{"id":23311,"date":"2026-02-04T11:24:37","date_gmt":"2026-02-04T16:24:37","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=23311"},"modified":"2026-02-23T11:45:26","modified_gmt":"2026-02-23T16:45:26","slug":"associations-between-psychological-factors-of-covid-19-vaccine-hesitancy-and-vaccine-uptake-in-metis-citizens-in-ontario","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/associations-between-psychological-factors-of-covid-19-vaccine-hesitancy-and-vaccine-uptake-in-metis-citizens-in-ontario\/","title":{"rendered":"Associations between psychological factors of COVID-19 vaccine hesitancy and vaccine uptake in M\u00e9tis citizens in Ontario \u2013 a population-based data linkage study"},"content":{"rendered":"<p><strong>Background<\/strong> \u2014 The COVID-19 pandemic exacerbated existing inequalities and vulnerabilities among marginalized groups, particularly Indigenous Peoples in Canada. We assessed the influence of psychological antecedents of vaccine hesitancy on COVID-19 vaccine uptake among M\u00e9tis in Ontario, Canada.<\/p>\n<p><strong>Methods<\/strong> \u2014 The M\u00e9tis Nation of Ontario (MNO) survey, a population-based online survey, was used to capture MNO citizens\u2019 \u201c5Cs\u201d of psychological antecedents relating to vaccination intention (Confidence, Complacency, Constraint, Calculation, Collective Responsibility). Descriptive statistics and multivariable logistic regression models were used to model vaccination status to assess the influence of psychological antecedents of vaccination with vaccination behaviour, by linking survey data to the Ontario COVID-19 Vaccine Database (COVaxON), which captures all COVID-19 vaccinations administered in Ontario.<\/p>\n<p><strong>Results<\/strong> \u2014 The study cohort size was 3,999, with 3,701 (92.5%) MNO citizens participating partially or fully vaccinated. Results from five separate logistic regression models suggested four variables\/indicators from 5Cs \u2013 Confidence, Complacency, Calculation, and Collective Responsibility \u2013 were significantly associated with vaccination status, while Constraints was not.<\/p>\n<p><strong>Conclusions<\/strong> \u2014 This study contributes valuable insight on the factors that may influence the decision to opt out of receiving a COVID-19 vaccination among M\u00e9tis and can inform the development of targeted public health interventions and educational strategies aimed at dispelling misconceptions about vaccination.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background \u2014 The COVID-19 pandemic exacerbated existing inequalities and vulnerabilities among marginalized groups, particularly Indigenous Peoples in Canada. We assessed the influence of psychological antecedents of vaccine hesitancy on COVID-19 vaccine uptake among M\u00e9tis in Ontario, Canada. Methods \u2014 The M\u00e9tis Nation of Ontario (MNO) survey, a population-based online survey, was used to capture MNO [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[22,35],"migration-helper-qa-sample-set":[],"class_list":["post-23311","journal_article","type-journal_article","status-publish","hentry","topic-indigenous-peoples","topic-public-health"],"acf":{"citation":"Dvorani E, Edwards A, Kim E, Khan H, Chaurasia A, Kwong JC, Cripps S, King KD, Mecredy G, Cooke M. <em>Int J Indig Health<\/em>. 2026; 21(1).","source_url":"https:\/\/doi.org\/10.32799\/ijih.v21i1.45536","ices_scientist":[1149,1309],"site":[6733],"research_program":[6745],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":[23523],"video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Associations between psychological factors of COVID-19 vaccine hesitancy and vaccine uptake in M\u00e9tis citizens in Ontario \u2013 a population-based data linkage study<\/title>\n<meta name=\"description\" content=\"Background \u2014 The COVID-19 pandemic exacerbated existing inequalities and vulnerabilities among marginalized groups, particularly Indigenous Peoples in\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/associations-between-psychological-factors-of-covid-19-vaccine-hesitancy-and-vaccine-uptake-in-metis-citizens-in-ontario\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Associations between psychological factors of COVID-19 vaccine hesitancy and vaccine uptake in M\u00e9tis citizens in Ontario \u2013 a population-based data linkage study\" \/>\n<meta property=\"og:description\" content=\"Background \u2014 The COVID-19 pandemic exacerbated existing inequalities and vulnerabilities among marginalized groups, particularly Indigenous Peoples in\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/associations-between-psychological-factors-of-covid-19-vaccine-hesitancy-and-vaccine-uptake-in-metis-citizens-in-ontario\/\" \/>\n<meta property=\"og:site_name\" content=\"ICES\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ICESOntario\/\" \/>\n<meta property=\"article:modified_time\" content=\"2026-02-23T16:45:26+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/associations-between-psychological-factors-of-covid-19-vaccine-hesitancy-and-vaccine-uptake-in-metis-citizens-in-ontario\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/associations-between-psychological-factors-of-covid-19-vaccine-hesitancy-and-vaccine-uptake-in-metis-citizens-in-ontario\\\/\",\"name\":\"ICES | Associations between psychological factors of COVID-19 vaccine hesitancy and vaccine uptake in M\u00e9tis citizens in Ontario \u2013 a population-based data linkage study\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\"},\"datePublished\":\"2026-02-04T16:24:37+00:00\",\"dateModified\":\"2026-02-23T16:45:26+00:00\",\"description\":\"Background \u2014 The COVID-19 pandemic exacerbated existing inequalities and vulnerabilities among marginalized groups, particularly Indigenous Peoples in\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/associations-between-psychological-factors-of-covid-19-vaccine-hesitancy-and-vaccine-uptake-in-metis-citizens-in-ontario\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/associations-between-psychological-factors-of-covid-19-vaccine-hesitancy-and-vaccine-uptake-in-metis-citizens-in-ontario\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/associations-between-psychological-factors-of-covid-19-vaccine-hesitancy-and-vaccine-uptake-in-metis-citizens-in-ontario\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Journal Articles\",\"item\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Associations between psychological factors of COVID-19 vaccine hesitancy and vaccine uptake in M\u00e9tis citizens in Ontario \u2013 a population-based data linkage study\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\",\"name\":\"ICES\",\"description\":\"POPULATION-BASED HEALTH RESEARCH THAT MAKES A DIFFERENCE\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#organization\"},\"alternateName\":\"Institute for Clinical Evaluative Sciences\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#organization\",\"name\":\"ICES\",\"alternateName\":\"Institute for Clinical Evaluative Sciences\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/ices-logo.png\",\"contentUrl\":\"https:\\\/\\\/www.ices.on.ca\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/ices-logo.png\",\"width\":\"676\",\"height\":\"618\",\"caption\":\"ICES\"},\"image\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/ICESOntario\\\/\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/ices-research-institute\\\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"ICES | Associations between psychological factors of COVID-19 vaccine hesitancy and vaccine uptake in M\u00e9tis citizens in Ontario \u2013 a population-based data linkage study","description":"Background \u2014 The COVID-19 pandemic exacerbated existing inequalities and vulnerabilities among marginalized groups, particularly Indigenous Peoples in","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/associations-between-psychological-factors-of-covid-19-vaccine-hesitancy-and-vaccine-uptake-in-metis-citizens-in-ontario\/","og_locale":"fr_FR","og_type":"article","og_title":"ICES | Associations between psychological factors of COVID-19 vaccine hesitancy and vaccine uptake in M\u00e9tis citizens in Ontario \u2013 a population-based data linkage study","og_description":"Background \u2014 The COVID-19 pandemic exacerbated existing inequalities and vulnerabilities among marginalized groups, particularly Indigenous Peoples in","og_url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/associations-between-psychological-factors-of-covid-19-vaccine-hesitancy-and-vaccine-uptake-in-metis-citizens-in-ontario\/","og_site_name":"ICES","article_publisher":"https:\/\/www.facebook.com\/ICESOntario\/","article_modified_time":"2026-02-23T16:45:26+00:00","og_image":[{"width":1200,"height":675,"url":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/associations-between-psychological-factors-of-covid-19-vaccine-hesitancy-and-vaccine-uptake-in-metis-citizens-in-ontario\/","url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/associations-between-psychological-factors-of-covid-19-vaccine-hesitancy-and-vaccine-uptake-in-metis-citizens-in-ontario\/","name":"ICES | Associations between psychological factors of COVID-19 vaccine hesitancy and vaccine uptake in M\u00e9tis citizens in Ontario \u2013 a population-based data linkage study","isPartOf":{"@id":"https:\/\/www.ices.on.ca\/fr\/#website"},"datePublished":"2026-02-04T16:24:37+00:00","dateModified":"2026-02-23T16:45:26+00:00","description":"Background \u2014 The COVID-19 pandemic exacerbated existing inequalities and vulnerabilities among marginalized groups, particularly Indigenous Peoples in","breadcrumb":{"@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/associations-between-psychological-factors-of-covid-19-vaccine-hesitancy-and-vaccine-uptake-in-metis-citizens-in-ontario\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/associations-between-psychological-factors-of-covid-19-vaccine-hesitancy-and-vaccine-uptake-in-metis-citizens-in-ontario\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/associations-between-psychological-factors-of-covid-19-vaccine-hesitancy-and-vaccine-uptake-in-metis-citizens-in-ontario\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.ices.on.ca\/fr\/"},{"@type":"ListItem","position":2,"name":"Journal Articles","item":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/"},{"@type":"ListItem","position":3,"name":"Associations between psychological factors of COVID-19 vaccine hesitancy and vaccine uptake in M\u00e9tis citizens in Ontario \u2013 a population-based data linkage study"}]},{"@type":"WebSite","@id":"https:\/\/www.ices.on.ca\/fr\/#website","url":"https:\/\/www.ices.on.ca\/fr\/","name":"ICES","description":"POPULATION-BASED HEALTH RESEARCH THAT MAKES A DIFFERENCE","publisher":{"@id":"https:\/\/www.ices.on.ca\/fr\/#organization"},"alternateName":"Institute for Clinical Evaluative Sciences","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.ices.on.ca\/fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/www.ices.on.ca\/fr\/#organization","name":"ICES","alternateName":"Institute for Clinical Evaluative Sciences","url":"https:\/\/www.ices.on.ca\/fr\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.ices.on.ca\/fr\/#\/schema\/logo\/image\/","url":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/04\/ices-logo.png","contentUrl":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/04\/ices-logo.png","width":"676","height":"618","caption":"ICES"},"image":{"@id":"https:\/\/www.ices.on.ca\/fr\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/ICESOntario\/","https:\/\/www.linkedin.com\/company\/ices-research-institute\/"]}]}},"_links":{"self":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/journal_article\/23311","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/journal_article"}],"about":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/types\/journal_article"}],"acf:post":[{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/infographic\/23523"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/research_program\/6745"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/site\/6733"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1309"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1149"}],"wp:attachment":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/media?parent=23311"}],"wp:term":[{"taxonomy":"migration-helper-automated","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-helper-automated?post=23311"},{"taxonomy":"migration-manual","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-manual?post=23311"},{"taxonomy":"topic","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/topic?post=23311"},{"taxonomy":"migration-helper-qa-sample-set","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-helper-qa-sample-set?post=23311"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}