Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
ESRC Centre for Society and Mental Health, King's College London, London, UK.
Ethn Health. 2022 Oct;27(7):1555-1574. doi: 10.1080/13557858.2021.1936464. Epub 2021 Jun 6.
COVID-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.
Twenty-five semi-structured interviews were conducted (October 2020-January 2021) with UK-based healthcare staff. Data were inductively and thematically analysed.
Vaccine 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.
Drawing 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.
包括医疗保健专业人员在内的少数族裔和族裔群体在 COVID-19 方面所经历的不平等现象反映了更广泛的健康不平等现象，如果少数族裔和族裔群体的疫苗接种率较低，这些不平等现象可能会持续存在。我们旨在更好地了解少数族裔群体员工中疫苗接种率较低的原因，以便为提高接种率的举措提供信息。
2020 年 10 月至 2021 年 1 月期间，对英国的医疗保健人员进行了 25 次半结构式访谈。对数据进行了归纳和主题分析。
疫苗决策过程的基础是一个总体主题，即“权衡对自己和他人造成伤害的风险与潜在收益”。子主题包括“对伤害的恐惧”、“道德/伦理反对”、“对自己和他人的潜在好处”、“信息和错误信息”以及“机构或工作场所压力”。我们发现，由于对机构和结构性歧视的看法，这些因素对少数族裔和族裔群体员工的疫苗犹豫态度更为重要。这包括对疫苗接种的机构压力的怀疑和恐惧、疫苗开发和测试中的种族不公正、宗教或道德问题，以及疫苗信息和沟通的合法性和可及性。
借鉴批判种族理论，我们得出的结论是，承认历史和当代滥用权力的行为对于避免因将犹豫情绪与影响犹豫的社会过程脱钩而加剧不信任至关重要，这会破坏提高疫苗接种率的努力。
