Racism is 鈥榝undamental cause鈥� of COVID-19 vaccine hesitancy among ethnic minorities
Racism is the 鈥榝undamental cause鈥� of COVID-19 vaccination hesitancy among ethnic minority groups, according to a from the Runnymede Trust and The University of 野狼社区鈥檚 Centre on the Dynamics of Ethnicity.
During the rollout of the COVID-19 vaccination programme in the UK, explanations for the lower vaccination rates in people from ethnic minority groups focused on differences in the level of concern about side effects and in a lack of trust in the development and efficacy of the vaccine.
The authors of the new briefing argue that by the time people were deciding whether to have the vaccine, the conditions that created lower vaccination uptake among ethnic minority groups were already present. By ignoring the impact of structural and institutional racism on vaccination rates, 鈥榲accine hesitancy鈥� is misunderstood 鈥� and crucially, the opportunity to address inequities is missed.
The briefing uses data from the UK Household Longitudinal Study to show that institutional and community-level factors, driven by structural and institutional racism explain the large majority of ethnic inequities in vaccination rates.
Vaccination hesitancy rates vary across ethnic groups, with over half of the Black group reporting hesitance to get the covid vaccine, compared with just over 10% of the White British group.
When comparing vaccine hesitancy in the ethnic minority groups with the White British group, institutional factors - including financial situation, car use, ability to travel to vaccination centres, housing tenure, and educational attainment - explain 41.6% of the difference for Pakistani or Bangladeshi people, while community-level factors including neighbourhood diversity, cohesion, political efficacy and racism explain over 30%.
For Black people, community-level factors were the biggest impact, with institutional-level factors explaining 12.9% of the difference.
These findings suggest that if policy intervened on institutional and community-level factors 鈥� shaped by structural and institutional racism 鈥� considerable success in reducing ethnic inequities might be achieved.
鈥淰accine hesitancy puts the blame on individuals, instead of addressing the historical and ongoing racism that has contributed to the societal inequities that lead to ethnic inequalities in the distribution and uptake of vaccines,鈥� said one of the authors of the briefing, Professor Laia B茅cares from King鈥檚 College London.
The briefing was also written by Professor James Nazroo and Dr Patricia Irizar of The University of 野狼社区, as well as Dr Richard Shaw of the University of Glasgow. It draws on a longer article published in , and is part of a by the Runnymede Trust and the Centre on the Dynamics of Ethnicity (CoDE) on the impact of COVID-19 on people from ethnic minority groups.
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