COVID-19 vaccine decision-making and the role of institutions across the pandemic in UK Black African and Black Caribbean communities

IF 4.5 3区医学 Q2 IMMUNOLOGY

Vaccine Pub Date : 2025-04-06 DOI:10.1016/j.vaccine.2025.127071

Christina Shearn , Gianina-Ioana Postavaru , Lorna Hylton , Howard Morris , Noelle Robertson , Eva M. Krockow

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引用次数: 0

Abstract

Introduction

In the UK, individuals from Black African and Black Caribbean backgrounds show particularly low rates of COVID-19 vaccination uptake. Initial research highlighted institutional mistrust as a prevalent influencing factor in COVID-19 vaccine decision-making, but most data were obtained from un-differentiated minority ethnic samples. This study explored the role of institutional mistrust across the entire COVID-19 vaccination rollout period, focusing on Black African and Black Caribbean communities.

Methods

Purposive sampling resulted in 13 participants (7 = male, 6 = female; M = 52 years), who expressed uncertainty about one or more of the menu of COVID-19 vaccinations. An in-person focus group and online semi-structured interviews were conducted to explore COVID-19 vaccination views and institutional influences. Data were analysed thematically.

Results

Three overarching themes were identified, each with constituent sub-themes, mapping onto the chronological sequence of the vaccination rollout: (1) ‘mistrust during initial vaccine decision-making’ (e.g., highlighting historical racial inequities and biased news exposure), (2) ‘negative experiences of institutions during the pandemic’ (e.g., highlighting systemic pressures to vaccination and perceptions of deception), and (3) ‘vaccination attitudes post-pandemic’ (e.g., highlighting varied views and concerns about booster vaccinations).

Conclusions

Findings emphasize the enduring influence of institutions on COVID-19 vaccination attitudes of UK individuals from Black African and Black Caribbean backgrounds. Initial vaccination adherence through perceived coercive governmental strategies appeared counterproductive for ongoing willingness to vaccinate. Instead, co-producing campaigns and providing opportunities to discuss concerns with trusted healthcare professionals in the community are recommended. These findings can be applied to future vaccination campaigns against COVID-19 and other similar health threats.

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COVID-19疫苗决策以及英国非洲黑人和加勒比黑人社区机构在大流行中的作用

在英国，来自非洲黑人和加勒比黑人背景的人的COVID-19疫苗接种率特别低。最初的研究强调，机构不信任是影响COVID-19疫苗决策的普遍因素，但大多数数据来自未分化的少数民族样本。本研究探讨了机构不信任在整个COVID-19疫苗接种推广期间的作用，重点是非洲黑人和加勒比黑人社区。方法随机抽样13例，其中男7例，女6例；M = 52岁)，他们对一种或多种COVID-19疫苗接种方案表示不确定。通过面对面焦点小组和在线半结构化访谈，探讨COVID-19疫苗接种观点和制度影响。数据按主题进行分析。结果确定了三个总体主题，每个主题都有组成子主题，映射到疫苗接种的时间顺序：(1)“最初疫苗决策期间的不信任”（例如，突出历史上的种族不平等和有偏见的新闻报道），(2)“大流行期间机构的负面经历”（例如，突出接种疫苗的系统性压力和对欺骗的看法），以及(3)“大流行后的疫苗接种态度”（例如，突出对加强疫苗接种的不同观点和关注）。结论研究结果强调了制度对非洲黑人和加勒比黑人背景的英国人的COVID-19疫苗接种态度的持久影响。最初通过觉察到的强制性政府策略坚持接种疫苗似乎不利于持续的疫苗接种意愿。相反，建议共同开展活动，并提供机会与社区中值得信赖的医疗保健专业人员讨论所关注的问题。这些发现可应用于未来针对COVID-19和其他类似健康威胁的疫苗接种运动。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Vaccine 医学-免疫学

CiteScore

8.70

自引率

5.50%

发文量

992

审稿时长

131 days

期刊介绍： Vaccine is unique in publishing the highest quality science across all disciplines relevant to the field of vaccinology - all original article submissions across basic and clinical research, vaccine manufacturing, history, public policy, behavioral science and ethics, social sciences, safety, and many other related areas are welcomed. The submission categories as given in the Guide for Authors indicate where we receive the most papers. Papers outside these major areas are also welcome and authors are encouraged to contact us with specific questions.