Psychological, social, and situational factors associated with COVID‐19 vaccination intentions: A study of UK key workers and non‐key workers

Butter, Sarah; McGlinchey, Emily; Berry, Emma; Armour, Chérie

doi:10.1111/bjhp.12530

Cited by 68 publications

(56 citation statements)

References 35 publications

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“…4 Similar mistrust was also noted amongst a higher risk category namely the ‘keyworkers’ with 23.9 % of the 579 keyworkers surveyed confirmed that they are uncertain or will refuse to take the vaccine. 5 These rates of COVID-19 vaccine hesitancy have remained relatively stable since earlier studies conducted by January 2021 suggesting around 50-60% of individuals would be willing to receive a vaccine. 6,7 When examining the UK data for markers of inequality, those of 1) black and ethnic minority descendance and 2) lower socioeconomic households or currently unemployed, have indicated even greater rates of hesitancy.…”

Section: Introductionmentioning

confidence: 97%

COVID-19 vaccine hesitancy in the UK: A longitudinal household cross-sectional study

Chaudhuri

Chakrabarti

Chandan

et al. 2021

Preprint

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Background: The global morbidity and mortality burden of COVID19 has been substantial, often widening preexisting inequalities. The approved COVID19 vaccines have shown great promise in reducing disease transmission and severity of outcomes. However, the success of the COVID19 vaccine rollout is dependent on public acceptance and willingness to be vaccinated. In this study, we aim to examine how the attitude towards public sector officials and the government impact vaccine willingness with a secondary aim to understand the impact of ethnicity on this relationship. Methods: This crosssectional study used data from a UK population based longitudinal household survey (Understanding Society COVID19 study, Understanding Society: the UK Household Longitudinal Study) between April 2020 to January 2021. Data from 22421 participants in Waves 6 and 7 of the study were included after excluding missing data. Demographic details in addition to previous survey responses relating to public sector/governmental trust were included in as covariates in the main analyses. A logit model was produced to describe the association between public sector/governmental mistrust and the willingness for vaccination with interaction terms included to account for ethnicity/socioeconomic status. Findings: In support of existing literature, we identified those from BAME groups were more likely to be unwilling to take the COVID19 vaccine. We found that positive opinions towards public sector officials (OR 2.680: 95% CI 1.888 3.805) and the UK government (OR 3.400; 95% CI 2.454 4.712) led to substantive increase in vaccine willingness. Most notably we identified this effect to be vary across ethnicity and socioeconomic status with those from South Asian background (OR 4.513; 95% CI 1.012 20.123) the most unwilling to be vaccinated when their trust in public sector officials were affected. Interpretation: These findings suggests that trust in public sector officials may play a key factor in the low vaccination rates particularly seen in at risk groups. Given the additional morbidity/mortality risk posed by COVID19 to those from lower socioeconomic or ethnic minority backgrounds, there needs to be urgent public health action to review how to tailor health promotion advice given to these groups and examine methods to improve trust in public sector officials and the Government. Funding: No funding

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Section: Introductionmentioning

confidence: 97%

COVID-19 vaccine hesitancy in the UK: A longitudinal household cross-sectional study

Chaudhuri

Chakrabarti

Chandan

et al. 2021

Preprint

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“…They have been used to eliminate and significantly decrease morbidity and mortality associated with different infectious diseases [10] by providing benefit to those who get vaccinated and also protecting communities through reducing transmission of the disease [10]. Via herd immunity, a high uptake of COVID-19 vaccines can also help protect people who cannot get a vaccine such as those with compromised immune systems and young children [11]. Getting efficacious results from a vaccine does not solely rely on accessibility/uptake, but also depends upon the public's acceptance and willingness to get vaccinated [11].…”

Section: Introductionmentioning

confidence: 99%

“…Via herd immunity, a high uptake of COVID-19 vaccines can also help protect people who cannot get a vaccine such as those with compromised immune systems and young children [11]. Getting efficacious results from a vaccine does not solely rely on accessibility/uptake, but also depends upon the public's acceptance and willingness to get vaccinated [11]. Other major hindrances to getting a vaccine include vaccine hesitancy, skepticism, refusal, and anti-vaccine movements [12].…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Public Attitudes towards COVID-19 Vaccination: A Scoping Review Informed by the Socio-Ecological Model

et al. 2021

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Major hindrances to getting a COVID-19 vaccine include vaccine hesitancy, skepticism, refusal, and anti-vaccine movements. Several studies have been conducted on attitudes of the public towards COVID-19 vaccines and the potential influencing factors. The purpose of this scoping review is to summarize the data available on the various factors influencing public attitudes towards COVID-19 vaccination. This scoping review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) Statement. PubMed, Embase, Web of Science, and Cochrane Central were searched without restrictions to reclaim all publications on the factors that shape individuals’ attitudes towards COVID-19 vaccines from 1 January 2020 to 15 February 2021. Fifty studies were included. The scoping review revealed that the factors influencing public attitudes towards COVID-19 vaccines were embedded within the different levels of the socio-ecological model. These factors included the sociodemographic characteristics of the individuals, individual factors, social and organizational factors. In addition, certain characteristics of COVID-19 vaccines themselves influenced public attitudes towards accepting the vaccines. Understanding various population needs and the factors shaping public attitudes towards the vaccines would support planning for evidence-based multilevel interventions in order to enhance global vaccine uptake.

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“…Several factors are shown to be associated with vaccine hesitancy, such as female gender, younger age, healthcare profession, low confidence in the government, concerns for safety, efficacy and effectiveness of COVID-19 vaccines, low levels of knowledge, negative information about COVID-19 vaccines, paranoid or conspiracy beliefs (Al-Amer et al, 2021;Butter et al, 2021;Galanis et al, 2020;Murphy et al, 2021). On the other hand, morbidity, stronger vaccine confidence, seasonal influenza vaccination, positive attitude towards COVID-19 vaccines, fear against COVID-19, and high self-perceived risk of COVID-19 are positive predictive factors to accept a vaccine against COVID- 19 (Galanis et al, 2020;.…”

Section: Introductionmentioning

confidence: 99%

Predictors of COVID-19 vaccination uptake and reasons for decline of vaccination: a systematic review

Galanis

Vraka

Σίσκου

et al. 2021

Preprint

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Background: Various COVID-19 vaccines with proven safety and effectiveness are available now but vaccine hesitancy remains a public threat. COVID-19 vaccines uptake appears to have an essential role in the successful control of the COVID-19 pandemic. Objective: To examine predictors of COVID-19 vaccination uptake and reasons for decline of vaccination. Methods: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines for this systematic review. We searched Medline, PubMed, Web of Science, Scopus, ProQuest, CINAHL, and a pre-print service (medRxiv) from inception to July 12, 2021. We used the following key-words: vaccin*, COVID-19, and uptake. We included all types of studies (quantitative, qualitative, and mixed methods) reporting COVID-19 vaccination uptake. The review protocol was registered with PROSPERO (CRD42021267460). Results: Twelve studies met the inclusion and exclusion criteria. COVID-19 vaccination uptake ranged from 28.6% to 98% in the general population, while among healthcare workers ranged from 33.3% to 94.5%, and among patients ranged from 36% to 80%. The main predictors of COVID-19 vaccination uptake were male gender, white race, older age, higher socioeconomic status, higher self-perceived COVID-19 vulnerability, increased information about COVID-19 vaccines, and chronic illness. The most important reasons for decline of vaccination were concerns about the safety and effectiveness of vaccines, illness, medication, pregnancy, fertility, breastfeeding, religious reasons, ethical reasons, previous COVID-19 diagnosis, self-estimation that COVID-19 is not a severe disease, and limited knowledge about the vaccines. Conclusions: Several factors affect COVID-19 vaccination uptake, while various reasons affect people decision to refuse to take a COVID-19 vaccine. These findings are essential to further enhance our understanding of COVID-19 vaccination uptake and design specific interventions. Given the high prevalence of COVID-19 vaccine hesitancy, our findings have major implications for the delivery of COVID-19 vaccination programmes in the public with special attention to people who are undecided or unlikely to take a COVID-19 vaccine.

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Psychological, social, and situational factors associated with COVID‐19 vaccination intentions: A study of UK key workers and non‐key workers

Cited by 68 publications

References 35 publications

COVID-19 vaccine hesitancy in the UK: A longitudinal household cross-sectional study

COVID-19 vaccine hesitancy in the UK: A longitudinal household cross-sectional study

Factors Influencing Public Attitudes towards COVID-19 Vaccination: A Scoping Review Informed by the Socio-Ecological Model

Predictors of COVID-19 vaccination uptake and reasons for decline of vaccination: a systematic review

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