COVID-19 booster prioritization in the West Bank: a survey experiment among Bedouins, refugees, and the majority group

Front Public Health. 2023 Oct 4:11:1227559. doi: 10.3389/fpubh.2023.1227559. eCollection 2023.

Abstract

Introduction: Our main aim is to understand to what extent Bedouins, internally displaced Palestinians (refugees) and majority-group members (non-refugees, non-Bedouins, settled) in the West Bank prioritize COVID-19 booster shots for their own group over other groups.

Methods: We conducted a survey experiment (face-to-face) among 678 Palestinians living in the West Bank. Participants randomly received a description of an older man (Bedouin, refugee, settled) and were asked to indicate to what extent this person should be prioritized for the booster shot. Respondents belonging to a minority saw the profile of an in-group member or a majority-group member, whereas majority-group members would see the profile of an in-group or one out-group member (Bedouin, Palestinian refugee).

Results: We found slightly higher in-group preferences for Palestinian refugees when it came to vaccination, whereas majority-group members were less inclined to support a prioritization of Palestinian refugees but equally prioritized their group and Bedouins. For Bedouins, we did not find strong in-group preferences.

Discussion: Our study reveals the salience of group boundaries during the COVID-19 pandemic with potentially adverse effects on the health care of minorities.

Keywords: COVID-19; West Bank; intergroup attitudes; religion; solidarity; vaccination.

MeSH terms

  • Aged
  • Arabs
  • COVID-19* / epidemiology
  • Humans
  • Male
  • Middle East
  • Pandemics
  • Refugees*
  • Surveys and Questionnaires

Grants and funding

This publication was made possible with the financial support and within the interdisciplinary setting of the Arab-German Young Academy of Sciences and Humanities (AGYA). AGYA draws on financial support of the German Federal Ministry of Education and Research (BMBF) grant 01DL20003. The authors gratefully acknowledge funding from the Arab-German Young Academy of Sciences and Humanities.