Working with community groups to understand and reduce COVID-19 vaccine hesitancy among ethnic minority individuals in the UK

与社区团体合作，了解并减少英国少数族裔人士对 COVID-19 疫苗的犹豫

• 批准号: ES/W001403/1
• 负责人: Shaun Treweek
• 金额: $ 10.17万
• 依托单位: University of Aberdeen
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2021
• 资助国家: 英国
• 起止时间: 2021 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FW001403%2F1
• 关键词: Working; community; groups; understand; reduce

The UK Government's COVID-19 vaccine delivery plan of 11th Jan 2021 emphasised the need for high uptake of the vaccine but acknowledged hesitancy among some ethnic minority groups. Recent work has confirmed the unwillingness and/or uncertainty among some ethnic minority groups to take the COVID-19 vaccine. Our own work has revealed that many people in ethnic minority groups believe the vaccines to be unsafe (linked to the speed of development and deep mistrust of medical research and pharmaceutical companies), are unsure that vaccine trials have involved people like them (and therefore whether effectiveness and safety data apply to them), all against a backdrop of social inequalities. Deliberate misinformation campaigns, some of which target ethnic minority communities, play into existing anxieties.The impact of this was starkly demonstrated by the OpenSAFELY Collaborative- data from 23.4 million adults in England show much lower rates of vaccination among Black, Mixed, South Asian and Other ethnic groups than for White groups. By 13th January, 42.5% of over-80s who were not in care homes and were White had been vaccinated, compared to 33.8% of over-80s of Indian/British Indian heritage, 23.0% of those of Bangladeshi/British Bangladeshi heritage, and 15.9% of those of African heritage. The UK's national COVID-19 vaccine implementation strategy is clearly less effective for non-White ethnic groups. Uncertainty about receiving a vaccine presents significant challenges to achieving the societal coverage that government public health advisors have recommended.Our proposed work will a) bring together 8-10 ethnic minority community organisations, all of which want to improve vaccine uptake in their communities; b) in collaboration with these groups do rapid systematic reviews on uptake of vaccines among ethnic minority groups and of strategies to improve uptake; c) prepare a co-produced, evidence-informed report containing recommendations regarding vaccine roll-out to ethnic minority groups, together with a co-developed agenda for further research to understand vaccine hesitancy.Ethnic minority community organisations are at the heart of our proposal. They have the networks, experience, and credibility to engage their communities in health programmes and research. Harnessing this experience to corroborate and refine insights from different sources of evidence and tailor any resulting recommendations to the communities they represent is critical to improving COVID-19 vaccine uptake.

英国政府于2021年1月11日的COVID-19疫苗交付计划强调需要高接种率，但承认部分少数族裔群体犹豫不决。近期的研究证实，部分少数族裔群体不愿意及╱或不确定是否接种COVID-19疫苗。我们自己的工作表明，许多少数民族群体的人认为疫苗是不安全的（与发展速度和对医学研究和制药公司的深度不信任有关），不确定疫苗试验是否涉及像他们这样的人（因此有效性和安全性数据是否适用于他们），所有这些都是在社会不平等的背景下进行的。故意的错误宣传活动，其中一些针对少数民族社区，加剧了现有的焦虑。这种影响被OpenSAFELY Collaborative赤裸裸地证明-来自英格兰2340万成年人的数据显示，黑人，混血儿，南亚和其他种族群体的疫苗接种率远远低于白色群体。截至1月13日，不在养老院的80岁以上白色人中有42.5%接种了疫苗，而80岁以上的印度/英属印度人后裔中有33.8%接种了疫苗，孟加拉国/英属孟加拉国后裔中有23.0%接种了疫苗，非洲后裔中有15.9%接种了疫苗。英国的全国COVID-19疫苗实施策略对非白人群体的效果明显较差。接受疫苗的不确定性对实现政府公共卫生顾问建议的社会覆盖率提出了重大挑战。我们建议的工作将a）汇集8-10个少数民族社区组织，所有这些组织都希望提高社区的疫苗接种率; B）与这些团体合作，对少数民族群体的疫苗接种情况和提高接种率的战略进行快速系统的审查; c）准备一份共同制作的、有实证依据的报告，其中包含关于向少数民族群体推广疫苗的建议，以及共同制定的进一步研究议程，以了解疫苗犹豫。少数民族社区组织是我们提案的核心。他们拥有网络、经验和信誉，可以让社区参与健康计划和研究。利用这一经验来证实和完善来自不同证据来源的见解，并为他们所代表的社区量身定制任何由此产生的建议，对于提高COVID-19疫苗的接种率至关重要。