Uptake of COVID-19 vaccination in a medium secure psychiatric hospital population

Abstract

Summary Patients in medium secure hospitals may be at particularly increased risk of coronavirus disease 2019 (COVID-19) infection and complications. We undertook a service evaluation involving all current in-patients within a single, English medium secure hospital to describe the uptake of the COVID-19 vaccine among this population. Data regarding capacity to consent to the vaccine, acceptance/refusal of this (and reasons for refusal) and demographics was retrospectively collected from the patients’ clinical records and analysed. In total, 85 patients (92.4% of eligible patients) had capacity to decide if they wanted the COVID-19 vaccine. Of these 68 (80.0%) consented and 17 (20.0%) declined to consent. A similar proportion of patients aged under and over 40 years old consented to have the vaccine. Those from a Black Asian minority ethnic background were more likely to decline the vaccine than White British patients. The reasons for capacitous refusal appeared similar to those seen in the general population.

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

“…Main characteristics of the 12 studies included in this systematic review are presented in Table 1. Four studies were conducted in the USA (Gharpure et al, 2021;McCabe et al, 2021;Pacella-LaBarbara et al, 2021;Schrading et al, 2021), four studies in United Kingdom (Gibbon et al, 2021;Glampson et al, 2021;Martin et al, 2021;The OpenSAFELY Collaborative et al, 2021), one study in China (Xu et al, 2021), one study in Kingdom of Saudi Arabia (Barry et al, 2021), and one study in Poland (Malesza & Bozym, 2021). Also, one study included participants from the USA and United Kingdom (L. Nguyen et al, 2021).…”

“…Also, one study included participants from the USA and United Kingdom (L. Nguyen et al, 2021). Data collection time among studies ranged from December 2020 (Barry et al, 2021;Gharpure et al, 2021) to May 2021(McCabe et al, 2021, while the response rate ranged from 78.3% (Malesza & Bozym, 2021) to 100% (Gibbon et al, 2021). All studies were cross-sectional and a convenience sampling method was used.…”

“…Sample size ranged from 85 (Gibbon et al, 2021) to 20,852,692 participants (The OpenSAFELY Collaborative et al, 2021). Five studies were published in journals (Gharpure et al, 2021;Gibbon et al, 2021;Pacella-LaBarbara et al, 2021;Schrading et al, 2021;Xu et al, 2021) and seven . CC-BY-NC-ND 4.0 International license It is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity.…”

“…Nguyen et al, 2021), healthcare workers (Barry et al, 2021;Martin et al, 2021;Pacella-LaBarbara et al, 2021;Schrading et al, 2021;Xu et al, 2021), patients (Gibbon et al, 2021;The OpenSAFELY Collaborative et al, 2021), elderly (Malesza & Bozym, 2021), and residents and staff members of long-term care facilities (Gharpure et al, 2021). COVID-19 vaccination uptake ranged from 28.6% (L. Nguyen et al, 2021) to 98% in the general population (McCabe et al, 2021), among healthcare workers ranged from 33.3% (Barry et al, 2021) to 94.5% (Schrading et al, 2021), and among patients ranged from 36% (The OpenSAFELY Collaborative et al, 2021) to 80% (Gibbon et al, 2021). Also, COVID-19 vaccination uptake was 62.7% in a sample of elderly (Malesza & Bozym, 2021), and 77.8% among residents of longterm care facilities (Gharpure et al, 2021).…”

“…Eight studies did not report data regarding response rate (Barry et al, 2021;Gharpure et al, 2021;Glampson et al, 2021;Martin et al, 2021;McCabe et al, 2021;L. Nguyen et al, 2021;The OpenSAFELY Collaborative et al, 2021;Xu et al, 2021), two regarding age (Gharpure et al, 2021;Glampson et al, 2021), one regarding data collection time (Gibbon et al, 2021), and one regarding sample size (Gharpure et al, 2021).…”