COVID-19 vaccine acceptance and preference for future delivery among language minority, newcomer, and racialized peoples in Canada: a national cross-sectional and longitudinal study.

COVID-19 vaccine acceptance and preference for future delivery among language minority, newcomer, and racialized peoples in Canada: a national cross-sectional and longitudinal study.

Publication date: Dec 01, 2025

Despite high COVID-19 vaccine coverage in Canada, vaccine acceptance and preferred delivery among newcomers, racialized persons, and those who primarily speak minority languages are not well understood. This national study explores COVID-19 vaccine acceptance, access to vaccines, and delivery preferences among ethnoculturally diverse population groups. We conducted two national cross-sectional surveys during the pandemic (Dec 2020 and Oct-Nov 2021). Binary logistic regression analysis investigated the association between newcomer, language, and racialized minority respondents’ perceptions and acceptance of COVID-19 vaccines, experiences of discrimination when accessing health services, and sociodemographic characteristics. McNemar-Bowker tests were used to assess changes in responses collected at two time points. Among 1630 respondents, 30. 8% arrived in Canada within the last five years, 87. 4% self-identified as a racialized minority, and 37. 2% primarily spoke languages other than English or French. Although single dose COVID-19 vaccine uptake was at 92. 7% among respondents, 14. 8% experienced difficulty accessing vaccines, citing a need for translated resources or multi-lingual personnel. In longitudinal analysis, respondents were increasingly motivated over time to overcome barriers to accessing vaccines (61. 4% to 69. 6%, p =

Concepts Keywords
Canada Adolescent
French Adult
Racialized Aged
Vaccine Canada
COVID-19
COVID-19
COVID-19 Vaccines
COVID-19 Vaccines
Cross-Sectional Studies
Female
Health Services Accessibility
Humans
Language
Longitudinal Studies
Male
Middle Aged
Minority Groups
minority language
newcomer
Patient Preference
racialized
SARS-CoV-2
Vaccination
vaccination
Vaccination Hesitancy
Young Adult

Semantics

Type Source Name
disease MESH COVID-19
disease MESH Health Services Accessibility

Original Article

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