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COVID-19 vaccination beliefs, attitudes, and behaviours among health and social care workers in the UK: a mixed-methods study
Sadie Bell; Richard Matthew Clarke; Sharif A Ismail; Oyinkansola Ojo-Aromokudu; Habib Naqvi; Yvonne Coghill; Helen Donovan; Louise Letley; Pauline Paterson; Sandra Mounter-Jack.
Afiliação
  • Sadie Bell; London School of Hygiene and Tropical Medicine
  • Richard Matthew Clarke; University of Southampton
  • Sharif A Ismail; London School of Hygiene & Tropical Medicine
  • Oyinkansola Ojo-Aromokudu; London School of Hygiene & Tropical Medicine
  • Habib Naqvi; NHS Race and Health Observatory
  • Yvonne Coghill; NHS Race and Health Observatory
  • Helen Donovan; Royal College of Nursing
  • Louise Letley; Immunisation, Hepatitis & Blood Safety Department, National Infection Service, Public Health England
  • Pauline Paterson; London School of Hygiene & Tropical Medicine
  • Sandra Mounter-Jack; London School of Hygiene & Tropical Medicine
Preprint em En | PREPRINT-MEDRXIV | ID: ppmedrxiv-21255971
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ABSTRACT
BackgroundThe UK began delivering its COVID-19 vaccination programme on 8 December 2020, with health and social care workers (H&SCWs) given high priority for vaccination. Despite well- documented occupational exposure risks, however, there is evidence of lower uptake among some H&SCW groups. MethodsWe used a mixed-methods approach - involving an online cross-sectional survey and semi- structured interviews - to gain insight into COVID-19 vaccination beliefs, attitudes, and behaviours amongst H&SCWs in the UK by socio-demographic and employment variables. 1917 people were surveyed - 1658 healthcare workers (HCWs) and 261 social care workers (SCWs). Twenty participants were interviewed. FindingsWorkplace factors contributed to vaccination access and uptake. SCWs were more likely to not be offered COVID-19 vaccination than HCWs (OR1.453, 95%CI 1.244 - 1.696). SCWs specifically reported uncertainties around how to access COVID-19 vaccination. Participants who indicated stronger agreement with the statement I would recommend my organisation as a place to work were more likely to have been offered COVID-19 vaccination (OR1.28, 95%CI 1.06 - 1.56). Those who agreed more strongly with the statement I feel/felt under pressure from my employer to get a COVID-19 vaccine were more likely to have declined vaccination (OR1.75, 95%CI 1.27- 2.41). Interviewees that experienced employer pressure to get vaccinated felt this exacerbated their vaccine concerns and increased distrust. In comparison to White British and White Irish participants, Black African and Mixed Black African participants were more likely to not be offered (OR2.011, 95%CI 1.026 - 3.943) and more likely to have declined COVID-19 vaccination (OR5.55, 95%CI 2.29 - 13.43). Reasons for declining vaccination among Black African participants included distrust in COVID-19 vaccination, healthcare providers, and policymakers. ConclusionH&SCW employers are in a pivotal position to facilitate COVID-19 vaccination access, by ensuring staff are aware of how to get vaccinated and promoting a workplace environment in which vaccination decisions are informed and voluntary.
Licença
cc_by_nc_nd
Texto completo: 1 Coleções: 09-preprints Base de dados: PREPRINT-MEDRXIV Tipo de estudo: Experimental_studies / Observational_studies / Prognostic_studies / Qualitative_research / Rct Idioma: En Ano de publicação: 2021 Tipo de documento: Preprint
Texto completo: 1 Coleções: 09-preprints Base de dados: PREPRINT-MEDRXIV Tipo de estudo: Experimental_studies / Observational_studies / Prognostic_studies / Qualitative_research / Rct Idioma: En Ano de publicação: 2021 Tipo de documento: Preprint