4.7 Article

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

Journal

BRAIN BEHAVIOR AND IMMUNITY
Volume 94, Issue -, Pages 41-50

Publisher

ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.bbi.2021.03.008

Keywords

COVID-19; Vaccine hesitancy; Vaccine uptake; Ethnicity; Socioeconomic position; Inequalities

Funding

  1. Medical Research Council [MC_PC_20030, MC_UU_00022/2]
  2. Economic and Social Research Council [ES/K005146/1]
  3. Health Foundation [2076161]
  4. Scottish Government Chief Scientist Office [SCAF/15/02]
  5. ESRC [ES/N00812X/1]
  6. Economic and Social Research Council
  7. NRS Senior Clinical Fellowship [SCAF/15/02]
  8. Medical Research Council [MC_PC_20030] Funding Source: researchfish

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Overall, vaccine hesitancy in the UK is low, but higher in women, younger age groups, and those with lower education levels. Vaccine hesitancy is particularly high in certain ethnic minority groups, calling for urgent action to address the issue.
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. Crosssectional 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.

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