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      UK ethnic minority healthcare workers’ perspectives on COVID-19 vaccine hesitancy in the UK ethnic minority community: A qualitative study

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          Abstract

          Background

          The experiences of UK ethnic minority (UKEM) healthcare workers are crucial to ameliorating the disproportionate COVID-19 infection rate and outcomes in the UKEM community. We conducted a qualitative study on UKEM healthcare workers’ perspectives on COVID-19 vaccine hesitancy (CVH) in the UKEM community.

          Methods

          Participants were 15 UKEM healthcare workers (11 females; age range: 26–58 [43.3 ± 9.4] years). Data were collected using individual and joint interviews, and a focus group, and analyzed using thematic analysis.

          Results

          We generated three themes: heterogeneity (two subthemes), mistrust (six subthemes), and mitigating (six subthemes). Therein, participants distinguished CVH in the UKEM community in educational attainment and ethnicity. They pointed to the role of mistrust in CVH in the UKEM community. They opined that the mistrust underlying CVH in the UKEM community is rooted in history and religion, conspiracy theories, the speedy development and novelty of the vaccines, post-vaccination complications/side effects, false positive test results, and social media and social support/influence. Participants recommended that interventions targeted at mitigating CVH in the UKEM community need to, in a non-judgmental way, tackle dis/misinformation and provide education, and incorporate UKEM healthcare worker endorsement. They also suggested such interventions be community-oriented, enhance the convenience of vaccination centers and the possibility of vaccine choice, and appreciate that overcoming CVH and accepting vaccination is a gradual process involving personal assessment of risks and benefits.

          Conclusion

          CVH in the UKEM community is a multifaceted phenomenon requiring multicomponent interventions.

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          Most cited references83

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          Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.

          Qualitative research explores complex phenomena encountered by clinicians, health care providers, policy makers and consumers. Although partial checklists are available, no consolidated reporting framework exists for any type of qualitative design. To develop a checklist for explicit and comprehensive reporting of qualitative studies (in depth interviews and focus groups). We performed a comprehensive search in Cochrane and Campbell Protocols, Medline, CINAHL, systematic reviews of qualitative studies, author or reviewer guidelines of major medical journals and reference lists of relevant publications for existing checklists used to assess qualitative studies. Seventy-six items from 22 checklists were compiled into a comprehensive list. All items were grouped into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. Duplicate items and those that were ambiguous, too broadly defined and impractical to assess were removed. Items most frequently included in the checklists related to sampling method, setting for data collection, method of data collection, respondent validation of findings, method of recording data, description of the derivation of themes and inclusion of supporting quotations. We grouped all items into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. The criteria included in COREQ, a 32-item checklist, can help researchers to report important aspects of the research team, study methods, context of the study, findings, analysis and interpretations.
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            Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being.

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              A global survey of potential acceptance of a COVID-19 vaccine

              Several coronavirus disease 2019 (COVID-19) vaccines are currently in human trials. In June 2020, we surveyed 13,426 people in 19 countries to determine potential acceptance rates and factors influencing acceptance of a COVID-19 vaccine. Of these, 71.5% of participants reported that they would be very or somewhat likely to take a COVID-19 vaccine, and 61.4% reported that they would accept their employer’s recommendation to do so. Differences in acceptance rates ranged from almost 90% (in China) to less than 55% (in Russia). Respondents reporting higher levels of trust in information from government sources were more likely to accept a vaccine and take their employer’s advice to do so.
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                Author and article information

                Contributors
                Journal
                Front Psychol
                Front Psychol
                Front. Psychol.
                Frontiers in Psychology
                Frontiers Media S.A.
                1664-1078
                03 August 2022
                2022
                03 August 2022
                : 13
                : 908917
                Affiliations
                [1] 1Department of Psychosocial Science, University of Bergen , Bergen, Norway
                [2] 2School of Psychology, University of Nottingham , Nottingham, United Kingdom
                [3] 3Department of Health and Exercise, Kristiania University College , Bergen, Norway
                [4] 4Department of Mental Health, Norwegian University of Science and Technology , Trondheim, Norway
                [5] 5Chaplaincy, Royal Free London NHS Foundation Trust , London, United Kingdom
                [6] 6Department of Dermatology, Hillingdon Hospitals NHS Foundation Trust , London, United Kingdom
                [7] 7Department of Cellular Pathology, Northwest London Pathology, Imperial College London NHS Trust , London, United Kingdom
                Author notes

                Edited by: Changiz Mohiyeddini, Oakland University William Beaumont School of Medicine, United States

                Reviewed by: Judith Eberhardt, Teesside University, United Kingdom; Sarah Denford, University College, Bristol, United Kingdom

                *Correspondence: Dominic Sagoe, dominic.sagoe@ 123456uib.no

                This article was submitted to Health Psychology, a section of the journal Frontiers in Psychology

                Article
                10.3389/fpsyg.2022.908917
                9381748
                35992396
                ba873101-adc6-4297-8cea-a7db84edb160
                Copyright © 2022 Sagoe, Ogunbode, Antwi, Knizek, Awaleh and Dadzie.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 31 March 2022
                : 13 July 2022
                Page count
                Figures: 0, Tables: 3, Equations: 0, References: 99, Pages: 14, Words: 11912
                Categories
                Psychology
                Original Research

                Clinical Psychology & Psychiatry
                covid-19,ethnicity,healthcare workers,qualitative research,vaccine hesitancy,ethnic minority,ukem

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