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  1. Article ; Online: Attitudes towards vaccines and intention to vaccinate against COVID-19: a cross-sectional analysis-implications for public health communications in Australia.

    Enticott, Joanne / Gill, Jaskirath Singh / Bacon, Simon L / Lavoie, Kim L / Epstein, Daniel S / Dawadi, Shrinkhala / Teede, Helena J / Boyle, Jacqueline

    BMJ open

    2022  Volume 12, Issue 1, Page(s) e057127

    Abstract: Objective: To examine SARS-CoV-2 vaccine confidence, attitudes and intentions in Australian adults ... However, 72% did not believe they were at a high risk of getting COVID-19. Findings regarding vaccines ... 53 to 3.37)) and a self-perceived high risk of getting COVID-19 (1.52 (95% CI 1.08 to 2.14 ...

    Abstract Objective: To examine SARS-CoV-2 vaccine confidence, attitudes and intentions in Australian adults as part of the iCARE Study.
    Design and setting: Cross-sectional online survey conducted when free COVID-19 vaccinations first became available in Australia in February 2021.
    Participants: Total of 1166 Australians from general population aged 18-90 years (mean 52, SD of 19).
    Main outcome measures: Primary outcome: responses to question 'If a vaccine for COVID-19 were available today, what is the likelihood that you would get vaccinated?'.Secondary outcome: analyses of putative drivers of uptake, including vaccine confidence, socioeconomic status and sources of trust, derived from multiple survey questions.
    Results: Seventy-eight per cent reported being likely to receive a SARS-CoV-2 vaccine. Higher SARS-CoV-2 vaccine intentions were associated with: increasing age (OR: 2.01 (95% CI 1.77 to 2.77)), being male (1.37 (95% CI 1.08 to 1.72)), residing in least disadvantaged area quintile (2.27 (95% CI 1.53 to 3.37)) and a self-perceived high risk of getting COVID-19 (1.52 (95% CI 1.08 to 2.14)). However, 72% did not believe they were at a high risk of getting COVID-19. Findings regarding vaccines in general were similar except there were no sex differences. For both the SARS-CoV-2 vaccine and vaccines in general, there were no differences in intentions to vaccinate as a function of education level, perceived income level and rurality. Knowing that the vaccine is safe and effective and that getting vaccinated will protect others, trusting the company that made it and vaccination recommended by a doctor were reported to influence a large proportion of the study cohort to uptake the SARS-CoV-2 vaccine. Seventy-eight per cent reported the intent to continue engaging in virus-protecting behaviours (mask wearing, social distancing, etc) postvaccine.
    Conclusions: Most Australians are likely to receive a SARS-CoV-2 vaccine. Key influencing factors identified (eg, knowing vaccine is safe and effective, and doctor's recommendation to get vaccinated) can inform public health messaging to enhance vaccination rates.
    MeSH term(s) Adult ; Attitude ; Australia ; COVID-19 ; COVID-19 Vaccines ; Cross-Sectional Studies ; Health Communication ; Humans ; Intention ; Male ; Public Health ; SARS-CoV-2 ; Vaccination ; Vaccines
    Chemical Substances COVID-19 Vaccines ; Vaccines
    Language English
    Publishing date 2022-01-03
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2021-057127
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Attitudes towards vaccines and intention to vaccinate against COVID-19: Implications for public health communications.

    Paul, Elise / Steptoe, Andrew / Fancourt, Daisy

    The Lancet regional health. Europe

    2021  Volume 1, Page(s) 100012

    Abstract: ... attitudes towards vaccines are a major public health concern in the UK. General mistrust in vaccines and ... determinants of both uncertainty and unwillingness to vaccinate against COVID-19.: Interpretation: Negative ... the impact of socio-demographic and COVID-19 related factors, negative vaccine attitudes, and prior vaccine behaviour ...

    Abstract Background: Negative attitudes towards vaccines and an uncertainty or unwillingness to receive vaccinations are major barriers to managing the COVID-19 pandemic in the long-term. We estimate predictors of four domains of negative attitudes towards vaccines and identify groups most at risk of uncertainty and unwillingness to receive a COVID-19 vaccine in a large sample of UK adults.
    Methods: Data were cross-sectional and from 32,361 adults in the UCL COVID-19 Social Study. Ordinary least squares regression analyses examined the impact of socio-demographic and COVID-19 related factors on four types of negative vaccine attitudes: mistrust of vaccine benefit, worries about unforeseen effects, concerns about commercial profiteering, and preference for natural immunity. Multinomial regression examined the impact of socio-demographic and COVID-19 related factors, negative vaccine attitudes, and prior vaccine behaviour on uncertainty and unwillingness to be vaccinated for COVID-19.
    Findings: 16% of respondents displayed high levels of mistrust about vaccines across one or more domains. Distrustful attitudes towards vaccination were higher amongst individuals from ethnic minority backgrounds, with lower levels of education, lower annual income, poor knowledge of COVID-19, and poor compliance with government COVID-19 guidelines. Overall, 14% of respondents reported unwillingness to receive a vaccine for COVID-19, whilst 23% were unsure. The largest predictors of both COVID-19 vaccine uncertainty and refusal were low-income groups (< £16,000, a year), having not received a flu vaccine last year, poor adherence to COVID-19 government guidelines, female gender, and living with children. Amongst vaccine attitudes, intermediate to high levels of mistrust of vaccine benefit and concerns about future unforeseen side effects were the most important determinants of both uncertainty and unwillingness to vaccinate against COVID-19.
    Interpretation: Negative attitudes towards vaccines are a major public health concern in the UK. General mistrust in vaccines and concerns about future side effects in particular will be barriers to achieving population immunity to COVID-19 through vaccination. Public health messaging should be tailored to address these concerns and specifically to women, ethnic minorities, and people with lower levels of education and incomes.
    Funding: The Nuffield Foundation [WEL/FR-000022583], the MARCH Mental Health Network funded by the Cross-Disciplinary Mental Health Network Plus initiative supported by UK Research and Innovation [ES/S002588/1], and the Wellcome Trust [221400/Z/20/Z and 205407/Z/16/Z].
    Language English
    Publishing date 2021-05-06
    Publishing country England
    Document type Journal Article
    ISSN 2666-7762
    ISSN (online) 2666-7762
    DOI 10.1016/j.lanepe.2020.100012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Attitudes towards vaccines and intention to vaccinate against COVID-19: Implications for public health communications in Australia

    Enticott, Joanne / Gill, Jaskirath / Bacon, Simon / Lavoie, Kim Louise / Epstein, Dan / Dawadi, Shrinkhala / Teede, Helena / Boyle, Jacqueline

    medRxiv

    Abstract: ... For both the SARS–CoV–2 vaccine and vaccines in general, there were no differences in intentions to vaccinate ... against COVID–19. Higher SARS–CoV–2 vaccine intentions were associated with: increasing age (OR: 1.04 95 ... can be used to inform public health messaging to enhance vaccination rates. Keywords: COVID–19 ...

    Abstract Objective: To examine SARS–CoV–2 vaccine confidence, attitudes and intentions in Australian adults. Methods: Nationwide survey in February–March 2021 of adults representative across sex, age and location. Vaccine uptake and a range of putative drivers of uptake, including vaccine confidence, socioeconomic status, and sources of trust, were examined using logistic and Bayesian regressions for vaccines generally and for SARS–CoV–2 vaccines. Results: Overall 1,166 surveys were collected from participants aged 18 to 90 years (mean 52, SD of 19). Seventy–eight percent reported being likely to receive a vaccine against COVID–19. Higher SARS–CoV–2 vaccine intentions were associated with: increasing age (OR: 1.04 95%CI [1.03–1.044]), being male (OR: 1.37, 95% CI [1.08–1.72]), residing in the least disadvantaged area quintile (OR: 2.27 95%CI [1.53–3.37]) and a self-perceived high risk of getting COVID–19 (OR: 1.52 95% CI [1.08–2.14]). However, 72% of participants did not believe that they were at a high risk of getting COVID-19. Findings regarding vaccines in general were similar except there were no sex differences. For both the SARS–CoV–2 vaccine and vaccines in general, there were no differences in intentions to vaccinate as a function of education level, perceived income level, and rurality. Knowing that the vaccine is safe and effective, and that getting vaccinated will protect others, trusting the company that made it and getting vaccination recommended by a doctor were reported to influence a large proportion of the study cohort to uptake the SARS–CoV–2 vaccine. Seventy–eight percent reported the intent to continue engaging in virus-protecting behaviours (mask wearing, social distancing etc.) post–vaccine. Conclusions: Seventy–eight percent of Australians are likely to receive a SARS–CoV–2 vaccine. Key influencing factors identified in this study (e.g. knowing that the vaccine is safe and effective, getting a doctor9s recommendation to get vaccinated) can be used to inform public health messaging to enhance vaccination rates. Keywords: COVID–19, Infection control, Public Health, Preventive Medicine, Respiratory infections
    Keywords covid19
    Language English
    Publishing date 2021-09-15
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2021.09.12.21263158
    Database COVID19

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  4. Article ; Online: National survey of attitudes towards and intentions to vaccinate against COVID-19: implications for communications.

    Stead, Martine / Jessop, Curtis / Angus, Kathryn / Bedford, Helen / Ussher, Michael / Ford, Allison / Eadie, Douglas / MacGregor, Andy / Hunt, Kate / MacKintosh, Anne Marie

    BMJ open

    2021  Volume 11, Issue 10, Page(s) e055085

    Abstract: Objectives: To examine public views on COVID-19 vaccination and consider the implications ... needed to address COVID-19 vaccine hesitancy in non-white British ethnic groups, in younger adults, and ... acceptance, trust in COVID-19 vaccination information sources, perceptions of vaccination priority groups and ...

    Abstract Objectives: To examine public views on COVID-19 vaccination and consider the implications for communications and targeted support.
    Design: Cross-sectional study.
    Setting: Online and telephone nationally representative survey in Great Britain, January to February 2021.
    Participants: 4978 adults. Survey response rate was 84%, among the 5931 panellists invited.
    Main outcome measures: Sociodemographic characteristics (age, gender, ethnicity, education, financial status), COVID-19 status, vaccine acceptance, trust in COVID-19 vaccination information sources, perceptions of vaccination priority groups and perceptions of importance of second dose.
    Results: COVID-19 vaccine acceptance (83%) was associated with increasing age, higher level of education and having been invited for vaccination. Acceptance decreased with unconfirmed past COVID-19, greater financial hardship and non-white British ethnicity; black/black British participants had lowest acceptance. Overall, healthcare and scientific sources of information were most trusted. Compared with white British participants, other ethnicities had lower trust in healthcare and scientific sources. Those with lower educational attainment or financial hardship had lower trust in healthcare and scientific sources. Those with no qualifications had higher trust in media and family/friends. While trust was low overall in community or faith leaders, it was higher among those with Asian/Asian British and black/black British ethnicity compared with white British participants. Views of vaccine prioritisation were mostly consistent with UK official policy but there was support for prioritising additional groups. There was high support for having the second vaccine dose.
    Conclusions: Targeted engagement is needed to address COVID-19 vaccine hesitancy in non-white British ethnic groups, in younger adults, and among those with lower education, greater financial hardship and unconfirmed past infection. Healthcare professionals and scientific advisors should play a central role in communications and tailored messaging is needed for hesitant groups. Careful communication around vaccination prioritisation continues to be required.
    MeSH term(s) Adult ; Attitude ; COVID-19 ; COVID-19 Vaccines ; Communication ; Cross-Sectional Studies ; Humans ; Intention ; SARS-CoV-2 ; Vaccination
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2021-10-28
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2021-055085
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Order via subito

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  5. Article ; Online: Attitudes towards vaccines and intention to vaccinate against COVID-19

    Elise Paul / Andrew Steptoe / Daisy Fancourt

    The Lancet Regional Health. Europe, Vol 1, Iss , Pp 100012- (2021)

    Implications for public health communications

    2021  

    Abstract: ... determinants of both uncertainty and unwillingness to vaccinate against COVID-19. Interpretation: Negative ... demographic and COVID-19 related factors, negative vaccine attitudes, and prior vaccine behaviour ... attitudes towards vaccines are a major public health concern in the UK. ... ...

    Abstract Background: Negative attitudes towards vaccines and an uncertainty or unwillingness to receive vaccinations are major barriers to managing the COVID-19 pandemic in the long-term. We estimate predictors of four domains of negative attitudes towards vaccines and identify groups most at risk of uncertainty and unwillingness to receive a COVID-19 vaccine in a large sample of UK adults. Methods: Data were cross-sectional and from 32,361 adults in the UCL COVID-19 Social Study. Ordinary least squares regression analyses examined the impact of socio-demographic and COVID-19 related factors on four types of negative vaccine attitudes: mistrust of vaccine benefit, worries about unforeseen effects, concerns about commercial profiteering, and preference for natural immunity. Multinomial regression examined the impact of socio-demographic and COVID-19 related factors, negative vaccine attitudes, and prior vaccine behaviour on uncertainty and unwillingness to be vaccinated for COVID-19. Findings: 16% of respondents displayed high levels of mistrust about vaccines across one or more domains. Distrustful attitudes towards vaccination were higher amongst individuals from ethnic minority backgrounds, with lower levels of education, lower annual income, poor knowledge of COVID-19, and poor compliance with government COVID-19 guidelines. Overall, 14% of respondents reported unwillingness to receive a vaccine for COVID-19, whilst 23% were unsure. The largest predictors of both COVID-19 vaccine uncertainty and refusal were low-income groups (< £16,000, a year), having not received a flu vaccine last year, poor adherence to COVID-19 government guidelines, female gender, and living with children. Amongst vaccine attitudes, intermediate to high levels of mistrust of vaccine benefit and concerns about future unforeseen side effects were the most important determinants of both uncertainty and unwillingness to vaccinate against COVID-19. Interpretation: Negative attitudes towards vaccines are a major public health concern in the UK. ...
    Keywords COVID-19 ; Attitudes towards vaccines ; Vaccine refusal ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2021-02-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article: Attitudes towards vaccines and intention to vaccinate against COVID-19: Implications for public health communications

    Paul, Dr. Elise

    The lancet, 1:100012

    2020  

    Abstract: ... attitudes towards vaccines are a major public health concern in the UK. General mistrust in vaccines and ... determinants of both uncertainty and unwillingness to vaccinate against COVID-19. INTERPRETATION: Negative ... demographic and COVID-19 related factors, negative vaccine attitudes, and prior vaccine behaviour ...

    Abstract BACKGROUND: Negative attitudes towards vaccines and an uncertainty or unwillingness to receive vaccinations are major barriers to managing the COVID-19 pandemic in the long-term. We estimate predictors of four domains of negative attitudes towards vaccines and identify groups most at risk of uncertainty and unwillingness to receive a COVID-19 vaccine in a large sample of UK adults. METHODS: Data were cross-sectional and from 32,361 adults in the UCL COVID-19 Social Study. Ordinary least squares regression analyses examined the impact of socio-demographic and COVID-19 related factors on four types of negative vaccine attitudes: mistrust of vaccine benefit, worries about unforeseen effects, concerns about commercial profiteering, and preference for natural immunity. Multinomial regression examined the impact of socio-demographic and COVID-19 related factors, negative vaccine attitudes, and prior vaccine behaviour on uncertainty and unwillingness to be vaccinated for COVID-19. FINDINGS: 16% of respondents displayed high levels of mistrust about vaccines across one or more domains. Distrustful attitudes towards vaccination were higher amongst individuals from ethnic minority backgrounds, with lower levels of education, lower annual income, poor knowledge of COVID-19, and poor compliance with government COVID-19 guidelines. Overall, 14% of respondents reported unwillingness to receive a vaccine for COVID-19, whilst 23% were unsure. The largest predictors of both COVID-19 vaccine uncertainty and refusal were low-income groups (< £16,000, a year), having not received a flu vaccine last year, poor adherence to COVID-19 government guidelines, female gender, and living with children. Amongst vaccine attitudes, intermediate to high levels of mistrust of vaccine benefit and concerns about future unforeseen side effects were the most important determinants of both uncertainty and unwillingness to vaccinate against COVID-19. INTERPRETATION: Negative attitudes towards vaccines are a major public health concern in the UK. General mistrust in vaccines and concerns about future side effects in particular will be barriers to achieving population immunity to COVID-19 through vaccination. Public health messaging should be tailored to address these concerns and specifically to women, ethnic minorities, and people with lower levels of education and incomes.
    Keywords COVID-19 ; Attitudes towards vaccines ; Vaccine refusal
    Language English
    Document type Article
    Database Repository for Life Sciences

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