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Healthcare workers' views on mandatory SARS-CoV-2 vaccination in the UK: A cross-sectional, mixed-methods analysis from the UK-REACH study.
Woolf, Katherine; Gogoi, Mayuri; Martin, Christopher A; Papineni, Padmasayee; Lagrata, Susie; Nellums, Laura B; McManus, I Chris; Guyatt, Anna L; Melbourne, Carl; Bryant, Luke; Gupta, Amit; John, Catherine; Carr, Sue; Tobin, Martin D; Simpson, Sandra; Gregary, Bindu; Aujayeb, Avinash; Zingwe, Stephen; Reza, Rubina; Gray, Laura J; Khunti, Kamlesh; Pareek, Manish.
  • Woolf K; Research Department of Medical Education, University College London Medical School, UK.
  • Gogoi M; Department of Respiratory Sciences, University of Leicester, University Road, Leicester LE1 7RH, UK.
  • Martin CA; Department of Respiratory Sciences, University of Leicester, University Road, Leicester LE1 7RH, UK.
  • Papineni P; Department of Infection and HIV Medicine, Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Jarvis Building, Leicester LE1 5WW, UK.
  • Lagrata S; Ealing Hospital, London North West University Healthcare NHS Trust, Southall, UK.
  • Nellums LB; University College London Hospitals NHS Foundation Trust, London, UK.
  • McManus IC; Division of Epidemiology and Public Health, School of Medicine, University of Nottingham, UK.
  • Guyatt AL; Research Department of Medical Education, University College London Medical School, UK.
  • Melbourne C; Department of Health Sciences, University of Leicester, Leicester, UK.
  • Bryant L; Genetic Epidemiology Research Group, Department of Health Sciences, University of Leicester, Leicester, UK.
  • Gupta A; Department of Respiratory Sciences, University of Leicester, University Road, Leicester LE1 7RH, UK.
  • John C; Oxford University Hospitals NHS Foundation Trust, UK.
  • Carr S; Department of Health Sciences, University of Leicester, Leicester, UK.
  • Tobin MD; Leicester Royal Infirmary, University Hospitals Leicester NHS Trust, UK.
  • Simpson S; General Medical Council, UK.
  • Gregary B; Department of Health Sciences, University of Leicester, Leicester, UK.
  • Aujayeb A; Nottinghamshire Healthcare NHS Foundation Trust, UK.
  • Zingwe S; Lancashire Clinical Research Facility, Royal Preston Hospital, UK.
  • Reza R; Respiratory Department, Northumbria Specialist Emergency Care Hospital, UK.
  • Gray LJ; Research and Development Department, Berkshire Healthcare NHS Foundation Trust.
  • Khunti K; Derbyshire Healthcare NHS Foundation Trust Centre for Research and Development, Kingsway Hospital site, UK.
  • Pareek M; Department of Health Sciences, University of Leicester, Leicester, UK.
EClinicalMedicine ; 46: 101346, 2022 Apr.
Article in English | MEDLINE | ID: covidwho-1739677
ABSTRACT

Background:

Several countries now have mandatory SARS-CoV-2 vaccination for healthcare workers (HCWs) or the general population. HCWs' views on this are largely unknown. Using data from the nationwide UK-REACH study we aimed to understand UK HCW's views on improving SARS-CoV-2 vaccination coverage, including mandatory vaccination.

Methods:

Between 21st April and 26th June 2021, we administered an online questionnaire via email to 17 891 UK HCWs recruited as part of a longitudinal cohort from across the UK who had previously responded to a baseline questionnaire (primarily recruited through email) as part of the United Kingdom Research study into Ethnicity And COVID-19 outcomes in Healthcare workers (UK-REACH) nationwide prospective cohort study. We categorised responses to a free-text question "What should society do if people do not get vaccinated against COVID-19?" using qualitative content analysis. We collapsed categories into a binary variable favours mandatory vaccination or not, using logistic regression to calculate its demographic predictors, and its occupational, health, and attitudinal predictors adjusted for demographics.

Findings:

Of 5633 questionnaire respondents, 3235 answered the free text question. Median age of free text responders was 47 years (IQR 36-56) and 2705 (74.3%) were female. 18% (n = 578) favoured mandatory vaccination (201 [6%] participants for HCWs and others working with vulnerable populations; 377 [12%] for the general population), but the most frequent suggestion was education (32%, n = 1047). Older HCWs (OR 1.84; 95% CI 1.44-2.34 [≥55 years vs 16 years to <40 years]), HCWs vaccinated against influenza (OR 1.49; 95% CI 1.11-2.01 [2 vaccines vs none]), and with more positive vaccination attitudes generally (OR 1.10; 95% CI 1.06-1.15) were more likely to favour mandatory vaccination, whereas female HCWs (OR= 0.79, 95% CI 0.63-0.96, vs male HCWs) and Black HCWs (OR=0.46, 95% CI 0.25-0.85, vs white HCWs) were less likely to.

Interpretation:

Only one in six of the HCWs in this large, diverse, UK-wide sample favoured mandatory vaccination. Building trust, educating, and supporting HCWs who are hesitant about vaccination may be more acceptable, effective, and equitable.

Funding:

MRC-UK Research and Innovation grant (MR/V027549/1) and the Department of Health and Social Care (DHSC) via the National Institute for Health Research (NIHR). Core funding was also provided by NIHR Biomedical Research Centres.

Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Vaccines Language: English Journal: EClinicalMedicine Year: 2022 Document Type: Article Affiliation country: J.eclinm.2022.101346

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Vaccines Language: English Journal: EClinicalMedicine Year: 2022 Document Type: Article Affiliation country: J.eclinm.2022.101346