Evidence map›Paper›PMID 34092149›Full record

ArticleEthnicity & health2022

Race, ethnicity and COVID-19 vaccination: a qualitative study of UK healthcare staff.

Charlotte Woodhead, Juliana Onwumere, Rebecca Rhead, Monalisa Bora-White, Zoe Chui, Naomi Clifford, Luke Connor, Cerisse Gunasinghe, Hannah Harwood, Paula Meriez and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Ethnicity & health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 pooled it
7.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 4 syntheses or guidelines pooled it, 65 citations in OpenAlex.

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  18. Qualitative evaluation of reasons for healthcare professionals being unvaccinated against COVID-19.Zeitschrift fur Gesundheitswissenschaften = Journal of public health · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 7 institutions in 1 country.

Charlotte WoodheadDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID 0000-0002-5545-6238
Juliana OnwumereDepartment of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Rebecca RheadDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID 0000-0002-5863-604X
Monalisa Bora-WhiteAvon and Wiltshire Mental Health NHS Partnership Trust, Bristol, UK.
Zoe ChuiDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Naomi CliffordNottinghamshire Healthcare NHS Foundation Trust, Nottingham, UK.
Luke ConnorDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Cerisse GunasingheDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID 0000-0001-9498-2022
Hannah HarwoodDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Paula MeriezCambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK.
Ghazala MirLeeds Institute of Health Sciences, University of Leeds, Leeds, UK.ORCID 0000-0002-5277-6885
Jessica Jones NielsenDepartment of Psychology, City University of London, London, UK.
Anne Marie RaffertyDepartment of Adult Nursing, Florence Nightingale Faculty for Nursing, Midwifery and Palliative Care, King's College London, London, UK.
Nathan StanleyDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Dorothy PeprahLondon School of Hygiene and Tropical Medicine, London, UK.
Stephani L HatchDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID 0000-0001-9103-2427
King's College London · GBAvon and Wiltshire Mental Health Partnership NHS Trust · GBCambridgeshire and Peterborough NHS Foundation Trust · GBCity, University of London · GBLondon School of Hygiene & Tropical Medicine · GBNottinghamshire Healthcare NHS Foundation Trust · GBUniversity of Leeds · GB

Funding

Wellcome Trust 203380Wellcome Trust 203380/Z/16/Z
6 · The paper itself

Abstract

objectiveCOVID-19-related inequities experienced by racial and ethnic minority groups including healthcare professionals mirror wider health inequities, which risk being perpetuated by lower uptake of vaccination. We aim to better understand lower uptake among racial and ethnic minority staff groups to inform initiatives to enhance uptake.

designTwenty-five semi-structured interviews were conducted (October 2020-January 2021) with UK-based healthcare staff. Data were inductively and thematically analysed.

resultsVaccine decision-making processes were underpinned by an overarching theme, 'weighing up risks of harm against potential benefits to self and others'. Sub-themes included 'fear of harm', 'moral/ethical objections', 'potential benefits to self and others', 'information and misinformation', and 'institutional or workplace pressure'. We identified ways in which these were weighted more heavily towards vaccine hesitancy for racial and ethnic minority staff groups influenced by perceptions about institutional and structural discrimination. This included suspicions and fear around institutional pressure to be vaccinated, racial injustices in vaccine development and testing, religious or ethical concerns, and legitimacy and accessibility of vaccine messaging and communication.

conclusionsDrawing on a critical race perspective, we conclude that acknowledging historical and contemporary abuses of power is essential to avoid perpetuating and aggravating mistrust by de-contextualising hesitancy from the social processes affecting hesitancy, undermining efforts to increase vaccine uptake.

Indexed as

COVID-19VaccinesCOVID-19 VaccinesEthnicityHumansMinority GroupsPatient Acceptance of Health CareUnited KingdomVaccinationCOVID-19 VaccinesVaccinesCOVID-19discriminationethnicityhealthcare staffRacevaccine hesitancy

Identifiers

PMID34092149
PMCPMC7614854
OpenAlexW3165951557

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.