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Public decisions about COVID-19 vaccines: A UK-based qualitative study

Simon Williams Orcid Logo, Christopher J. Armitage, Kim Dienes Orcid Logo, John Drury, Tova Tampe

PLOS ONE, Volume: 18, Issue: 3, Start page: e0277360

Swansea University Authors: Simon Williams Orcid Logo, Kim Dienes Orcid Logo

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Abstract

ObjectiveTo explore UK public decisions around whether or not to get COVID-19 vaccines, and the facilitators and barriers behind participants’ decisions.DesignThis qualitative study consisted of six online focus groups conducted between 15th March and 22nd April 2021. Data were analysed using a fram...

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Published in: PLOS ONE
ISSN: 1932-6203
Published: Public Library of Science (PLoS) 2023
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Data were analysed using a framework approach.SettingFocus groups took place via online videoconferencing (Zoom).ParticipantsParticipants (n = 29) were a diverse group (by ethnicity, age and gender) UK residents aged 18 years and older.ResultsWe used the World Health Organization’s vaccine hesitancy continuum model to look for, and explore, three main types of decisions related to COVID-19 vaccines: vaccine acceptance, vaccine refusal and vaccine hesitancy (or vaccine delay). Two reasons for vaccine delay were identified: delay due to a perceived need for more information and delay until vaccine was “required” in the future. Nine themes were identified: three main facilitators (Vaccination as a social norm; Vaccination as a necessity; Trust in science) and six main barriers (Preference for “natural immunity”; Concerns over possible side effects; Perceived lack of information; Distrust in government;; Conspiracy theories; “Covid echo chambers”) to vaccine uptake.ConclusionIn order to address vaccine uptake and vaccine hesitancy, it is useful to understand the reasons behind people’s decisions to accept or refuse an offer of a vaccine, and to listen to them and engage with, rather than dismiss, these reasons. 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spelling v2 62253 2023-01-03 Public decisions about COVID-19 vaccines: A UK-based qualitative study d43865b0aa32bfa591d1f12d6c0b7a17 0000-0003-2854-9946 Simon Williams Simon Williams true false 76108f6ac5e9dccfc581a09f7e5ef333 0000-0002-6119-7025 Kim Dienes Kim Dienes true false 2023-01-03 HPS ObjectiveTo explore UK public decisions around whether or not to get COVID-19 vaccines, and the facilitators and barriers behind participants’ decisions.DesignThis qualitative study consisted of six online focus groups conducted between 15th March and 22nd April 2021. Data were analysed using a framework approach.SettingFocus groups took place via online videoconferencing (Zoom).ParticipantsParticipants (n = 29) were a diverse group (by ethnicity, age and gender) UK residents aged 18 years and older.ResultsWe used the World Health Organization’s vaccine hesitancy continuum model to look for, and explore, three main types of decisions related to COVID-19 vaccines: vaccine acceptance, vaccine refusal and vaccine hesitancy (or vaccine delay). Two reasons for vaccine delay were identified: delay due to a perceived need for more information and delay until vaccine was “required” in the future. Nine themes were identified: three main facilitators (Vaccination as a social norm; Vaccination as a necessity; Trust in science) and six main barriers (Preference for “natural immunity”; Concerns over possible side effects; Perceived lack of information; Distrust in government;; Conspiracy theories; “Covid echo chambers”) to vaccine uptake.ConclusionIn order to address vaccine uptake and vaccine hesitancy, it is useful to understand the reasons behind people’s decisions to accept or refuse an offer of a vaccine, and to listen to them and engage with, rather than dismiss, these reasons. Those working in public health or health communication around vaccines, including COVID-19 vaccines, in and beyond the UK, might benefit from incorporating the facilitators and barriers found in this study. Journal Article PLOS ONE 18 3 e0277360 Public Library of Science (PLoS) 1932-6203 6 3 2023 2023-03-06 10.1371/journal.pone.0277360 http://dx.doi.org/10.1371/journal.pone.0277360 COLLEGE NANME Psychology COLLEGE CODE HPS Swansea University SU Library paid the OA fee (TA Institutional Deal) 2024-01-08T15:05:57.0362699 2023-01-03T14:18:34.6639975 Faculty of Medicine, Health and Life Sciences School of Psychology Simon Williams 0000-0003-2854-9946 1 Christopher J. Armitage 2 Kim Dienes 0000-0002-6119-7025 3 John Drury 4 Tova Tampe 5 62253__27672__b1f65ab87fe34dc7a7a64fe17357b9b9.pdf 62253.pdf 2023-06-01T15:05:57.8277368 Output 425825 application/pdf Version of Record true Copyright: © 2023 Williams et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. true eng http://creativecommons.org/licenses/by/4.0/
title Public decisions about COVID-19 vaccines: A UK-based qualitative study
spellingShingle Public decisions about COVID-19 vaccines: A UK-based qualitative study
Simon Williams
Kim Dienes
title_short Public decisions about COVID-19 vaccines: A UK-based qualitative study
title_full Public decisions about COVID-19 vaccines: A UK-based qualitative study
title_fullStr Public decisions about COVID-19 vaccines: A UK-based qualitative study
title_full_unstemmed Public decisions about COVID-19 vaccines: A UK-based qualitative study
title_sort Public decisions about COVID-19 vaccines: A UK-based qualitative study
author_id_str_mv d43865b0aa32bfa591d1f12d6c0b7a17
76108f6ac5e9dccfc581a09f7e5ef333
author_id_fullname_str_mv d43865b0aa32bfa591d1f12d6c0b7a17_***_Simon Williams
76108f6ac5e9dccfc581a09f7e5ef333_***_Kim Dienes
author Simon Williams
Kim Dienes
author2 Simon Williams
Christopher J. Armitage
Kim Dienes
John Drury
Tova Tampe
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container_title PLOS ONE
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institution Swansea University
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doi_str_mv 10.1371/journal.pone.0277360
publisher Public Library of Science (PLoS)
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hierarchy_top_title Faculty of Medicine, Health and Life Sciences
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department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
url http://dx.doi.org/10.1371/journal.pone.0277360
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description ObjectiveTo explore UK public decisions around whether or not to get COVID-19 vaccines, and the facilitators and barriers behind participants’ decisions.DesignThis qualitative study consisted of six online focus groups conducted between 15th March and 22nd April 2021. Data were analysed using a framework approach.SettingFocus groups took place via online videoconferencing (Zoom).ParticipantsParticipants (n = 29) were a diverse group (by ethnicity, age and gender) UK residents aged 18 years and older.ResultsWe used the World Health Organization’s vaccine hesitancy continuum model to look for, and explore, three main types of decisions related to COVID-19 vaccines: vaccine acceptance, vaccine refusal and vaccine hesitancy (or vaccine delay). Two reasons for vaccine delay were identified: delay due to a perceived need for more information and delay until vaccine was “required” in the future. Nine themes were identified: three main facilitators (Vaccination as a social norm; Vaccination as a necessity; Trust in science) and six main barriers (Preference for “natural immunity”; Concerns over possible side effects; Perceived lack of information; Distrust in government;; Conspiracy theories; “Covid echo chambers”) to vaccine uptake.ConclusionIn order to address vaccine uptake and vaccine hesitancy, it is useful to understand the reasons behind people’s decisions to accept or refuse an offer of a vaccine, and to listen to them and engage with, rather than dismiss, these reasons. Those working in public health or health communication around vaccines, including COVID-19 vaccines, in and beyond the UK, might benefit from incorporating the facilitators and barriers found in this study.
published_date 2023-03-06T15:05:58Z
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