Understanding vaccine perceptions among non-english-speaking parents in Rhode Island: An analysis of qualitative data

Uptake of childhood vaccines have declined since the COVID-19 pandemic. Studies have shown that lower vaccination coverage among foreign born populations lead to disparities in vaccination coverage and overall health. Assessing vaccine knowledge and attitudes of foreign-born populations in their native language can provide more culturally relative and rich data. The goal of this qualitative study was to gain insights This study explored non-English speaking, foreign-born parents of adolescents, from Rhode Island, United States, views and behaviors on vaccines. Between January and March 2024, we conducted four focus groups, two in Khmer and two in Cape Verdean Creole, in three Rhode Island cities, Providence, Central Falls, and Pawtucket. Participants were recruited through community engagement. All participants provided written consent to participate. The focus groups were recorded, translated, transcribed, and inductively open-coded for thematic analysis. There were 23 parents who participated, 17 Khmer speaking and 16 Cape Verdean Creole speaking. Three themes emerged: 1) Parents perceptions and attitudes towards vaccines, 2) Parental barriers to immunizations, and 3) Parental influences and sources of information. This qualitative study of non-English speaking, foreign-born parents of adolescents provided insights into a range of concerns, barriers, and influences pertaining to vaccination. To increase vaccine confidence among foreign born parents and improve uptake in adolescents, public health campaigns must speak directly to safety concerns, reflect community cultural values, support informed choices, and partner with trusted healthcare providers.