Addressing the elephant in the room: COVID-19 vaccine hesitancy in Black and Asian communities

Darko, Julia

doi:10.3399/bjgp21x715433

Cited by 12 publications

(9 citation statements)

References 3 publications

(2 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Extending the high-risk group definition in Hungary could help to mitigate the impacts of the epidemic on disadvantaged, mainly Roma minority of SCs. Although, there are obvious differences between Hungarian SC inhabitants and the ethnic minorities of the United States and the United Kingdom, this reconsideration is supported by published positive experiences and elaborated methodologies in these countries where vaccination organizations and monitoring are adapted to racial/ethnic minorities [ 6 , 43 – 48 ].…”

Section: Discussionmentioning

confidence: 99%

COVID-19 vaccination coverage in deprived populations living in segregated colonies: A nationwide cross-sectional study in Hungary

et al. 2022

View full text Add to dashboard Cite

The segregated colonies (SCs) in Hungary are populated mainly but not exclusively by Roma. Their health care use is restricted in many respects. It has not been studied yet, whether fair COVID-19 vaccination coverage achieved in Hungary is accompanied with fair effectiveness in SCs. Using census data, the vaccination coverage in SCs and the complementary areas (CAs) in the same settlements of the country was determined. To describe the settlement level differences, the vaccination coverage (until June 30, 2021) in SCs were compared to those in CAs by age, sex, and eligibility for exemption certificate standardized measures. Aggregating settlement level data, the level of geographic discrimination in Hungary was also determined. According to nationwide aggregates, crude vaccination coverage was significantly lower in SCs (40.05%, 95% CI 39.87%-40.23%) than in CAs (65.42%, 95% CI 65.37%-65.46%). The relative standardized vaccination coverage was 0.643 (95% CI 0.639–0.647) in SCs. A total of 437 of the 938 investigated settlements showed significant local vaccination disparities. Hungarian citizens living in SCs, mainly of Roma ethnicity, are a distinct high-risk group. Special intervention adapted to SCs is needed to mitigate inequality in vaccination coverage and further consequences of the pandemic.

show abstract

Section: Discussionmentioning

confidence: 99%

COVID-19 vaccination coverage in deprived populations living in segregated colonies: A nationwide cross-sectional study in Hungary

et al. 2022

View full text Add to dashboard Cite

show abstract

“…At the same time, critical health researchers have also problematized traditional framings within vaccine 'acceptance' and 'hesitancy' literatures, emphasizing the role of previously underappreciated factors like trust [23,24]. The example of trust is particularly illustrative of the importance of considering attitudinal and experiential variables (rather than, say, only demographic correlates), as its effect on the uptake of COVID-19 preventive measures can be larger within marginalized and/or non-dominant groups [25][26][27].…”

Section: Reviewing the Literature: The Complexity Of Vaccine Decision-makingmentioning

confidence: 99%

“Until I Know It’s Safe for Me”: The Role of Timing in COVID-19 Vaccine Decision-Making and Vaccine Hesitancy

et al. 2021

View full text Add to dashboard Cite

Managing the COVID-19 pandemic—and other communicable diseases—involves broad societal uptake of vaccines. As has been demonstrated, however, vaccine uptake is often uneven and incomplete across populations. This is a substantial challenge that must be addressed by public health efforts. To this point, significant research has focused on demographic and attitudinal correlates with vaccine hesitancy to understand uptake patterns. In this study, however, we advance understandings of individual decision-making processes involved in vaccine uptake through a mixed-methods investigation of the role of timing in COVID-19 vaccine choices. In the first step, a survey experiment, we find the timing of vaccine rollout (i.e., when a vaccine becomes available to the respondent) has a significant impact on public decision-making. Not only is there a higher level of acceptance when the vaccine becomes available at a later time, but delayed availability is correlated with both lower levels of ‘desire to wait’ and ‘total rejection’ of the vaccine. In a second step, we explore associated qualitative data, finding that temporal expressions (i.e., professing a desire to wait) can serve as a proxy for underlying non-temporal rationales, like concerns around safety, efficacy, personal situations, or altruism. By identifying these patterns, as well as the complexities of underlying factors, through a mixed-methods investigation, we can inform better vaccine-related policy and public messaging, as well as enhance our understanding of how individuals make decisions about vaccines in the context of COVID-19.

show abstract

“…Early evidence from observed uptake in the UK suggests that gender and ethnicity are associated with lower uptake among healthcare workers [14], and non-whites have lower uptake than whites among the general population too, with Black African and Black Caribbean people with the lowest uptake across the UK [15,16]. Although specific reasons for hesitancy will vary both within and between these groups, trust in authorities and the Government, as well as historic marginalization [17], play a key role [18] and it is currently unclear how the introduction of health status passports or certificates will affect intent to vaccinate as well as a breakdown of trust in authorities recommending vaccinations.…”

Section: Introductionmentioning

confidence: 99%

The potential impact of vaccine passports on inclination to accept COVID-19 vaccinations in the United Kingdom: Evidence from a large cross-sectional survey and modeling study

2021

View full text Add to dashboard Cite

Background:The UK Government is considering the introduction of vaccine passports for domestic use and to facilitate international travel for UK residents. Although vaccine incentivisation has been cited as a motivating factor for vaccine passports, it is unclear whether vaccine passports are likely to increase inclination to accept a COVID-19 vaccine. Methods: We conducted a large-scale national survey in the UK of 17,611 adults between 9 and 27 April 2021. Bayesian multilevel regression and poststratification is used to provide unbiased national-level estimates of the impact of the introduction of vaccine passports on inclination to accept COVID-19 vaccines and identify the differential impact of passports on uptake inclination across socio-demographic groups. Findings: We find that a large minority of respondents report that vaccination passports for domestic use (46¢5%) or international travel (42¢0%) would make them no more or less inclined to accept a COVID-19 vaccine and a sizeable minority of respondents also state that they would 'definitely' accept a COVID-19 vaccine and that vaccine passports would make them more inclined to vaccinate (48¢8% for domestic use and 42¢9% for international travel). However, we find that the introduction of vaccine passports will likely lower inclination to accept a COVID-19 vaccine once baseline vaccination intent has been adjusted for. This decrease is larger if passports were required for domestic use rather than for facilitating international travel. Being male (OR 0¢87, 0¢76 to 0¢99) and having degree qualifications (OR 0¢84, 0¢72 to 0¢94) is associated with a decreased inclination to vaccinate if passports were required for domestic use (while accounting for baseline vaccination intent), while Christians (OR 1¢23, 1¢08 to 1¢41) have an increased inclination over atheists or agnostics. Change in inclination is strongly connected to stated vaccination intent and will therefore unlikely shift attitudes among Black or Black British respondents, younger age groups, and non-English speakers. Interpretation: Our findings should be interpreted in light of sub-national trends in uptake rates across the UK, as our results suggest that passports may be viewed less positively among socio-demographic groups that cluster in large urban areas. We call for further evidence on the impact of vaccine certification and the potential fallout for routine immunization programmes in both the UK and in wider global settings, especially those with low overall trust in vaccinations.

show abstract

Addressing the elephant in the room: COVID-19 vaccine hesitancy in Black and Asian communities

Cited by 12 publications

References 3 publications

COVID-19 vaccination coverage in deprived populations living in segregated colonies: A nationwide cross-sectional study in Hungary

COVID-19 vaccination coverage in deprived populations living in segregated colonies: A nationwide cross-sectional study in Hungary

“Until I Know It’s Safe for Me”: The Role of Timing in COVID-19 Vaccine Decision-Making and Vaccine Hesitancy

The potential impact of vaccine passports on inclination to accept COVID-19 vaccinations in the United Kingdom: Evidence from a large cross-sectional survey and modeling study

Contact Info

Product

Resources

About