Predictors of COVID-19 vaccine hesitancy in the UK household longitudinal study

•Willingness to be vaccinated was generally high across the UK population.•Vaccine hesitancy exists in population subgroups.•Black and Pakistani/Bangladeshi ethnic groups had higher levels of vaccine hesitancy.•Vaccine hesitancy levels are higher in people with lower education levels.•Focus on ethni...

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Published inBrain, behavior, and immunity Vol. 94; pp. 41 - 50
Main Authors Robertson, Elaine, Reeve, Kelly S., Niedzwiedz, Claire L., Moore, Jamie, Blake, Margaret, Green, Michael, Katikireddi, Srinivasa Vittal, Benzeval, Michaela J.
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.05.2021
Elsevier
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Abstract •Willingness to be vaccinated was generally high across the UK population.•Vaccine hesitancy exists in population subgroups.•Black and Pakistani/Bangladeshi ethnic groups had higher levels of vaccine hesitancy.•Vaccine hesitancy levels are higher in people with lower education levels.•Focus on ethnic minority and socioeconomic groups is needed during vaccine delivery. Vaccine hesitancy could undermine efforts to control COVID-19. We investigated the prevalence of COVID-19 vaccine hesitancy in the UK and identified vaccine hesitant subgroups. The ‘Understanding Society’ COVID-19 survey asked participants (n = 12,035) their likelihood of vaccine uptake and reason for hesitancy. Cross-sectional analysis assessed vaccine hesitancy prevalence and logistic regression calculated odds ratios. Overall vaccine hesitancy was low (18% unlikely/very unlikely). Vaccine hesitancy was higher in women (21.0% vs 14.7%), younger age groups (26.5% in 16–24 year olds vs 4.5% in 75 + ) and those with lower education levels (18.6% no qualifications vs 13.2% degree qualified). Vaccine hesitancy was high in Black (71.8%) and Pakistani/Bangladeshi (42.3%) ethnic groups. Odds ratios for vaccine hesitancy were 13.42 (95% CI:6.86, 26.24) in Black and 2.54 (95% CI:1.19, 5.44) in Pakistani/Bangladeshi groups (compared to White British/Irish) and 3.54 (95% CI:2.06, 6.09) for people with no qualifications versus degree. Urgent action to address hesitancy is needed for some but not all ethnic minority groups.
AbstractList Vaccine hesitancy could undermine efforts to control COVID-19. We investigated the prevalence of COVID-19 vaccine hesitancy in the UK and identified vaccine hesitant subgroups. The 'Understanding Society' COVID-19 survey asked participants (n = 12,035) their likelihood of vaccine uptake and reason for hesitancy. Cross-sectional analysis assessed vaccine hesitancy prevalence and logistic regression calculated odds ratios. Overall vaccine hesitancy was low (18% unlikely/very unlikely). Vaccine hesitancy was higher in women (21.0% vs 14.7%), younger age groups (26.5% in 16-24 year olds vs 4.5% in 75 + ) and those with lower education levels (18.6% no qualifications vs 13.2% degree qualified). Vaccine hesitancy was high in Black (71.8%) and Pakistani/Bangladeshi (42.3%) ethnic groups. Odds ratios for vaccine hesitancy were 13.42 (95% CI:6.86, 26.24) in Black and 2.54 (95% CI:1.19, 5.44) in Pakistani/Bangladeshi groups (compared to White British/Irish) and 3.54 (95% CI:2.06, 6.09) for people with no qualifications versus degree. Urgent action to address hesitancy is needed for some but not all ethnic minority groups.
•Willingness to be vaccinated was generally high across the UK population.•Vaccine hesitancy exists in population subgroups.•Black and Pakistani/Bangladeshi ethnic groups had higher levels of vaccine hesitancy.•Vaccine hesitancy levels are higher in people with lower education levels.•Focus on ethnic minority and socioeconomic groups is needed during vaccine delivery. Vaccine hesitancy could undermine efforts to control COVID-19. We investigated the prevalence of COVID-19 vaccine hesitancy in the UK and identified vaccine hesitant subgroups. The ‘Understanding Society’ COVID-19 survey asked participants (n = 12,035) their likelihood of vaccine uptake and reason for hesitancy. Cross-sectional analysis assessed vaccine hesitancy prevalence and logistic regression calculated odds ratios. Overall vaccine hesitancy was low (18% unlikely/very unlikely). Vaccine hesitancy was higher in women (21.0% vs 14.7%), younger age groups (26.5% in 16–24 year olds vs 4.5% in 75 + ) and those with lower education levels (18.6% no qualifications vs 13.2% degree qualified). Vaccine hesitancy was high in Black (71.8%) and Pakistani/Bangladeshi (42.3%) ethnic groups. Odds ratios for vaccine hesitancy were 13.42 (95% CI:6.86, 26.24) in Black and 2.54 (95% CI:1.19, 5.44) in Pakistani/Bangladeshi groups (compared to White British/Irish) and 3.54 (95% CI:2.06, 6.09) for people with no qualifications versus degree. Urgent action to address hesitancy is needed for some but not all ethnic minority groups.
• Willingness to be vaccinated was generally high across the UK population. • Vaccine hesitancy exists in population subgroups. • Black and Pakistani/Bangladeshi ethnic groups had higher levels of vaccine hesitancy. • Vaccine hesitancy levels are higher in people with lower education levels. • Focus on ethnic minority and socioeconomic groups is needed during vaccine delivery. Vaccine hesitancy could undermine efforts to control COVID-19. We investigated the prevalence of COVID-19 vaccine hesitancy in the UK and identified vaccine hesitant subgroups. The ‘Understanding Society’ COVID-19 survey asked participants (n = 12,035) their likelihood of vaccine uptake and reason for hesitancy. Cross-sectional analysis assessed vaccine hesitancy prevalence and logistic regression calculated odds ratios. Overall vaccine hesitancy was low (18% unlikely/very unlikely). Vaccine hesitancy was higher in women (21.0% vs 14.7%), younger age groups (26.5% in 16–24 year olds vs 4.5% in 75 + ) and those with lower education levels (18.6% no qualifications vs 13.2% degree qualified). Vaccine hesitancy was high in Black (71.8%) and Pakistani/Bangladeshi (42.3%) ethnic groups. Odds ratios for vaccine hesitancy were 13.42 (95% CI:6.86, 26.24) in Black and 2.54 (95% CI:1.19, 5.44) in Pakistani/Bangladeshi groups (compared to White British/Irish) and 3.54 (95% CI:2.06, 6.09) for people with no qualifications versus degree. Urgent action to address hesitancy is needed for some but not all ethnic minority groups.
Vaccine hesitancy could undermine efforts to control COVID-19. We investigated the prevalence of COVID-19 vaccine hesitancy in the UK and identified vaccine hesitant subgroups. The 'Understanding Society' COVID-19 survey asked participants (n = 12,035) their likelihood of vaccine uptake and reason for hesitancy. Cross-sectional analysis assessed vaccine hesitancy prevalence and logistic regression calculated odds ratios. Overall vaccine hesitancy was low (18% unlikely/very unlikely). Vaccine hesitancy was higher in women (21.0% vs 14.7%), younger age groups (26.5% in 16-24 year olds vs 4.5% in 75 + ) and those with lower education levels (18.6% no qualifications vs 13.2% degree qualified). Vaccine hesitancy was high in Black (71.8%) and Pakistani/Bangladeshi (42.3%) ethnic groups. Odds ratios for vaccine hesitancy were 13.42 (95% CI:6.86, 26.24) in Black and 2.54 (95% CI:1.19, 5.44) in Pakistani/Bangladeshi groups (compared to White British/Irish) and 3.54 (95% CI:2.06, 6.09) for people with no qualifications versus degree. Urgent action to address hesitancy is needed for some but not all ethnic minority groups.Vaccine hesitancy could undermine efforts to control COVID-19. We investigated the prevalence of COVID-19 vaccine hesitancy in the UK and identified vaccine hesitant subgroups. The 'Understanding Society' COVID-19 survey asked participants (n = 12,035) their likelihood of vaccine uptake and reason for hesitancy. Cross-sectional analysis assessed vaccine hesitancy prevalence and logistic regression calculated odds ratios. Overall vaccine hesitancy was low (18% unlikely/very unlikely). Vaccine hesitancy was higher in women (21.0% vs 14.7%), younger age groups (26.5% in 16-24 year olds vs 4.5% in 75 + ) and those with lower education levels (18.6% no qualifications vs 13.2% degree qualified). Vaccine hesitancy was high in Black (71.8%) and Pakistani/Bangladeshi (42.3%) ethnic groups. Odds ratios for vaccine hesitancy were 13.42 (95% CI:6.86, 26.24) in Black and 2.54 (95% CI:1.19, 5.44) in Pakistani/Bangladeshi groups (compared to White British/Irish) and 3.54 (95% CI:2.06, 6.09) for people with no qualifications versus degree. Urgent action to address hesitancy is needed for some but not all ethnic minority groups.
Author Moore, Jamie
Green, Michael
Katikireddi, Srinivasa Vittal
Blake, Margaret
Reeve, Kelly S.
Benzeval, Michaela J.
Niedzwiedz, Claire L.
Robertson, Elaine
Author_xml – sequence: 1
  givenname: Elaine
  orcidid: 0000-0001-7481-5534
  surname: Robertson
  fullname: Robertson, Elaine
  organization: MRC/CSO Social & Public Health Sciences Unit, University of Glasgow, UK
– sequence: 2
  givenname: Kelly S.
  orcidid: 0000-0002-7485-950X
  surname: Reeve
  fullname: Reeve, Kelly S.
  organization: Understanding Society, Institute for Social and Economic Research, University of Essex, UK
– sequence: 3
  givenname: Claire L.
  surname: Niedzwiedz
  fullname: Niedzwiedz, Claire L.
  organization: Institute of Health & Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow, UK
– sequence: 4
  givenname: Jamie
  surname: Moore
  fullname: Moore, Jamie
  organization: Understanding Society, Institute for Social and Economic Research, University of Essex, UK
– sequence: 5
  givenname: Margaret
  surname: Blake
  fullname: Blake, Margaret
  organization: Ipsos MORI UK Ltd, UK
– sequence: 6
  givenname: Michael
  surname: Green
  fullname: Green, Michael
  organization: MRC/CSO Social & Public Health Sciences Unit, University of Glasgow, UK
– sequence: 7
  givenname: Srinivasa Vittal
  surname: Katikireddi
  fullname: Katikireddi, Srinivasa Vittal
  email: Vittal.Katikireddi@glasgow.ac.uk
  organization: MRC/CSO Social & Public Health Sciences Unit, University of Glasgow, UK
– sequence: 8
  givenname: Michaela J.
  surname: Benzeval
  fullname: Benzeval, Michaela J.
  organization: Understanding Society, Institute for Social and Economic Research, University of Essex, UK
BackLink https://www.ncbi.nlm.nih.gov/pubmed/33713824$$D View this record in MEDLINE/PubMed
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Keywords COVID-19
Ethnicity
Vaccine uptake
Vaccine hesitancy
Socioeconomic position
Inequalities
Language English
License This is an open access article under the CC BY license.
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Snippet •Willingness to be vaccinated was generally high across the UK population.•Vaccine hesitancy exists in population subgroups.•Black and Pakistani/Bangladeshi...
Vaccine hesitancy could undermine efforts to control COVID-19. We investigated the prevalence of COVID-19 vaccine hesitancy in the UK and identified vaccine...
• Willingness to be vaccinated was generally high across the UK population. • Vaccine hesitancy exists in population subgroups. • Black and...
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StartPage 41
SubjectTerms COVID-19
COVID-19 Vaccines
Cross-Sectional Studies
Ethnicity
Female
Humans
Inequalities
Longitudinal Studies
Minority Groups
SARS-CoV-2
Socioeconomic position
United Kingdom
Vaccine hesitancy
Vaccine uptake
Vaccines
Title Predictors of COVID-19 vaccine hesitancy in the UK household longitudinal study
URI https://www.clinicalkey.com/#!/content/1-s2.0-S0889159121001100
https://dx.doi.org/10.1016/j.bbi.2021.03.008
https://www.ncbi.nlm.nih.gov/pubmed/33713824
https://www.proquest.com/docview/2501259464
https://pubmed.ncbi.nlm.nih.gov/PMC7946541
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