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Structural violence as a driver of COVID-19 vaccine hesitancy and low vaccine uptake among people experiencing homelessness in Toronto, Canada: A qualitative study

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  • Jenkinson, J.I.R.
  • Wigle, J.
  • Richard, L.
  • Tibebu, T.
  • Orkin, A.M.
  • Thulien, N.S.
  • Kiran, T.
  • Gogosis, E.
  • Crichlow, F.
  • Dyer, A.P.
  • Gabriel, M.D.
  • Hwang, S.W.

Abstract

People experiencing homelessness are at increased risk of contracting SARS-CoV-2 and of severe complications of COVID-19. Vaccination is promoted as a key strategy to protect against severe illness from SARS-CoV-2 infection, but rates of vaccination among people experiencing homelessness are lower than the general population. Studies suggest lower uptake is a result of vaccine hesitancy, but few theoretically engage with the structural drivers of vaccine hesitancy. We explore the role of structural violence in shaping COVID-19 vaccine decision-making among people experiencing homelessness.

Suggested Citation

  • Jenkinson, J.I.R. & Wigle, J. & Richard, L. & Tibebu, T. & Orkin, A.M. & Thulien, N.S. & Kiran, T. & Gogosis, E. & Crichlow, F. & Dyer, A.P. & Gabriel, M.D. & Hwang, S.W., 2025. "Structural violence as a driver of COVID-19 vaccine hesitancy and low vaccine uptake among people experiencing homelessness in Toronto, Canada: A qualitative study," Social Science & Medicine, Elsevier, vol. 365(C).
    • Handle: RePEc:eee:socmed:v:365:y:2025:i:c:s0277953624010426
    DOI: 10.1016/j.socscimed.2024.117588
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