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Bellis, MA, Hughes, K, Ford, K, Madden, HCE, Glendinning, F and Wood, S (2022) Associations between adverse childhood experiences, attitudes towards COVID-19 restrictions and vaccine hesitancy: a cross- sectional study. BMJ Open, 12 (2). e053915. ISSN 2044-6055
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Associations between adverse childhood experiences, attitudes towards COVID-19 restrictions and vaccine hesitancy a cross-se.pdf - Published Version Available under License Creative Commons Attribution Non-commercial. Download (548kB) | Preview |
Abstract
Objectives Adverse childhood experiences (ACEs) can affect life-course health and well-being, including risk-taking behaviour and trust. This study explored associations between ACEs and trust in health information on COVID-19, attitudes towards and compliance with COVID-19 restrictions and vaccine hesitancy. Design National cross-sectional telephone survey using a sample of landline and mobile numbers stratified by Health Board, deprivation quintile and age group. Setting Households in Wales during national COVID-19 restrictions (December 2020 to March 2021). Participants 2285 Welsh residents aged ≥18 years. Measures Nine ACEs; low trust in National Health Service (NHS) COVID-19 information; supporting removal of social distancing and mandatory face coverings; breaking COVID-19 restrictions; and vaccine hesitancy (rejection or uncertainty of vaccination). Results Increasing ACE counts were independently related to low trust in NHS COVID-19 information, feeling unfairly restricted by government and ending mandatory face coverings. High ACE counts (4+ vs 0 ACEs) were also associated with supporting removal of social distancing. Breaking COVID-19 restrictions increased with ACE count with likelihood doubling from no ACEs to 4+ ACEs. Vaccine hesitancy was threefold higher with 4+ ACEs (vs 0 ACEs) and higher in younger age groups. Thus, modelled estimates of vaccine hesitancy ranged from 3.42% with no ACEs, aged ≥70 years, to 38.06% with 4+ ACEs, aged 18-29 years. Conclusions ACEs are common across populations of many countries. Understanding how they impact trust in health advice and uptake of medical interventions could play a critical role in the continuing response to COVID-19 and controlling future pandemics. Individuals with ACEs suffer greater health risks throughout life and may also be excluded from interventions that reduce infection risks. While pandemic responses should consider how best to reach those suffering from ACEs, longer term, better compliance with public health advice is another reason to invest in safe and secure childhoods for all children.
| Item Type: | Article |
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| Uncontrolled Keywords: | Humans; Cross-Sectional Studies; Attitude; Adolescent; Adult; Child; State Medicine; Adverse Childhood Experiences; COVID-19; SARS-CoV-2; Vaccination Hesitancy; COVID-19; community child health; infection control; non-accidental injury; Adolescent; Adult; Adverse Childhood Experiences; Attitude; COVID-19; Child; Cross-Sectional Studies; Humans; SARS-CoV-2; State Medicine; Vaccination Hesitancy; 1103 Clinical Sciences; 1117 Public Health and Health Services; 1199 Other Medical and Health Sciences |
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Public Health Institute |
| Publisher: | BMJ |
| SWORD Depositor: | A Symplectic |
| Date Deposited: | 04 Oct 2022 11:39 |
| Last Modified: | 04 Oct 2022 11:45 |
| DOI or ID number: | 10.1136/bmjopen-2021-053915 |
| URI: | https://researchonline.ljmu.ac.uk/id/eprint/17681 |
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