{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T18:48:35Z","timestamp":1785610115111,"version":"3.56.0"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,10,19]],"date-time":"2022-10-19T00:00:00Z","timestamp":1666137600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Culturally and Linguistically Diverse (CALD) groups within high\u2010income countries are at risk of being left behind by the COVID\u201019 vaccination rollout. They face both access and attitudinal barriers, including low trust in government and health authorities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore perceptions and attitudes towards COVID\u201019 vaccination, as well as facilitators, barriers\u00a0and strategies to promote uptake among CALD residents of Western Australia (WA), where there were almost no COVID\u201019 cases for 2 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and Participants<\/jats:title><jats:p>Perth, WA's capital, was chosen as the state's study site because most of the state's CALD population lives there. Eleven semistructured in\u2010depth interviews and three focus groups (with 37 participants) were conducted with CALD residents between August and October 2021. Thematic analysis was conducted, informed by the \u2018Capability\u2019, \u2018Opportunity\u2019, \u2018Motivation\u2019, \u2018Behaviour\u2019 model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>CALD participants faced barriers including a lack of knowledge about COVID\u201019 and the vaccines, low self\u2010rated English proficiency and education levels, misinformation, passive government communication strategies\u00a0and limited access to vaccine clinics\/providers. They were, however, motivated to vaccinate by the imminent opening of state and international borders, trust in government and healthcare authorities, travel intentions\u00a0and the desire to protect themselves and others.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite high levels of trust and significant desire for vaccines among CALD communities in Perth, current strategies were not meeting their needs and the community remains at risk from COVID\u201019. Tailored intervention strategies are required to provide knowledge, address misinformation\u00a0and facilitate access to ensure uptake of COVID\u201019 vaccines\u2014including for additional doses\u2014amongst CALD communities. Governments should work with trusted CALD community members to disseminate tailored COVID\u201019 vaccine information and adequately translated resources.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>The Wesfarmers Centre of Vaccines and Infectious Diseases Community Reference Group at Telethon Kids Institute consulted on this project in September 2020; Ishar Multicultural Women's Health Services consulted on and facilitated the focus groups.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.13613","type":"journal-article","created":{"date-parts":[[2022,10,20]],"date-time":"2022-10-20T05:39:48Z","timestamp":1666244388000},"page":"3062-3072","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["\u2018Corona is coming\u2019: COVID\u201019 vaccination perspectives and experiences amongst Culturally and Linguistically Diverse West Australians"],"prefix":"10.1111","volume":"25","author":[{"given":"Samantha J.","family":"Carlson","sequence":"first","affiliation":[{"name":"Wesfarmers Centre of Vaccines and Infectious Diseases, Telethon Kids Institute  Perth Western Australia Australia"},{"name":"School of Social Sciences University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gracie","family":"Edwards","sequence":"additional","affiliation":[{"name":"School of Population and Global Health University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher C.","family":"Blyth","sequence":"additional","affiliation":[{"name":"Wesfarmers Centre of Vaccines and Infectious Diseases, Telethon Kids Institute  Perth Western Australia Australia"},{"name":"School of Medicine University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Nattabi","sequence":"additional","affiliation":[{"name":"School of Population and Global Health University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0366-2160","authenticated-orcid":false,"given":"Katie","family":"Attwell","sequence":"additional","affiliation":[{"name":"Wesfarmers Centre of Vaccines and Infectious Diseases, Telethon Kids Institute  Perth Western Australia Australia"},{"name":"School of Social Sciences University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,10,19]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2020-004085"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(22)00066-4"},{"key":"e_1_2_11_4_1","first-page":"1","article-title":"Improving primary health care quality for refugees and asylum seekers: a systematic review of interventional approaches","author":"P Iqbal M, P","year":"2021","journal-title":"Health Expect"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2021.12.021"},{"key":"e_1_2_11_6_1","unstructured":"Australian Bureau of Statistics. 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