Mapping Vaccination Mindsets among UK Residents of Black Ethnicities with HIV

Vaccine hesitancy is a leading threat to public health, but little is known about the beliefs and mindsets that drive vaccine hesitancy, especially among people of Black ethnicities. This study aimed to understand vaccine related beliefs and their relationship with SARS-CoV-2 vaccine uptake in UK residents of Black ethnicities living with HIV. Adults of self-reported Black ethnicities with HIV were recruited at 12 clinics in England. Participants completed questionnaires in clinic, including an adapted version of the Beliefs about Medicines Questionnaire (BMQ) to assess Necessity and Concerns beliefs about the SARS-CoV-2 vaccine. SARS-CoV-2 vaccination status was ascertained through self-report and shared care records. A total of 863 participants were enrolled between June 2021 and October 2022, most of whom (92%) had received at least one dose of the SARS CoV-2 vaccine. After adjusting for age and region of birth, higher perceived need for the vaccine (OR = 2.39, 95% CI = 1.51-3.81), fewer concerns about the vaccine (OR = 0.16, 95% CI = 0.08-0.30), and weaker endorsement of COVID-19 Conspiracy Beliefs (OR = 0.31, 95% CI = 0.19-0.50) were associated with vaccination uptake. Being born outside sub-Saharan Africa was associated with reduced odds of being vaccinated. This study shows the importance of specific beliefs driving vaccine hesitancy and uptake. Further studies should explore the role of these beliefs and mindsets in influencing uptake of other vaccinations, and to work with key stakeholders to explore how to address vaccine hesitancy and improve vaccine uptake in these and other populations

Ethnic group · Family medicine · Health psychology · HIV vaccine · Logistic regression · Odds · Odds ratio · Political science · Public health · Vaccination · Vaccine trial · Demography · Medicine · Misinformation and Its Impacts · Nursing · SARS-CoV-2 and COVID-19 Research · Vaccine Coverage and Hesitancy · Immunology · Internal Medicine

• Covid-19 vaccine hesitancy in the UK

  Open Access•Daniel Freeman, Bao Sheng Loe et al.•Psychological Medicine•2022

  Incluir item

• Patients' beliefs about prescribed medicines and their role in adherence to treatment in chronic physical illness

  Open Access•Robert Horne, Janice Weinman et al.•Journal of Psychosomatic Research•1999

  Incluir item

• The beliefs about medicines questionnaire

  Robert Horne, Janice Weinman et al.•Psychology & Health•1999

  Incluir item

• Understanding Patients’ Adherence-Related Beliefs about Medicines Prescribed for Long-Term Conditions

  Open Access•Rob Horne, Sarah Chapman et al.•PLoS ONE•2013

  Incluir item

• The Vaccine-Hesitant Moment

  Heidi J Larson, Emmanuela Gakidou et al.•New England Journal of Medicine•2022

  Incluir item

• Predictors of Covid-19 vaccine hesitancy in the UK household longitudinal study

  Open Access•Elaine Robertson, Kelly S Reeve et al.•Brain, Behavior, and Immunity•2021

  Incluir item

• Ethnicity and clinical outcomes in Covid-19

  Open Access•Shirley Sze, Daniel Pan et al.•EClinicalMedicine•2020

  Incluir item

• Addressing Vaccine Hesitancy to Reduce Racial and Ethnic Disparities in Covid-19 Vaccination Uptake Across the UK and US

  Open Access•Harriett Fuller, Keerthi Dubbala et al.•Frontiers in Public Health•2021

  Incluir item

• Reasons for Covid-19 vaccine hesitancy in ethnic minority groups

  Open Access•Christina Shearn, Eva M Krockow•SSM - Qualitative Research in…•2023

  Incluir item

• Acceptance and Adherence to Covid-19 Vaccination—The Role of Cognitive and Emotional Representations

  Open Access•Simão Pinho, Mariana Cruz et al.•International Journal of…•2022

  Incluir item

• When Debunking Scientific Myths Fails (and When It Does Not)

  Open Access•Christina Peters, Christina Peter et al.•Science Communication•2016

  Incluir item

• A meta-analysis of correction effects in science-relevant misinformation

  Open Access•Man-Pui Sally Chan, Dolores Albarracin•Nature Human Behaviour•2023

  Incluir item