Gogoi, M, Wobi, F, Qureshi, I, Al-Oraibi, A, Hassan, O, Chaloner, J, Nellums, LB, Pareek, M and UK-REACH Collaborative Group, (2022) "The vaccination is positive; I don't think it's the panacea": A qualitative study on COVID-19 vaccine attitudes among ethnically diverse healthcare workers in the United Kingdom. PloS one, 17 (9).

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Abstract

Background Globally, healthcare workers (HCWs) were prioritised for receiving vaccinations against the coronavirus disease-2019 (COVID-19). Previous research has shown disparities in COVID-19 vaccination uptake among HCWs based on ethnicity, job role, sex, age, and deprivation. However, vaccine attitudes underpinning these variations and factors influencing these attitudes are yet to be fully explored. Methods We conducted a qualitative study with 164 HCWs from different ethnicities, sexes, job roles, migration statuses, and regions in the United Kingdom (UK). Interviews and focus groups were conducted online or telephonically, and recorded with participants’ permission. Recordings were transcribed and a two-pronged analytical approach was adopted: content analysis for categorising vaccine attitudes and thematic analysis for identifying factors influencing vaccine attitudes. Findings We identified four different COVID-19 vaccine attitudes among HCWs: Active Acceptance, Passive Acceptance, Passive Decline, and Active Decline. Content analysis of the transcripts showed that HCWs from ethnic minority communities and female HCWs were more likely to either decline (actively/passively) or passively accept vaccination—reflecting hesitancy. Factors influencing these attitudes included: trust; risk perception; social influences; access and equity; considerations about the future. Interpretation Our data show that attitudes towards COVID-19 vaccine are diverse, and elements of hesitancy may persist even after uptake. This has implications for the sustainability of the COVID-19 vaccine programme, particularly as new components (for example boosters) are being offered. We also found that vaccine attitudes differed by ethnicity, sex and job role, which calls for an intersectional and dynamic approach for improving vaccine uptake among HCWs. Trust, risk perception, social influences, access and equity and future considerations all influence vaccine attitudes and have a bearing on HCWs’ decision about accepting or declining the COVID-19 vaccine. Based on our findings, we recommend building trust, addressing structural inequities and, designing inclusive and accessible information to address hesitancy.

Item Type:	Article
Uncontrolled Keywords:	UK-REACH Collaborative Group; Humans; Vaccines; Vaccination; Health Knowledge, Attitudes, Practice; Minority Groups; Health Personnel; Female; COVID-19; COVID-19 Vaccines; Ethnicity; COVID-19; COVID-19 Vaccines; Ethnicity; Female; Health Knowledge, Attitudes, Practice; Health Personnel; Humans; Minority Groups; Vaccination; Vaccines; Coronaviruses Disparities and At-Risk Populations; Behavioral and Social Science; Vaccine Related; Basic Behavioral and Social Science; Immunization; Social Determinants of Health; Prevention; Coronaviruses; Emerging Infectious Diseases; Infectious Diseases; Coronaviruses Vaccines; Women's Health; 3.4 Vaccines; 3 Good Health and Well Being; COVID-19; COVID-19 Vaccines; Ethnicity; Female; Health Knowledge, Attitudes, Practice; Health Personnel; Humans; Minority Groups; Vaccination; Vaccines; General Science & Technology
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:	Public and Allied Health
Publisher:	Public Library of Science (PLoS)
SWORD Depositor:	A Symplectic
Date Deposited:	27 Nov 2024 13:13
Last Modified:	27 Nov 2024 13:15
DOI or ID number:	10.1371/journal.pone.0273687
URI:	https://researchonline.ljmu.ac.uk/id/eprint/24891

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