Evidence map›Paper›PMID 41183116›Full record

ArticlePloS one2025

A thematic analysis of flu vaccine hesitance in ethnically minoritised communities in Liverpool.

Anna Powell, Marie Claire Van Hout, Deborah Connors, Catharine Montgomery

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Anna PowellSchool of Psychology, James Parsons Building, Liverpool John Moores University, Liverpool, United Kingdom.ORCID https://orcid.org/0000-0002-4879-4124
Marie Claire Van HoutSchool of Psychology, James Parsons Building, Liverpool John Moores University, Liverpool, United Kingdom.ORCID https://orcid.org/0000-0002-0018-4060
Deborah ConnorsSchool of Psychology, James Parsons Building, Liverpool John Moores University, Liverpool, United Kingdom.
Catharine MontgomerySchool of Psychology, James Parsons Building, Liverpool John Moores University, Liverpool, United Kingdom.ORCID https://orcid.org/0000-0003-2805-5807

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeasonal influenza causes around 15,000 deaths yearly in the United Kingdom. Low vaccine uptake is more prominent in ethnically minoritised communities and deprived areas, leading to poorer outcomes.

aimsTo understand influenza vaccine hesitance in ethnically minoritised communities in Liverpool from multistakeholder perspectives.

methodsSemi-structured interviews and focus groups were conducted with members of the public (n = 55), community engagement workers (n = 14), primary healthcare staff (n = 20), and policy professionals (n = 10). Data were analysed thematically.

resultsSix themes were identified. Beliefs about vaccine safety, necessity, and efficacy often arose from misinformation, misunderstanding, or negative experience. Trust in vaccine information depended on source familiarity, credibility, and perceived intentions, while trust in the healthcare system had decreased due to cultural and COVID-19 concerns. Accessibility of accurate vaccine information was poor, due to language and literacy barriers. Community opinions/experience shaped perceptions, while community organisations were trusted but needed resources/stability. Healthcare staff described low morale, time/resource constraints, and uncertainty in addressing cultural concerns. Ultimately, Alliance indicated a desire for better integration between healthcare and communities, particularly for developing/distributing accurate, culturally relevant, and accessible information.

conclusionTo address influenza vaccine hesitance, stakeholders should collaborate to improve access to reliable information (to support development of pro-vaccine beliefs) via tailored communication and culturally informed training for healthcare staff; aim to increase trust by, for example, ensuring access to familiar staff and employing community members; and foster alliance via long-term support of community organisations through funding, accurate information, and training.

Indexed as

Influenza, HumanInfluenza VaccinesVaccination HesitancyAdultEthnicityFemaleFocus GroupsHealth Knowledge, Attitudes, PracticeHealth PersonnelHumansMaleMiddle AgedTrustUnited KingdomInfluenza Vaccines

Identifiers

PMID41183116
PMCPMC12582489

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.