Katherine Woolf1, Mayuri Gogoi2, Christopher A Martin2,3, Padmasayee Papineni4, Susie Lagrata5, Laura B Nellums6, I Chris McManus1, Anna L Guyatt7, Carl Melbourne8, Luke Bryant2, Amit Gupta9, Catherine John7, Sue Carr10,11, Martin D Tobin7, Sandra Simpson12, Bindu Gregary13, Avinash Aujayeb14, Stephen Zingwe15, Rubina Reza16, Laura J Gray7, Kamlesh Khunti17, Manish Pareek2,3. 1. Research Department of Medical Education, University College London Medical School, UK. 2. Department of Respiratory Sciences, University of Leicester, University Road, Leicester LE1 7RH, UK. 3. Department of Infection and HIV Medicine, Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Jarvis Building, Leicester LE1 5WW, UK. 4. Ealing Hospital, London North West University Healthcare NHS Trust, Southall, UK. 5. University College London Hospitals NHS Foundation Trust, London, UK. 6. Division of Epidemiology and Public Health, School of Medicine, University of Nottingham, UK. 7. Department of Health Sciences, University of Leicester, Leicester, UK. 8. Genetic Epidemiology Research Group, Department of Health Sciences, University of Leicester, Leicester, UK. 9. Oxford University Hospitals NHS Foundation Trust, UK. 10. Leicester Royal Infirmary, University Hospitals Leicester NHS Trust, UK. 11. General Medical Council, UK. 12. Nottinghamshire Healthcare NHS Foundation Trust, UK. 13. Lancashire Clinical Research Facility, Royal Preston Hospital, UK. 14. Respiratory Department, Northumbria Specialist Emergency Care Hospital, UK. 15. Research and Development Department, Berkshire Healthcare NHS Foundation Trust. 16. Derbyshire Healthcare NHS Foundation Trust Centre for Research and Development, Kingsway Hospital site, UK. 17. Diabetes Research Centre, University of Leicester, UK.
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.
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.
Authors: K Hagan; R Forman; Elias Mossialos; Paul Ndebele; Adnan A Hyder; Khurram Nasir Journal: Expert Rev Vaccines Date: 2021-11-16 Impact factor: 5.217
Authors: Katherine Woolf; I Chris McManus; Christopher A Martin; Laura B Nellums; Anna L Guyatt; Carl Melbourne; Luke Bryant; Mayuri Gogoi; Fatimah Wobi; Amani Al-Oraibi; Osama Hassan; Amit Gupta; Catherine John; Martin D Tobin; Sue Carr; Sandra Simpson; Bindu Gregary; Avinash Aujayeb; Stephen Zingwe; Rubina Reza; Laura J Gray; Kamlesh Khunti; Manish Pareek Journal: Lancet Reg Health Eur Date: 2021-07-19
Authors: Neyme Veli; Christopher A Martin; Katherine Woolf; Joshua Nazareth; Daniel Pan; Amani Al-Oraibi; Rebecca F Baggaley; Luke Bryant; Laura B Nellums; Laura J Gray; Kamlesh Khunti; Manish Pareek Journal: BMC Med Date: 2022-10-10 Impact factor: 11.150
Authors: Isabel Iguacel; Juan Pablo Álvarez-Najar; Patricia Del Carmen Vásquez; Judith Alarcón; María Ángeles Orte; Eva Samatán; Begoña Martínez-Jarreta Journal: Vaccines (Basel) Date: 2022-05-15