Tackling barriers to COVID-19 vaccine uptake in London: a mixed-methods evaluation

Halvorsrud, Kristoffer; Shand, Jenny; Weil, Leonora G; Hutchings, Andrew; Zuriaga, Ana; Satterthwaite, Dane; Yip, Jennifer; Eshareturi, Cyril; Billett, Julie; Hepworth, Ann; Dodhia, Rakesh; Schwartz, Ellen; Penniston, Rachel; Mordaunt, Emma; Bulmer, Sophie; Barratt, Helen; Illingworth, John; Inskip, J. Hampden; Bury, Fran; Jenkins, Deborah; Mounier-Jack, Sandra; Raine, Rosalind

doi:10.1093/pubmed/fdac038

Cited by 17 publications

(18 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our results show that the local trust relationship between the clinical team and RRT patients can address vaccine hesitancy to a substantial proportion, in line with previous research demonstrating that RRT patients from ethnic minorities who exhibit mistrust toward the health care system as a whole can establish relationships of trust with selected elements of the health care system with whom they have direct and frequent contact [17]. Our results are also in line with a recently published study showing that local autonomy for targeted initiatives can improve outcomes in minority groups [18].…”

Section: Discussionsupporting

confidence: 91%

Increasing Uptake of COVID-19 Vaccination and Reducing Health Inequalities in Patients on Renal Replacement Therapy—Experience from a Single Tertiary Centre

et al. 2022

View full text Add to dashboard Cite

Background: COVID-19 vaccination has changed the landscape of the COVID-19 pandemic; however, decreased uptake due to vaccine hesitancy has been observed, particularly in patients from minority ethnic backgrounds and socially deprived areas. These patient characteristics are common in patients on Renal Replacement Therapy (RRT), a population at extremely high risk of developing serious illness from COVID-19 and who would thus benefit the most from the vaccination programme. We designed a bespoke COVID-19 vaccination programme for our RRT population with the aim of decreasing health inequalities and increasing vaccination uptake. Methods: Key interventions included addressing vaccine hesitancy by deploying the respective clinical teams as trusted messengers, prompt eligible patient identification and notification, the deployment of resources to optimise vaccine administration in a manner convenient to patients, and the timely collection and analysis of local safety and efficacy data. First, COVID-19 vaccination data in relation to ethnicity and social deprivation in our RRT population, measured by the multiple deprivation index, were analysed and compared to uptake data in the total regional adult clinically extremely vulnerable (CEV) population in Greater Manchester (GM). Univariate logistic regression analysis was used to explore the factors associated with not receiving a vaccine. Results: Out of 1156 RRT patients included in this analysis, 96.7% received the first dose of the vaccination compared to 93% in the cohort of CEV patients in the GM. Age, gender, ethnicity, and a lower index of multiple deprivation were not identified as significant risk factors for poor first dose vaccine uptake in our cohort. Vaccine uptake in Asian and Black RRT patients was 94.9% and 92.3%, respectively, compared to 93% and 76.2% for the same ethnic groups in the reference CEV GM. Vaccine uptake was 96.1% for RRT patients in the lowest quartile of the multiple deprivation index, compared to 90.5% in the GM reference population. Conclusion: Bespoke COVID-19 vaccination programmes based on local clinical teams as trusted messengers can improve negative attitudes towards vaccination and reduce health inequalities.

show abstract

Section: Discussionsupporting

confidence: 91%

Increasing Uptake of COVID-19 Vaccination and Reducing Health Inequalities in Patients on Renal Replacement Therapy—Experience from a Single Tertiary Centre

et al. 2022

View full text Add to dashboard Cite

show abstract

“…We found that views towards COVID-19 vaccination were generally similar across ethnic groups between June and October 2020, while larger UK quantitative studies conducted within the first year after vaccine rollout demonstrated lower uptake in certain ethnic minority groups, and there were sometimes further inequalities by age, gender, religion, area deprivation, disability status, English language proficiency, socioeconomic position and educational attainment 21–24. Surveillance data demonstrate that COVID-19 vaccination rates in the UK and Israel were lowest among certain ethnic minority groups 25 26.…”

Section: Discussionmentioning

confidence: 78%

“…Attitudes, intentions and uptake We found that views towards COVID-19 vaccination were generally similar across ethnic groups between June and October 2020, while larger UK quantitative studies conducted within the first year after vaccine rollout demonstrated lower uptake in certain ethnic minority groups, and there were sometimes further inequalities by age, gender, religion, area deprivation, disability status, English language proficiency, socioeconomic position and educational attainment. [21][22][23][24] Surveillance data demonstrate that COVID-19 vaccination rates in the UK and Israel were lowest among certain ethnic minority groups. 25 26 For UK healthcare workers between December 2020 and February 2021, studies found that some ethnic minority groups were more likely to be COVID-19 vaccine hesitant in comparison with white British groups, 12 and that COVID-19 vaccine uptake was lower among some ethnic minority groups compared with white people.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Attitudes towards coronavirus (COVID-19) vaccine and sources of information across diverse ethnic groups in the UK: a qualitative study from June to October 2020

Sides¹,

Jones²,

Kamal

et al. 2022

BMJ Open

View full text Add to dashboard Cite

ObjectivesAcross diverse ethnic groups in the UK, explore attitudes and intentions towards COVID-19 vaccination and sources of COVID-19 information.DesignRemote qualitative interviews and focus groups (FGs) conducted June–October 2020 before UK COVID-19 vaccine approval. Data were transcribed and analysed through inductive thematic analysis and mapped to the Theoretical Domains Framework.SettingEngland and Wales.Participants100 participants from 19 self-identified ethnic groups.ResultsMistrust and doubt were reported across ethnic groups. Many participants shared concerns about perceived lack of information about COVID-19 vaccine safety and efficacy. There were differences within each ethnic group, with factors such as occupation and perceived health status influencing intention to accept a vaccine once made available. Across ethnic groups, participants believed that public contact occupations, older adults and vulnerable groups should be prioritised for vaccination. Perceived risk, social influences, occupation, age, comorbidities and engagement with healthcare influenced participants’ intentions to accept vaccination once available. All Jewish FG participants intended to accept, while all Traveller FG participants indicated they probably would not.Facilitators to COVID-19 vaccine uptake across ethnic groups included: desire to return to normality and protect health and well-being; perceived higher risk of infection; evidence of vaccine safety and efficacy; vaccine availability and accessibility.COVID-19 information sources were influenced by social factors and included: friends and family; media and news outlets; research literature; and culture and religion. Participants across most different ethnic groups were concerned about misinformation or had negative attitudes towards the media.ConclusionsDuring vaccination rollout, including boosters, commissioners and providers should provide accurate information, authentic community outreach and use appropriate channels to disseminate information and counter misinformation. Adopting a context-specific approach to vaccine resources, interventions and policies and empowering communities has potential to increase trust in the programme.

show abstract

“…A direct comparison of hesitant vaccination behavior during the coronavirus pandemic in neighboring countries has been made between Ireland and the United Kingdom, and it has been shown that psychological constructs are less crucial than sociodemographic and health-related factors [ 40 ]. As languages also correlate with economic status, we can assume that minority groups other than the visible Italian and German speakers may be marginalized communities in South Tyrol, in whom increased vaccine hesitancy may arise, as seen in other parts of the world [ 6 , 7 , 28 ].…”

Section: Discussionmentioning

confidence: 99%

“…Vaccine hesitancy may not be uniformly distributed in large, single countries. In Black communities in the United Kingdom [ 6 ] and the United States [ 7 ] for instance, a historical mistrust in the government and medical authorities has been a deterrent. On 17 January 2022, in Italy, which was among the leading countries in terms of vaccine uptake in Europe among 21 regions, the first-dose vaccination rates ranged between 74 and 82 per cent.…”

Section: Introductionmentioning

confidence: 99%

Vaccine Hesitancy during the Coronavirus Pandemic in South Tyrol, Italy: Linguistic Correlates in a Representative Cross-Sectional Survey

Barbieri¹,

Wiedermann²,

Lombardo

et al. 2022

Vaccines

View full text Add to dashboard Cite

Background: German is a minority language in Italy and is spoken by the majority of the inhabitants of the Autonomous Province of Bolzano, South Tyrol. Linguistic group membership in South Tyrol is an established determinant of health information-seeking behavior. Because the COVID-19 incidence and vaccination coverage in the second year of the pandemic in Italy was the worst in South Tyrol, we investigated whether linguistic group membership is related to COVID-19 vaccine hesitancy. Methods: A cross-sectional survey was conducted on a probability-based sample of 1425 citizens from South Tyrol in March 2021. The questionnaire collected information on socio-demographics, including linguistic group membership, comorbidities, COVID-19-related experiences, conspiracy thinking, well-being, altruism, and likelihood of accepting the national vaccination plan. Multiple logistic regression analyses were performed to identify the significant predictors of vaccine hesitancy. Results: Overall, 15.6 percent of the sample reported vaccine hesitancy, which was significantly higher among German speakers than among other linguistic groups. Increased hesitancy was mostly observed in young age, the absence of chronic disease, rural residence, a worsened economic situation, mistrust in institutions, and conspiracy thinking. In the multiple logistic regression analyses, linguistic group membership was not an independent predictor of vaccine hesitancy. Conclusion: Although German is a minority language in Italy and COVID-19 vaccine hesitancy was higher in the German native language group than in the Italian, linguistic group membership was not an independent predictor of hesitancy in the autonomous province. Known predictors of vaccine hesitancy are distributed unevenly across language groups. Whether language group-specific intervention strategies to promote vaccine hesitancy are useful requires further study.

show abstract

Tackling barriers to COVID-19 vaccine uptake in London: a mixed-methods evaluation

Cited by 17 publications

References 7 publications

Increasing Uptake of COVID-19 Vaccination and Reducing Health Inequalities in Patients on Renal Replacement Therapy—Experience from a Single Tertiary Centre

Increasing Uptake of COVID-19 Vaccination and Reducing Health Inequalities in Patients on Renal Replacement Therapy—Experience from a Single Tertiary Centre

Attitudes towards coronavirus (COVID-19) vaccine and sources of information across diverse ethnic groups in the UK: a qualitative study from June to October 2020

Vaccine Hesitancy during the Coronavirus Pandemic in South Tyrol, Italy: Linguistic Correlates in a Representative Cross-Sectional Survey

Contact Info

Product

Resources

About