COVID-19 vaccine hesitancy in the UK: a longitudinal household cross-sectional study.
COVID-19 vaccine hesitancy in the UK: a longitudinal household cross-sectional study.
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英国的Covid-19疫苗犹豫：一项纵向家庭横断面研究。
DOI：
10.1186/s12889-021-12472-3
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发表时间：
2022-01-15
影响因子：
4.5
通讯作者：
Bandyopadhyay S
中科院分区：
文献类型：
--
作者：
Chaudhuri K;Chakrabarti A;Chandan JS;Bandyopadhyay S
获批的COVID-19疫苗在减少疾病传播和后果严重性方面显示出巨大的前景。然而，COVID-19疫苗的成功推广取决于公众的接受程度和接种意愿。在本研究中，我们的目的是探讨如何对公共部门官员和政府的态度影响疫苗接种意愿。第二个目的是了解种族对疫苗接种意愿的影响后，我们明确解释了对公共机构的信任。这项横断面研究使用了2020年4月至2021年1月期间英国基于人口的纵向家庭调查（了解社会COVID-19研究，了解社会：英国家庭纵向研究）的数据。在排除缺失数据后，纳入了研究第6波和第7波的22，421名参与者的数据。除了以前的调查答复有关公共部门/政府信任的人口统计学细节被纳入作为协变量的主要分析。一个logit模型来描述公共部门/政府的不信任和接种疫苗的意愿之间的关联，包括考虑种族/社会经济地位的相互作用。为了支持现有的文献，我们发现来自BAME群体的人更有可能不愿意接种COVID-19疫苗。我们发现，对公共部门官员（OR 2.680; 95%CI 1.888 - 3.805）和英国政府（OR 3.400; 95%CI 2.454-4.712）的积极评价导致疫苗接种意愿大幅增加。最值得注意的是，我们发现这种影响因种族和社会经济地位而异，南亚背景（OR 4.513; 95% CI 1.012-20.123）和对公职人员和政府持消极态度的人最不愿意接种疫苗。这些发现表明，对公共部门官员的信任是疫苗接种率低的关键因素，特别是在高危人群中。鉴于COVID-19对社会经济地位较低或少数族裔背景的人构成额外的发病率/死亡率风险，需要采取紧急公共卫生行动，以审查如何为这些群体提供量身定制的健康促进建议，并研究提高对公共部门官员和政府信任的方法。
The approved COVID-19 vaccines have shown great promise in reducing disease transmission and severity of outcomes. However, the success of the COVID-19 vaccine rollout is dependent on public acceptance and willingness to be vaccinated. In this study, we aim to examine how the attitude towards public sector officials and the government impact vaccine willingness. The secondary aim is to understand the impact of ethnicity on vaccine-willingness after we explicitly account for trust in public institutions. This cross-sectional study used data from a UK population based longitudinal household survey (Understanding Society COVID-19 study, Understanding Society: the UK Household Longitudinal Study) between April 2020-January 2021. Data from 22,421 participants in Waves 6 and 7 of the study were included after excluding missing data. Demographic details in addition to previous survey responses relating to public sector/governmental trust were included as covariates in the main analysis. A logit model was produced to describe the association between public sector/governmental mistrust and the willingness for vaccination with interaction terms included to account for ethnicity/socio-economic status. In support of existing literature, we identified those from BAME groups were more likely to be unwilling to take the COVID-19 vaccine. We found that positive opinions towards public sector officials (OR 2.680: 95% CI 1.888 – 3.805) and the UK government (OR 3.400; 95% CI 2.454—4.712) led to substantive increase in vaccine willingness. Most notably we identified this effect to vary across ethnicity and socio-economic status with those from South Asian background (OR 4.513; 95% CI 1.012—20.123) and possessing a negative attitude towards public officials and the government being the most unwilling to be vaccinated. These findings suggests that trust in public sector officials play a key factor in the low vaccination rates particularly seen in at-risk groups. Given the additional morbidity/mortality risk posed by COVID-19 to those from lower socio-economic or ethnic minority backgrounds, there needs to be urgent public health action to review how to tailor health promotion advice given to these groups and examine methods to improve trust in public sector officials and the government.
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DOI：
10.1016/j.lanepe.2021.100180
发表时间：
2021-10
期刊：
The Lancet regional health. Europe
影响因子：
--
作者：
Woolf K;McManus IC;Martin CA;Nellums LB;Guyatt AL;Melbourne C;Bryant L;Gogoi M;Wobi F;Al-Oraibi A;Hassan O;Gupta A;John C;Tobin MD;Carr S;Simpson S;Gregary B;Aujayeb A;Zingwe S;Reza R;Gray LJ;Khunti K;Pareek M;UK-REACH Study Collaborative Group
通讯作者：
UK-REACH Study Collaborative Group
影响因子：
3.7
作者：
Doherty IA;Pilkington W;Brown L;Billings V;Hoffler U;Paulin L;Kimbro KS;Baker B;Zhang T;Locklear T;Robinson S;Kumar D
通讯作者：
Kumar D
影响因子：
5.5
作者：
Robinson E;Jones A;Lesser I;Daly M
通讯作者：
Daly M
影响因子：
8.7
作者：
Kourlaba G;Kourkouni E;Maistreli S;Tsopela CG;Molocha NM;Triantafyllou C;Koniordou M;Kopsidas I;Chorianopoulou E;Maroudi-Manta S;Filippou D;Zaoutis TE
通讯作者：
Zaoutis TE
影响因子：
1.3
作者：
Bandyopadhyay S;Chatterjee K;Das K;Roy J
通讯作者：
Roy J