"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.
"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.
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“疫苗接种是积极的；我不认为这是灵丹妙药”：一项关于英国种族多元化的医护人员中疫苗态度的定性研究。
DOI：
10.1371/journal.pone.0273687
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
在全球范围内，医护人员因接种2019年冠状病毒疫苗而被优先考虑(新冠肺炎)。先前的研究表明，基于种族、工作角色、性别、年龄和贫困，医务工作者接种新冠肺炎疫苗的情况存在差异。然而，支撑这些差异的疫苗态度以及影响这些态度的因素尚未得到充分的探索。我们对164名来自英国不同种族、性别、工作角色、移民状况和地区的卫生工作者进行了定性研究。访谈和焦点小组在网上或电话中进行，并在参与者允许的情况下进行录音。录音被转录，并采用了双管齐下的分析方法：内容分析用于对疫苗态度进行分类，主题分析用于确定影响疫苗态度的因素。我们确定了医务人员对新冠肺炎疫苗的四种不同态度：主动接受、被动接受、被动下降和主动下降。对成绩单的内容分析表明，来自少数民族社区的卫生工作者和女性卫生工作者更有可能拒绝(主动/被动)或被动接受疫苗接种--反映出犹豫不决。影响这些态度的因素包括：信任；风险认知；社会影响；机会和公平；对未来的考虑。我们的数据显示，人们对新冠肺炎疫苗的态度是多样的，即使在接种之后，犹豫不决的因素也可能持续存在。这对新冠肺炎疫苗项目的可持续性有影响，特别是在提供新的组成部分(例如加强剂)的情况下。我们还发现，不同种族、性别和工作角色的人对疫苗的态度不同，这就需要采取一种交叉和动态的方法来提高医务人员的疫苗接种率。信任、风险认知、社会影响、可获得性和公平性以及未来的考虑都会影响医务工作者对疫苗的态度，并影响其接受或拒绝接种新冠肺炎的决定。根据我们的调查结果，我们建议建立信任，解决结构性不平等问题，并设计包容性和可获得性的信息来解决犹豫不决的问题。
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. 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. 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. 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.
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影响因子：
3.7
作者：
Bell S;Clarke RM;Ismail SA;Ojo-Aromokudu O;Naqvi H;Coghill Y;Donovan H;Letley L;Paterson P;Mounier-Jack S
通讯作者：
Mounier-Jack S
影响因子：
16.6
作者：
Azamgarhi T;Hodgkinson M;Shah A;Skinner JA;Hauptmannova I;Briggs TWR;Warren S
通讯作者：
Warren S
影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
2.6
作者：
Gill, P.;Stewart, K.;Chadwick, B.
通讯作者：
Chadwick, B.
影响因子：
2.9
作者：
Gogoi M;Reed-Berendt R;Al-Oraibi A;Hassan O;Wobi F;Gupta A;Abubakar I;Dove E;Nellums LB;Pareek M;UK-REACH Collaborative Group
通讯作者：
UK-REACH Collaborative Group