Ekezie Winifred, Connor Aaisha, Gibson Emma, Khunti Kamlesh, Kamal Atiya
Diabetes Research Centre, University of Leicester, Leicester LE5 4PW, UK.
Centre for Ethnic Health Research, University of Leicester, Leicester LE5 4PW, UK.
Vaccines (Basel). 2023 Jul 19;11(7):1259. doi: 10.3390/vaccines11071259.
COVID-19 caused significant morbidity and mortality amongst ethnic minority groups, but vaccine uptake remained lower than non-minoritised groups. Interventions to increase vaccine uptake among ethnic minority communities are crucial. This systematic review synthesises and evaluates behaviour change techniques (BCTs) in interventions to increase vaccination uptake in ethnic minority populations. We searched five databases and grey literature sources. From 7637 records identified, 23 studies were included in the review. Interventions were categorised using the Behaviour Change Wheel (BCW) and Behaviour Change Taxonomy v1. Vaccines included influenza, pertussis, tetanus, diphtheria, meningitis and hepatitis. Interventions were primarily delivered in health centres/clinics and community settings. Six BCW intervention functions and policy categories and 26 BCTs were identified. The main intervention functions used were education, persuasion and enablement. Overall, effective interventions had multi-components and were tailored to specific populations. No strong evidence was observed to recommend specific interventions, but raising awareness and involvement of community organisations was associated with positive effects. Several strategies are used to increase vaccine uptake among ethnic minority communities; however, these do not address all issues related to low vaccine acceptance. There is a strong need for an increased understanding of addressing vaccine hesitancy among ethnic minority groups.
新冠病毒病在少数族裔群体中导致了较高的发病率和死亡率，但少数族裔群体的疫苗接种率仍低于非少数族裔群体。采取干预措施以提高少数族裔社区的疫苗接种率至关重要。本系统评价综合并评估了旨在提高少数族裔人群疫苗接种率的干预措施中的行为改变技术（BCTs）。我们检索了五个数据库和灰色文献来源。从识别出的7637条记录中，23项研究被纳入本评价。干预措施使用行为改变轮（BCW）和行为改变分类法v1进行分类。疫苗包括流感疫苗、百日咳疫苗、破伤风疫苗、白喉疫苗、脑膜炎疫苗和肝炎疫苗。干预措施主要在健康中心/诊所和社区环境中实施。确定了六种BCW干预功能和政策类别以及26种BCTs。使用的主要干预功能是教育、劝说和赋能。总体而言，有效的干预措施具有多成分且是针对特定人群量身定制的。未观察到有强有力的证据推荐特定干预措施，但提高社区组织的认识和参与与积极效果相关。有几种策略用于提高少数族裔社区的疫苗接种率；然而，这些策略并未解决与疫苗接受度低相关的所有问题。迫切需要加深对解决少数族裔群体疫苗犹豫问题的理解。
