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Journal of Gerontological Nursing, 2024;50(9):12–17

Abstract

Purpose:

To understand perceived facilitators and barriers older adults experienced in accessing coronavirus disease 2019 (COVID-19) vaccines.

Method:

An electronic survey was distributed to older adults and those familiar with experiences of older adults accessing COVID-19 vaccines. Analysis included descriptive statistics and directed content analysis of open-ended responses, guided by the National Institute on Aging Health Disparities Research Framework.

Results:

Most participants (n = 294) identified as White (79.5%), 33.8% identified as Hispanic, 8.1% identified as Black, and 12.4% identified as Other. Two thirds of respondents were male (68.6%), and the median age was 67 years. Five key themes emerged: Availability and Accessibility, Information, Cost, Safety and Side Effects, and Sense of Security.

Conclusion:

Barriers and facilitators to accessing COVID-19 vaccines for older populations paralleled those seen in other demographics. Similar needs likely exist for access to other vaccines and health care in general. Vaccine rollouts, particularly in public health emergencies, must be carried out with care and an awareness of the barriers faced by vulnerable groups. [Journal of Gerontological Nursing, 50(9), 12–17.]

  • Artiga S., Foutz J., & Damico A. (2018). Health coverage by race and ethnicity: Changes under the ACA. Henry J. Kaiser Family Foundation.

    > Google Scholar
  • Centers for Disease Control and Prevention. (2022). Guidance for vaccinating older adults and people with disabilities: Ensuring equitable COVID-19 vaccine access. https://archive.cdc.gov/#/details?q=Ensuring%20equitable%20COVID-19%20vaccine%20access%20for%20older%20adults%20and%20people%20with%20disabilities&start=0&rows=10&url=https://www.cdc.gov/vaccines/covid-19/clinical-considerations/older-adults-and-disability/access.html

    > Google Scholar
  • Elo S., Kääriäinen M., Kanste O., Pölkki T., Utriainen K., & Kyngäs H. (2014). Qualitative content analysis: A focus on trustworthiness. SAGE Open, 4(1), 2158244014522633. 10.1177/2158244014522633

    > CrossrefGoogle Scholar
  • Gallup Poll. (2023). Americans' ratings of honesty and ethics of professions. https://news.gallup.com/poll/467804/nurses-retain-top-ethics-rating-below-2020-high.aspx

    > Google Scholar
  • Hill C. V., Pérez-Stable E. J., Anderson N. A., & Bernard M. A. (2015). The National Institute on Aging health disparities research framework. Ethnicity & Disease, 25(3), 245–254. 10.18865/ed.25.3.245 PMID:26675362

    > Crossref MedlineGoogle Scholar
  • Njoku A., Joseph M., & Felix R. (2021). Changing the narrative: Structural barriers and racial and ethnic inequities in COVID-19 vaccination. International Journal of Environmental Research and Public Health, 18(18), 9904. 10.3390/ijerph18189904 PMID:34574827

    > Crossref MedlineGoogle Scholar
  • Seifert A. (2020). The digital exclusion of older adults during the COVID-19 pandemic. Journal of Gerontological Social Work, 63(6–7), 674–676. 10.1080/01634372.2020.1764687 PMID:32401181

    > Crossref MedlineGoogle Scholar
  • Simmons A., Chappel A., Kolbe A. R., Bush L., & Sommers B. D. (2021). Health disparities by race and ethnicity during the COVID-19 pandemic: Current evidence and policy approaches. Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services.

    > Google Scholar
  • Tong A., Sainsbury P., & Craig J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349–357. 10.1093/intqhc/mzm042 PMID:17872937

    > Crossref MedlineGoogle Scholar
  • Whiteman A., Wang A., McCain K., Gunnels B., Toblin R., Lee J. T., Bridges C., Reynolds L., Murthy B. P., Qualters J., Singleton J. A., Fox K., Stokley S., Harris L., Gibbs-Scharf L., Abad N., Brookmeyer K. A., Farrall S., Pingali C., Barbour K. E. (2021). Demographic and social factors associated with COVID-19 vaccination initiation among adults aged ≥65 years—United States, December 14, 2020–April 10, 2021. MMWR. Morbidity and Mortality Weekly Report, 70, 725–730. 10.15585/mmwr.mm7019e4 PMID:33983911

    > Crossref MedlineGoogle Scholar

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