A Rapid Systematic Review of Factors Influencing COVID-19 Vaccination Uptake in Minority Ethnic Groups in the UK

Atiya Kamal; Ava Hodson; Julia Pearce

doi:10.3390/vaccines9101121

A Rapid Systematic Review of Factors Influencing COVID-19 Vaccination Uptake in Minority Ethnic Groups in the UK

Atiya Kamal, Ava Hodson, Julia Pearce

War Studies

Research output: Contribution to journal › Review article › peer-review

70 Citations (Scopus)

Abstract

COVID‐19 has disproportionately affected minority ethnic groups in the United Kingdom. To maximise the effectiveness of the vaccination programme, it is important to understand and address disparities in vaccine uptake. The aim of this review was to identify factors influencing COVID‐19 vaccination uptake between minority ethnic groups in the UK. A search was undertaken in peer‐reviewed databases, polling websites and grey literature from January 2020–May 2021. Studies were included if they reported data on vaccine uptake or the reasons for or against accepting the COVID‐19 vaccination for minority ethnic groups in the UK. Twenty‐one papers met the inclusion criteria, all of which were rated as either good or moderate quality. Ethnic minority status was associated with higher vaccine hesitancy and lower vaccine uptake compared with White British groups. Barriers included pre‐existing mistrust of formal services, lack of information about the vaccine’s safety, misinformation, inaccessible communications, and logistical issues. Facilitators included inclusive communications which address vaccine concerns via trusted communicators and increased visibility of minority ethnic groups in the media. Community engagement to address the concerns and informational needs of minority ethnic groups using trusted and collaborative community and healthcare networks is likely to increase vaccine equity and uptake.

Original language	English
Article number	1121
Journal	Vaccines
Volume	9
Issue number	10
DOIs	https://doi.org/10.3390/vaccines9101121
Publication status	Published - 1 Oct 2021

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abstract = "COVID‐19 has disproportionately affected minority ethnic groups in the United Kingdom. To maximise the effectiveness of the vaccination programme, it is important to understand and address disparities in vaccine uptake. The aim of this review was to identify factors influencing COVID‐19 vaccination uptake between minority ethnic groups in the UK. A search was undertaken in peer‐reviewed databases, polling websites and grey literature from January 2020–May 2021. Studies were included if they reported data on vaccine uptake or the reasons for or against accepting the COVID‐19 vaccination for minority ethnic groups in the UK. Twenty‐one papers met the inclusion criteria, all of which were rated as either good or moderate quality. Ethnic minority status was associated with higher vaccine hesitancy and lower vaccine uptake compared with White British groups. Barriers included pre‐existing mistrust of formal services, lack of information about the vaccine{\textquoteright}s safety, misinformation, inaccessible communications, and logistical issues. Facilitators included inclusive communications which address vaccine concerns via trusted communicators and increased visibility of minority ethnic groups in the media. Community engagement to address the concerns and informational needs of minority ethnic groups using trusted and collaborative community and healthcare networks is likely to increase vaccine equity and uptake.",

author = "Atiya Kamal and Ava Hodson and Julia Pearce",

note = "Funding Information: Conflicts of Interest: AK participates in the UK{\textquoteright}s Scientific Advisory Group for Emergencies (SAGE) behavioural science sub‐group SPI‐B and has received Ministry of Housing Communities and Local Government (MHCLG) funding for research on the Community Champions policy. The views expressed are those of the author and not those of SPI‐B, MHCLG or the Department of Health and Social Care. JP is part funded by the National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Emergency Preparedness and Response, a partnership between Public Health England, King{\textquoteright}s College London and the University of East Anglia. The views ex‐ pressed are those of the author(s) and not necessarily those of the NIHR, Public Health England or the Department of Health and Social Care. Funding Information: Funding: This systematic review was funded by the Economic and Social Research Council (ESRC), as part of UK Research and Innovation{\textquoteright}s rapid response to Covid‐19 [grant number ES/W001721/1]. Publisher Copyright: {\textcopyright} 2021 by the authors. Licensee MDPI, Basel, Switzerland. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",

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N1 - Funding Information: Conflicts of Interest: AK participates in the UK’s Scientific Advisory Group for Emergencies (SAGE) behavioural science sub‐group SPI‐B and has received Ministry of Housing Communities and Local Government (MHCLG) funding for research on the Community Champions policy. The views expressed are those of the author and not those of SPI‐B, MHCLG or the Department of Health and Social Care. JP is part funded by the National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Emergency Preparedness and Response, a partnership between Public Health England, King’s College London and the University of East Anglia. The views ex‐ pressed are those of the author(s) and not necessarily those of the NIHR, Public Health England or the Department of Health and Social Care. Funding Information: Funding: This systematic review was funded by the Economic and Social Research Council (ESRC), as part of UK Research and Innovation’s rapid response to Covid‐19 [grant number ES/W001721/1]. Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

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N2 - COVID‐19 has disproportionately affected minority ethnic groups in the United Kingdom. To maximise the effectiveness of the vaccination programme, it is important to understand and address disparities in vaccine uptake. The aim of this review was to identify factors influencing COVID‐19 vaccination uptake between minority ethnic groups in the UK. A search was undertaken in peer‐reviewed databases, polling websites and grey literature from January 2020–May 2021. Studies were included if they reported data on vaccine uptake or the reasons for or against accepting the COVID‐19 vaccination for minority ethnic groups in the UK. Twenty‐one papers met the inclusion criteria, all of which were rated as either good or moderate quality. Ethnic minority status was associated with higher vaccine hesitancy and lower vaccine uptake compared with White British groups. Barriers included pre‐existing mistrust of formal services, lack of information about the vaccine’s safety, misinformation, inaccessible communications, and logistical issues. Facilitators included inclusive communications which address vaccine concerns via trusted communicators and increased visibility of minority ethnic groups in the media. Community engagement to address the concerns and informational needs of minority ethnic groups using trusted and collaborative community and healthcare networks is likely to increase vaccine equity and uptake.

AB - COVID‐19 has disproportionately affected minority ethnic groups in the United Kingdom. To maximise the effectiveness of the vaccination programme, it is important to understand and address disparities in vaccine uptake. The aim of this review was to identify factors influencing COVID‐19 vaccination uptake between minority ethnic groups in the UK. A search was undertaken in peer‐reviewed databases, polling websites and grey literature from January 2020–May 2021. Studies were included if they reported data on vaccine uptake or the reasons for or against accepting the COVID‐19 vaccination for minority ethnic groups in the UK. Twenty‐one papers met the inclusion criteria, all of which were rated as either good or moderate quality. Ethnic minority status was associated with higher vaccine hesitancy and lower vaccine uptake compared with White British groups. Barriers included pre‐existing mistrust of formal services, lack of information about the vaccine’s safety, misinformation, inaccessible communications, and logistical issues. Facilitators included inclusive communications which address vaccine concerns via trusted communicators and increased visibility of minority ethnic groups in the media. Community engagement to address the concerns and informational needs of minority ethnic groups using trusted and collaborative community and healthcare networks is likely to increase vaccine equity and uptake.

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A Rapid Systematic Review of Factors Influencing COVID-19 Vaccination Uptake in Minority Ethnic Groups in the UK

Abstract

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