Introduction of COVID-19 vaccine passports within the UK might decrease vaccination inclination


Introducing COVID-19 vaccine passports within the UK may see people who find themselves prepared to get vaccinated achieve this extra rapidly, however have the converse impact upon those that have issues, particularly when passports cowl home actions, suggests a brand new examine revealed in EClinicalMedicine.

Led by the London College of Hygiene & Tropical Medication (LSHTM) and St Andrews College, the examine concerned a survey of greater than 16,000 UK adults in April 2021. Respondents had been requested their intent to obtain a vaccination, and if vaccine passports had been launched for home or worldwide use, how would this influence their determination.

General, the examine discovered that passports might decrease vaccination inclination by 3.6% if launched for home use and 1.7% for worldwide use. Youthful adults, Black / Black British teams, and non-English audio system stating decrease inclination to vaccinate than others if passports had been launched. This was additionally discovered to be the case for some work statuses, together with part-time employed and taking care of the house or household.

The researchers name for additional proof on the influence of restrictions requiring vaccine certification, together with research on the influence of those restrictions on vaccine confidence and willingness amongst  these people and communities who’re already extra hesitant about vaccination.

Dr Alex de Figueiredo from LSHTM who examine first creator, mentioned:”Vaccine passports have been cited as a strategy to assist the reopening of society throughout and after the pandemic. Nevertheless, though vaccine incentivization has been cited as a motivating issue for vaccine passports, it’s unclear whether or not vaccine passports are prone to enhance inclination to just accept a COVID-19 vaccine. This examine helps plug that information hole.

“The info counsel that passports obtain widespread help, nonetheless, that is predominately among the many vaccinated or amongst those that state a agency intention to vaccinate. What worries us is the potential for a ‘vaccine passport paradox’ – a situation by which passports within the UK might speed up the speed at which the inhabitants is vaccinated whereas concurrently decreasing the extent of that most.”  

The staff carried out a large-scale nationwide survey within the UK of greater than 16,000 adults between 9 and 27 April 2021, utilizing methods to make sure the pattern was nationally consultant. Respondents had been requested ‘If a COVID-19 certificates or passport was required to attend social occasions within the UK would you be kind of inclined to just accept a COVID-19 vaccine’? and ‘If a COVID-19 certificates or passport was required for worldwide journey, would you be kind of inclined to just accept a COVID-19 vaccine?’

These surveyed had been requested to reply on on a five-point scale, which ranged from ‘a lot much less doubtless‘ to ‘more likely‘.

A big minority of respondents reported that vaccination passports for home use (46·5%) or worldwide journey (42·0%) would make them no kind of prone to settle for a COVID-19 vaccine. A large minority of respondents additionally state that they’d ‘positively’ settle for a COVID-19 vaccine and that vaccine passports would make them extra prone to vaccinate (48·8% for home use and 42·9% for worldwide journey).

Nevertheless, the introduction of vaccine passports would doubtless decrease inclination to just accept a COVID-19 vaccine as soon as baseline vaccination intent has been adjusted for. This lower is bigger if passports had been required for home use quite than for facilitating worldwide journey.

Being male and having diploma {qualifications} is related to a decreased inclination to vaccinate if passports had been required whereas controlling for baseline vaccination intent for home use, whereas Christians have an elevated inclination over atheists or agnostics.

Alex de Figueiredo mentioned: “From nightclubs to worldwide journey, vaccine passports are already taking part in a giant half in many individuals’s lives. Nevertheless, our examine reveals that these insurance policies may not directly discriminate alongside socio-demographic strains, shutting out marginalized teams from society.”

The analysis staff say an added concern is current information from the UK and Israel which counsel a a lot larger charge of breakthrough infections than was anticipated via scientific trials, so it unlikely vaccines – by themselves – will present herd immunity.

Alex de Figueiredo mentioned: “Given breakthroughs and excessive vaccination charges, it’s doubtless that the extra public well being burden from the unvaccinated may be very small. Encouraging optimistic public well being behaviors no matter vaccination standing akin to staying at dwelling in case you have signs, might yield total larger public well being advantages, with out most of the prices. Earlier than implementing vaccine passports, we should assess their total public well being influence.”

The researchers say change in inclination is strongly related to said vaccination intent and can subsequently unlikely shift attitudes amongst Black or Black British respondents, youthful age teams, and non-English audio system.

Decrease vaccination inclination in socio-demographic teams which are much less assured in COVID-19 vaccines is a priority. As these teams are inclined to cluster geographically in massive city areas, warning ought to be exercised round any public well being intervention which will undermine optimistic health-seeking behaviors in areas at excessive epidemic-risk.”

Prof Heidi Larson, Director of the Vaccine Confidence Mission

The authors acknowledge limitations of the examine, together with folks might have over-stated their intention to do what the Authorities, well being professions and media are closely selling, information collected isn’t the identical as precise vaccination uptake and attitudes to passports will not be static.


Journal reference:

de Figueiredo, A., et al. (2021) The potential influence of vaccine passports on inclination to just accept COVID-19 vaccinations in the UK: proof from a big cross-sectional survey and modelling examine. EClinicalMedicine.

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