Objectives: COVID-19 vaccine mandates increased vaccination rates globally. Implemented as a one-size-fits-all policy, these mandates have unintended harmful consequences for many, including Black Canadians. This article reports findings on the interconnectedness of vaccine mandates and vaccine hesitancy by describing a range of responses to mandatory COVID-19 vaccination policies among Black people in Canada. Methods: Using qualitative research methods, semi-structured interviews with 36 Black people living in Canada aged 18 years and over across 6 provinces in Canada were conducted. Participants were selected across intersectional categories including migration status, income, religion, education, sex, and Black ethnicity. Thematic analysis informed the identification of key themes using Foucauldian notions of biopower and governmentality. Results: Our results show how the power relations present in the ways many Black people actualize vaccine intentions. Two main themes were identified: acceptance of the COVID-19 vaccine in the context of governmentality and resistance to vaccine mandates driven by oppression, mistrust, and religion. Conclusion: COVID-19 vaccine mandates may have reinforced mistrust of the government and decreased confidence in the COVID-19 vaccine. Policy makers need to consider non-discriminatory public health policies and monitor how these policies are implemented over time and across multiple sectors to better understand vaccine hesitancy.
COVID-19 policies like stay-at-home orders impacted intimate partner violence (IPV) service provision in Alberta. Using intersectionality and qualitative semi-structured interviews, this article situates IPV and access to services and supports within multiple overlapping factors such as race, gender, class, and ethnic minority status. Two main themes were identified. First, the challenges within IPV service provision reflect the sectors’ traditional and binary understanding and response to violence. Second, the move to virtual services brought challenges related to access to telecommunication facilities and zoom fatigue. Thematic analysis also shows the impact of the pandemic in a sector with existing structural/institutional challenges. We conclude by recommending a multi-level intersectional approach to IPV service provision in Alberta.
Background: Compared to other groups of Canadians, Black people have been significantly more affected by COVID-19 and appear to be more hesitant to receive the COVID-19 vaccine. This article identifies approaches or strategies to increase vaccine confidence and uptake among Black people in Canada. Methods: Thirty-six Black people of diverse ethnicities, aged 18 years and above, living in six provinces across Canada were interviewed. An inductive thematic approach was employed to analyze the interview data. Results: Building trust was at the center of the strategies identified and spoke to the meaningful and practical ways the sociocultural realities of Black people living in Canada can be used to inform and implement the most effective health interventions. Identified strategies include public education, building trust through Black-led community engagement, and addressing barriers to vaccine convenience focusing on health literacy and communication. Together, these strategies consider the nuance of the message, diversity of messenger(s), and communication channels and call for a move away from generic health promotion messages to tailored communications grounded in community expertise and the experiences of Black people across all levels of healthcare service provision. Conclusions: Health promotion and public health messages must acknowledge difference, tailor approaches to target audiences, and foster lasting collaborations informed by members of the Black community. Government agencies and healthcare service providers should foster the relationships established during the pandemic, document lessons learned, remove systemic barriers to healthcare, and create an emergency preparedness guide for community engagement and health promotion for Black people living in Canada.