Routine childhood vaccination coverage in England has been declining since 2013, but the burden of disease risk is not evenly distributed across the population and is particularly acute among undervaccinated children from minoritised backgrounds. People of Black Caribbean heritage in England and Scotland are consistently less likely to receive routine child and adult vaccinations, leading to a chain of persistent inequality across the life course. Lower COVID-19 vaccine uptake among adults of Black ethnicities, despite higher morbidity and mortality, has been linked to the enduring legacy of racialised medical exploitation and the impact of broader structural violence. Against this backdrop, the proposed PhD study will integrate approaches from the social sciences and history to examine the extent to which influences on vaccine decision-making are intergenerational among Black Caribbean families.
Methods will be triangulated through a three-phased approach: (i) archival research into public health and NHS practices relating to Black Caribbean-born and descended people in Britain from 1948-71; (ii) semi-structured interviews with Black Caribbean-born people who arrived in Britain between 1948-1971 and (adult) children of those who arrived in this period, to explore experiences and the legacies of healthcare and public health programmes both in the Caribbean and the UK; (iii) and using select extracts identified above in novel ‘reading group methodologies’ with Black Caribbean parents of children (0-5 years) to explore the extent to which the past informs parental decision-making in the present. This approach will excavate perceptions and experiences of vaccination and public health racism across first, second and third generation Black Caribbean migrants.
Supervisory Team:
- First Supervisor: Dr Sudeepa Abeysinghe, sudeepa.abeysinghe@ed.ac.uk
- Second Supervisor: Professor Diana Paton, Diana.Paton@ed.ac.uk
- Third Supervisor: Dr Ben Kasstan-Dabush, ben.kasstan-dabush@ed.ac.uk