Conditionality of COVID-19 vaccine acceptance in European countries

Heyerdahl, Leonardo W.; Vray, Muriel; Lana, Benedetta; Tvardik, Nastassia; Gobat, Nina; Wanat, Marta; Tonkin‐Crine, Sarah; Anthierens, Sibyl; Goossens, Herman; Giles‐Vernick, Tamara

doi:10.1101/2021.06.24.21259453

Cited by 5 publications

(7 citation statements)

References 18 publications

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“…Within our study, women expressed higher levels of refusal or reluctance towards COVID-19 vaccination (OR = 2.31, CI: 1.38-3.89). This is in line with ndings described by Heyerdahl et al (43), who observed that French women exhibited the highest COVID-19 vaccine hesitancy when compared to their European counterparts. Vaccine safety and mistrust of the authorities were again the most commonly reported motives of hesitancy.…”

Section: Comparison With Body Of Evidencesupporting

confidence: 93%

Motives for COVID-19 vaccine hesitancy amongst marginalized groups, including homeless persons and migrants, in France: a mixed-methods study.

Ducarroz

Figueiredo

Scarlett

et al. 2022

Preprint

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Background: Persons experiencing unstable housing – including recently arrived migrants – are at elevated risk of contracting COVID-19 and suffer from high morbidity and mortality. In this context, the COVID-19 vaccine was foreseen as a promising way to control the pandemic and reduce social inequalities in this area. Understanding the motives of COVID-19 vaccine acceptability in people with unstable housing, including migrants, is therefore crucial to tailor public health communication and outreach. Thus, the main objective of our study was to investigate - both quantitatively and qualitatively – the motivations behind vaccine hesitancy in people experiencing unstable housing when vaccines became available in France.Methods: A cross-sectional study was performed in Spring 2021, using convergent mixed-methods approach. Participants were recruited from homeless shelters and day centres and face-to-face interviews were offered, with help, where necessary, from phone-based interpreters. Factors associated with motives for COVID-19 vaccine hesitancy were explored using logistic regression models. Qualitative data – collected through semi-structured individual interviews - were analysed via an inductive thematic approach. Both quantitative and qualitative data were then integrated. Results: Vaccine hesitancy was found to be at an elevated rate (58.0%). The three most reported motives of hesitancy were related to COVID-19 vaccine effectiveness, safety, and trust in information about the vaccine. Factors of elevated hesitancy comprised the interviewees’ age, level of education, French-language aptitude, feeling of worry about COVID-19, and time of residence in France. Generic distrust in official information was a shared associated factor for the 3 motives of hesitancy. This result was expanded upon by the interview data where participants described having differential trust depending on who is recommending the vaccination. Another emerging key theme related to hopes that the vaccine would release them from the burden of the pandemic. Conclusions: Our mixed methods study provides a comprehensive understanding of COVID-19 vaccine hesitancy among persons with unstable housing in France in Spring 2021. Elevated levels of hesitancy remain a public health concern as “No one is safe until everyone is safe”. The already established role of trust in vaccine hesitancy is still to be adequately addressed as a potentially effective route of intervention.

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Section: Comparison With Body Of Evidencesupporting

confidence: 93%

Motives for COVID-19 vaccine hesitancy amongst marginalized groups, including homeless persons and migrants, in France: a mixed-methods study.

Ducarroz

Figueiredo

Scarlett

et al. 2022

Preprint

View full text Add to dashboard Cite

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“…This is important to understand because it means that we cannot take their current vaccine acceptance for granted, it is based on current social and political conditions and patterns which can change. 42 This aligns with the study of expected vaccine uptake, 43 which found that both conditional acceptance and rejection of COVID-19 vaccines were dynamic and volatile. Through following up with the same participants, we were able to see that people’s location along the hesitancy/acceptance spectrum is changeable.…”

Section: Discussionsupporting

confidence: 71%

Compliant citizens, defiant rebels or neither? Exploring changing COVID-19 vaccine attitudes and decisions in Bradford, UK: Findings from a follow-up qualitative study

Lockyer

Moss

Endacott

et al. 2022

Preprint

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Background: COVID-19 vaccines have been the central pillar of the public health response to the pandemic, intended to enable us to "live with Covid". It is important to understand COVID-19 vaccines attitudes and decisions in order to maximise uptake through an empathetic lens. Objective: To explore the factors that influenced people's COVID-19 vaccines decisions and how attitudes towards the vaccines had changed in an eventful year. Design and participants: This is a follow up study that took place in Bradford, UK one year after the original study, between October 2021 and January 2022. In-depth phone interviews were conducted with 12 (of the 20 originally interviewed) people from different ethnic groups and areas of Bradford. Reflexive thematic analysis was conducted. Results: 11 of the 12 participants interviewed had received both doses of the COVID-19 vaccine and most intended to have a booster dose. Participants described a variety of reasons why they had decided to have the vaccines, including: feeling at increased risk at work; protecting family and others in their communities, unrestricted travel and being influenced by the vaccine decisions of family, friends and colleagues. All participants discussed ongoing interaction with COVID-19 misinformation and for some this meant they were uneasy about their decision to have the vaccine. They described feeling overloaded by and disengaged from COVID-19 information, which they often found contradictory and some felt mistrustful of the UK government's motives and decisions during the pandemic. Conclusions: The majority of participants had managed to navigate an overwhelming amount of circulating COVID-19 misinformation and chosen to have two or more COVID-19 vaccines, even if they had been previously said they were unsure. However, these decisions were complicated, and demonstrate the continuum of vaccine hesitancy and acceptance. This follow up study underlines that vaccine attitudes are changeable and contextual. Patient or Public Contribution: The original study was developed through a rapid community and stakeholder engagement process in 2020. Discussion with the Bradford Council Public Health team and the public through the Bradford COVID-19 Community Insights Group was undertaken in 2021 to identify important priorities for this follow up study.

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“…COVID‐19 vaccination rates also seem to be comparatively low in Ukraine 49 . By late February 2022, the Our World in Data website reported that only 36.3% of the Ukrainian population was completely vaccinated, having received two doses against COVID‐19 122…”

Section: Resultsmentioning

confidence: 99%

“…After duplicates were removed, the titles and abstracts of 1,628 reports were reviewed by one of the authors (JFL), and 131 met the eligibility criteria (Figure 1). The current review was primarily based on 107 full papers, 2‐108 but, due to the scarcity of data, we also chose to cite five relevant abstracts 109‐113 for a more complete picture of child health in Ukraine. Our literature search was limited to papers published in English.…”

Section: Methodsmentioning

confidence: 99%

Systematic review of health and disease in Ukrainian children highlights poor child health and challenges for those treating refugees

Ludvigsson

Лобода

2022

Acta Paediatrica

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Aim Millions of Ukrainian children have been internally displaced or fled to other countries because of the Russian war. This systematic review focused on their health needs and future challenges for clinicians. Methods A systematic literature search of the Medline, Embase and MedRxiv databases from 1 January 2010 to 31 March 2022 identified 1628 papers on the health of Ukrainian children and 112 were relevant to this review. Results In 2019, under‐5 mortality was 8 per 1000 live births in Ukraine. Underweight and adverse childhood experiences, including child abuse, were frequent compared to other European countries, while childhood obesity seemed less common. Alcohol consumption was common in women of reproductive age, including during pregnancy, risking foetal alcohol syndrome. Neonatal screening programmes provided low coverage. Vaccine hesitancy was common and vaccination rates were low. Other concerns were measles, HIV, antibiotic resistance and multi‐resistant tuberculosis. Many children are expected to suffer from psychological and physical trauma due to the war. Other healthcare challenges include low COVID‐19 vaccination rates and a preference for secondary and tertiary care, rather than primary care. Many people cannot afford medication. Conclusion Ukrainian children often have poor health and host countries need to be aware of their needs.

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Conditionality of COVID-19 vaccine acceptance in European countries

Cited by 5 publications

References 18 publications

Motives for COVID-19 vaccine hesitancy amongst marginalized groups, including homeless persons and migrants, in France: a mixed-methods study.

Motives for COVID-19 vaccine hesitancy amongst marginalized groups, including homeless persons and migrants, in France: a mixed-methods study.

Compliant citizens, defiant rebels or neither? Exploring changing COVID-19 vaccine attitudes and decisions in Bradford, UK: Findings from a follow-up qualitative study

Systematic review of health and disease in Ukrainian children highlights poor child health and challenges for those treating refugees

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