ArticleBJGP open2023
Attitudes and experiences of asylum seekers and refugees to the COVID-19 vaccination: a qualitative study.
Article in BJGP open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- The influence of HARP (The Health Access for Refugees' Project) on vaccine hesitancy in people seeking asylum and refugees in Northern England.Global health action · 2025Article
- Precarity, agency and trust: Vaccination decision-making in the context of the UK asylum system.SSM. Qualitative research in health · 2025Article
- 'Getting control of Corona takes many angles': COVID-19 vaccine knowledge, attitudes and beliefs among refugee/immigrant/migrant communities in four US cities.Health education research · 2024Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCOVID-19 disproportionately affected asylum seeker and refugee (ASR) populations owing to language and cultural barriers, lower health literacy, polytraumas and mental health needs, and increased exposure. Despite this, there was vaccine hesitancy and low vaccination rates in ASR populations.
aimTo explore the attitudes to and experiences of the COVID-19 vaccination among ASRs. DESIGN &
settingQualitative study of 12 diverse purposively recruited ASRs in Bristol.
methodSemi-structured interviews were conducted, transcribed verbatim, and analysed thematically to identify emergent themes.
resultsEight refugees and four asylum seekers were recruited, five of whom were female and seven male, aged between 23 years and 48 years; together representing seven countries. Six were part of a UK Home Office (UKHO) resettlement programme, and six had arrived in the UK by independent means. Analysis showed delayed uptake rather than vaccine refusal owing to the following three main themes: systemic asylum issues (repeated relocation, uncertainty, and dependency on the charity sector); fear (secondary to social isolation, misinformation, and mental illness); and trust (surrounding access to care and community relationships).
conclusionFear, trauma, and isolation propagated by systemic issues are primary factors impacting healthcare decision making, and standard approaches to increasing vaccination uptake must be reconsidered in light of these issues. General practice must appreciate and invest in providing security in healthcare access for ASR populations. Barriers to practice registration must be overcome to enable ASRs to access care both around vaccination and afterwards. Communication must be clear and accessible to aid individuals in making informed decisions, balancing the benefits and potential risks of vaccinations.
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