Exploration of attitudes regarding uptake of COVID-19 vaccines among vaccine hesitant adults in the UK: a qualitative analysis.


Journal

BMC infectious diseases
ISSN: 1471-2334
Titre abrégé: BMC Infect Dis
Pays: England
ID NLM: 100968551

Informations de publication

Date de publication:
26 Apr 2022
Historique:
received: 18 01 2022
accepted: 11 04 2022
entrez: 27 4 2022
pubmed: 28 4 2022
medline: 29 4 2022
Statut: epublish

Résumé

The aim of this work was to explore barriers and facilitators to uptake of COVID-19 vaccines and to explore views and reactions to efforts to improve vaccine uptake among vaccine hesitant individuals. Semi-structured interviews were conducted with people between the age of 18-29 years who had not had a COVID-19 vaccine, and those between 30 and 49 years who had not had a second dose of a COVID-19 vaccine. A total of 70 participants took part in the study, 35 participants had received one dose, and 35 had not been vaccinated. Participants described a willingness to be vaccinated to keep themselves and those around them safe and to avoid restrictions. Barriers to uptake included: (1) perceived lack of need for COVID-19 vaccinations, (2) concerns about the efficacy of vaccinations, (3) concerns about safety, and (4) access issues. Uptake appeared to be influenced by age and health status, trust in government, and knowledge and understanding of science. Introduction of vaccine passes may provide a motive for having a vaccine but may be viewed as coercive. Participants were hesitant, rather than opposed, and had questions about their need for, and the safety and efficacy of the vaccine. Young people did not consider themselves to be at risk of becoming ill from COVID-19, did not think the vaccination was effective in preventing transmission, and did not think sufficient research had been conducted regarding possible long-term side-effects. Concerns were exacerbated by a lack of trust in government, and misunderstanding of science. To promote uptake, public health campaigns should focus on the provision of information from trusted sources that explains the benefits of vaccination and addresses safety concerns more effectively. To overcome inertia in people with low levels of motivation to be vaccinated, appointments must be easily accessible.

Sections du résumé

BACKGROUND BACKGROUND
The aim of this work was to explore barriers and facilitators to uptake of COVID-19 vaccines and to explore views and reactions to efforts to improve vaccine uptake among vaccine hesitant individuals.
METHODS METHODS
Semi-structured interviews were conducted with people between the age of 18-29 years who had not had a COVID-19 vaccine, and those between 30 and 49 years who had not had a second dose of a COVID-19 vaccine.
RESULTS RESULTS
A total of 70 participants took part in the study, 35 participants had received one dose, and 35 had not been vaccinated. Participants described a willingness to be vaccinated to keep themselves and those around them safe and to avoid restrictions. Barriers to uptake included: (1) perceived lack of need for COVID-19 vaccinations, (2) concerns about the efficacy of vaccinations, (3) concerns about safety, and (4) access issues. Uptake appeared to be influenced by age and health status, trust in government, and knowledge and understanding of science. Introduction of vaccine passes may provide a motive for having a vaccine but may be viewed as coercive.
CONCLUSION CONCLUSIONS
Participants were hesitant, rather than opposed, and had questions about their need for, and the safety and efficacy of the vaccine. Young people did not consider themselves to be at risk of becoming ill from COVID-19, did not think the vaccination was effective in preventing transmission, and did not think sufficient research had been conducted regarding possible long-term side-effects. Concerns were exacerbated by a lack of trust in government, and misunderstanding of science. To promote uptake, public health campaigns should focus on the provision of information from trusted sources that explains the benefits of vaccination and addresses safety concerns more effectively. To overcome inertia in people with low levels of motivation to be vaccinated, appointments must be easily accessible.

Identifiants

pubmed: 35473486
doi: 10.1186/s12879-022-07380-9
pii: 10.1186/s12879-022-07380-9
pmc: PMC9039596
doi:

Substances chimiques

COVID-19 Vaccines 0
Vaccines 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

407

Informations de copyright

© 2022. The Author(s).

Références

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Auteurs

Sarah Denford (S)

Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK. sarah.denford@bristol.ac.uk.
NIHR Health Protection Research Unit (HPRU) in Behavioural Science and Evaluation at the University of Bristol, a partnership between the UK Health Security Agency (UKHSA) and the University of Bristol, Bristol, UK. sarah.denford@bristol.ac.uk.
School of Psychological Science, University of Bristol, Bristol, BS8 1TU, UK. sarah.denford@bristol.ac.uk.

Fiona Mowbray (F)

NIHR Health Protection Research Unit (HPRU) in Emergency Preparedness and Response, a partnership between the UK Health Security Agency (UKHSA) and King's College London, London, UK.

Lauren Towler (L)

Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
School of Psychology, University of Southampton, Southampton, UK.

Helena Wehling (H)

Behavioural Science Insight Unit, UK Health Security Agency, Porton Down, Salisbury, UK.

Gemma Lasseter (G)

Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
NIHR Health Protection Research Unit (HPRU) in Behavioural Science and Evaluation at the University of Bristol, a partnership between the UK Health Security Agency (UKHSA) and the University of Bristol, Bristol, UK.

Richard Amlôt (R)

NIHR Health Protection Research Unit (HPRU) in Behavioural Science and Evaluation at the University of Bristol, a partnership between the UK Health Security Agency (UKHSA) and the University of Bristol, Bristol, UK.
NIHR Health Protection Research Unit (HPRU) in Emergency Preparedness and Response, a partnership between the UK Health Security Agency (UKHSA) and King's College London, London, UK.
Behavioural Science Insight Unit, UK Health Security Agency, Porton Down, Salisbury, UK.

Isabel Oliver (I)

NIHR Health Protection Research Unit (HPRU) in Behavioural Science and Evaluation at the University of Bristol, a partnership between the UK Health Security Agency (UKHSA) and the University of Bristol, Bristol, UK.
UK Health Security Agency, London, UK.

Lucy Yardley (L)

Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
NIHR Health Protection Research Unit (HPRU) in Behavioural Science and Evaluation at the University of Bristol, a partnership between the UK Health Security Agency (UKHSA) and the University of Bristol, Bristol, UK.
School of Psychological Science, University of Bristol, Bristol, BS8 1TU, UK.
School of Psychology, University of Southampton, Southampton, UK.

Matthew Hickman (M)

Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
NIHR Health Protection Research Unit (HPRU) in Behavioural Science and Evaluation at the University of Bristol, a partnership between the UK Health Security Agency (UKHSA) and the University of Bristol, Bristol, UK.

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