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

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

Social Science & Medicine, 2025, vol. 365, issue C

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.

Keywords: Ill-housed persons; COVID-19; Vaccine; Structural violence; Ecosocial theory; Qualitative (search for similar items in EconPapers)
Date: 2025
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DOI: 10.1016/j.socscimed.2024.117588

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