Magee, L; Knights, F; Mckechnie, DGJ; Al-Bedaery, R; Razai, MS
(2022)
Facilitators and barriers to COVID-19 vaccination uptake among ethnic minorities: A qualitative study in primary care.
PLoS One, 17 (7).
e0270504.
ISSN 1932-6203
https://doi.org/10.1371/journal.pone.0270504
SGUL Authors: Razai, Mohammad Sharif
Abstract
INTRODUCTION: COVID-19 vaccination effectively reduces severe disease and death from COVID-19. However, both vaccine uptake and intention to vaccinate differ amongst population groups. Vaccine hesitancy is highest amongst specific ethnic minority groups. There is very limited understanding of the barriers and facilitators to COVID-19 vaccine uptake in Black and South Asian ethnicities. Therefore, we aimed to explore COVID-19 vaccination hesitancy in primary care patients from South Asian (Bangladeshi/Pakistani) and Black or Black British/African/Caribbean/Mixed ethnicities. METHODS: Patients from the above ethnicities were recruited using convenience sampling in four London general practices. Telephone interviews were conducted, using an interpreter if necessary, covering questions on the degree of vaccine hesitancy, barriers and potential facilitators, and decision-making. Interviews were transcribed verbatim and thematically analysed. Data collection and analysis occurred concurrently with the iterative development of the topic guide and coding framework. Key themes were conceptualised through discussion with the wider team. RESULTS: Of thirty-eight interviews, 55% (21) of these were in Black or Black British/African/Caribbean/Mixed ethnicities, 32% (12) in Asian / British Asian and 13% (5) in mixed Black and White ethnicities. Key themes included concerns about the speed of vaccine roll-out and potential impacts on health, mistrust of official information, and exposure to misinformation. In addition, exposure to negative messages linked to vaccination appears to outweigh positive messages received. Facilitators included the opportunity to discuss concerns with a healthcare professional, utilising social influences via communities and highlighting incentives. CONCLUSION: COVID-19 has disproportionately impacted ethnic minority groups. Vaccination is an effective strategy for mitigating risk. We have demonstrated factors contributing to vaccine reluctance, hesitancy and refusal and highlighted levers for change.
Item Type: |
Article
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Additional Information: |
Copyright: © 2022 Magee et al. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
Keywords: |
COVID-19, COVID-19 Vaccines, Ethnic and Racial Minorities, Ethnicity, Health Knowledge, Attitudes, Practice, Humans, Minority Groups, Primary Health Care, Vaccination, Vaccines, Humans, Vaccines, Vaccination, Health Knowledge, Attitudes, Practice, Minority Groups, Primary Health Care, COVID-19, COVID-19 Vaccines, Ethnic and Racial Minorities, Ethnicity, General Science & Technology |
SGUL Research Institute / Research Centre: |
Academic Structure > Population Health Research Institute (INPH) |
Journal or Publication Title: |
PLoS One |
ISSN: |
1932-6203 |
Language: |
eng |
Dates: |
Date | Event |
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8 July 2022 | Published | 12 June 2022 | Accepted |
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Publisher License: |
Creative Commons: Attribution 4.0 |
Projects: |
Project ID | Funder | Funder ID |
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UNSPECIFIED | Department of Health | UNSPECIFIED | 20115168 | Sean Hilton Funds | UNSPECIFIED |
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PubMed ID: |
35802738 |
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Go to PubMed abstract |
URI: |
https://openaccess.sgul.ac.uk/id/eprint/114671 |
Publisher's version: |
https://doi.org/10.1371/journal.pone.0270504 |
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