award-number":["2122-HQ-000062"]}],"id":[{"id":"10.13039\/100011094","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Vaccine hesitancy is a persistent global health challenge. This project explored attitudes towards and utilization of COVID-19 vaccination, as well as suggestions to improve utilization within Indigenous communities in Northwest Territories, Canada. Utilizing a cross-sectional design, this project spanned two phases: 10 communities in Phase 1 (April to November 2021), and 11 in Phase 2 (August 2022\u2013January 2023). Self-identifying Indigenous adults (\u226518 years) were invited. Quantitative and qualitative data were collected via a semi-structured interviewer-administered questionnaire. In Phase 1 (n = 124; mean age = 41.6 years; 63.7% women) and Phase 2 (n = 221; mean age = 43.6 years; 66.21% women), 78.2% and 87.2% of participants had received at least one dose, respectively. In Phase 1, 67.2% reported not being concerned about the vaccine, and 61.2% believed the benefits outweighed the risks. In Phase 2, 56.2% of participants agreed all eligible individuals should be vaccinated, and 59.2% agreed the vaccine prevented serious outcomes. Bivariate analyses revealed that negative attitudes towards COVID-19 severity, vaccine safety, and effectiveness were significantly associated with lower intention to receive a COVID-19 vaccine in the future. Qualitative insights revealed factors of vaccination hesitancy, including: concerns about safety, efficacy, and necessity; a need for information; and distrust in government. Reasons for utilization included: trust in vaccine safety; perceived necessity; and employment and travel requirements. COVID-19 vaccine utilization in Indigenous communities is high, yet hesitancy persists due to safety and efficacy concerns, and distrust in government. Culturally safe strategies, improved communication, and equitable access are essential to sustaining confidence and future pandemic preparedness.<\/jats:p>","DOI":"10.1093\/heapro\/daag107","type":"journal-article","created":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T11:38:22Z","timestamp":1784374702000},"source":"Crossref","is-referenced-by-count":0,"title":["\u2018I took the vaccine to protect myself\u2019: determinants of COVID-19 vaccine confidence in Indigenous communities in Northwest Territories, Canada"],"prefix":"10.1093","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5316-4058","authenticated-orcid":false,"given":"Fariba","family":"Kolahdooz","sequence":"first","affiliation":[{"name":"Indigenous and Global Health Research Group, Department of Medicine, Faculty of Medicine & Dentistry, College of Health Sciences, University of Alberta, 1-126 Li Ka Shing Centre for Health Research Innovation , 8602 112 Street, Edmonton, Alberta T6G 2E1 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,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Afsaneh","family":"Omidimorad","sequence":"additional","affiliation":[{"name":"Indigenous and Global Health Research Group, Department of Medicine, Faculty of Medicine & Dentistry, College of Health Sciences, University of Alberta, 1-126 Li Ka Shing Centre for Health Research Innovation , 8602 112 Street, Edmonton, Alberta T6G 2E1 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2093-7493","authenticated-orcid":false,"given":"Se Lim","family":"Jang","sequence":"additional","affiliation":[{"name":"Indigenous and Global Health Research Group, Department of Medicine, Faculty of Medicine & Dentistry, College of Health Sciences, University of Alberta, 1-126 Li Ka Shing Centre for Health Research Innovation , 8602 112 Street, Edmonton, Alberta T6G 2E1 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Geriatric Medicine, Department of Medicine, Faculty of Medicine & Dentistry, College of Health Sciences, University of Alberta , 1-198 Clinical Sciences Building, 11350 83 Avenue, Edmonton, Alberta T6G 2P4 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn","family":"Gotay","sequence":"additional","affiliation":[{"name":"School of Population and Public Health, Faculty of Medicine, University of British Columbia , 2206 East Mall, Vancouver, British Columbia V6T 1Z3 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debbie","family":"DeLancey","sequence":"additional","affiliation":[{"name":"Aurora College , 5004 54 Street, Yellowknife, Northwest Territories X1A 2R6 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kami","family":"Kandola","sequence":"additional","affiliation":[{"name":"Department of Health and Social Services, Government of Northwest Territories , 4916 47 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