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Health promotion and public health
Addressing health beliefs in vaccination policies to increase uptake among older adults from ethnic minority backgrounds
  1. Dorothy Afriyie
  1. Nursing Research, Imperial College Healthcare NHS Trust, NIHR, London, UK
  1. Correspondence to Dorothy Afriyie, Research Nursing, Imperial College Healthcare NHS Trust, NIHR, London W2 1NY, UK; d.afriyie{at}

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Commentary on: Bhanu C, Gopal DP, Walters K, et al. Vaccination uptake amongst older adults from minority ethnic backgrounds: a systematic review. PLoS Med 2011; 18(11):e1003826. doi: 10.1371/journal.pmed.1003826

Implications for practice and research

  • Healthcare professionals should tailor vaccination education to address people’s health belief models to minimise hesitancy.

  • An empirical study exploring the health beliefs and other factors influencing vaccination uptake among older adults from minority ethnic backgrounds.


Vaccine hesitancy is high among individuals from ethnic minority backgrounds (EMB). Globally, an age-based vaccination approach was implemented during the initiation of the COVID-19 vaccination.1 In this approach, older people were prioritised to receive COVID-19 vaccination since older adults were prone to contracting the disease as well as experiencing severe morbidity and mortality from the virus. This was more so in older EMB adults than similar-aged Caucasians. Despite availability of COVID-19 vaccines, vaccination uptake was low in EMB adults compared with their white counterpart.1 This study by …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.