Attitudes and barriers associated with flu vaccination uptake - Citizens' Panel Survey Findings August 2020
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Attitudes and barriers associated with flu
vaccination uptake
Citizens’ Panel Survey Findings
August 2020
Michelle Gray| Research and Insight Lead | SHHCPWhat was the survey about? When did the survey take place and how was it sent out?
The survey was commissioned by the Surrey Heartlands Health and The survey was online and an invitation was emailed to every
Care Partnership Comms and Engagement team. The purpose of the member of the virtual panel on 30 July 2020. The Panel had just over
survey was to better understand views on getting vaccinations, and a fortnight during which they were able to take part and were
why people may or may not choose to get vaccinated against reminded, also by email, during this period that the survey was open.
infectious diseases. The results of the survey will feed into the winter
Who designed the survey?
campaign aiming to raise awareness of the winter flu vaccine.
The survey was designed by the Surrey County Council (SCC) Public
Who took part? Health Team in collaboration with Surrey Heartlands Integrated Care
The survey was completed by 762 Surrey residents aged 18 and System (ICS) Research and Insight Team.
over, most of whom live in the Surrey Heartlands area of the county.
Donation
They are members of a group of 2,120 residents who agreed to be
In order to encourage higher levels of survey responding (and thus
part of an online citizens’ panel who are helping Surrey County
achieve a sample that is more representative of the general
Council and the NHS to design the future of local public services in
population), Surrey Heartlands Health and Care Partnership
the county by participating in regular surveys.
customarily donates 50p per completed survey to a local charity. As a
All 2,120 panel members were invited to take part and the 762 who result of the 762 survey responses received, a £381 donation will be
responded represent a 36% response rate. The demographic profile made to The Rainbow Trust Children’s Charity.
of the panel broadly reflects that of the wider Surrey population and
throughout the results presented here the data have been weighted
to accurately reflect the age group and gender characteristics of the
population.Profile of respondents
Age Ethnicity Disability*
92%
18-34 24% 24%
35-54
26%
55-64
15%
65+ 4% 1% 3%
37%
White Asian Other Prefer not to say
Gender Education Carer
31%
37%
17%
11% 11.5%
5%
49% 51% Postgrad Undergrad A levels/ SCE GCSE/O Other/ None
Higher levels *With limited day-to-day activities due to a disability or LTC
Weighted base (742)Approximately half of the survey respondents (53%) had been vaccinated against flu last winter.
The proportion of respondents who had been vaccinated increases with age.
Age Yes No
18-34 33% 67%
83%
35-54 45% 56%
55-64 59% 41%
63%
65+ 84% 17%
51%
46%
42%
All 36%
34%
30%
18-34 26%
35-54
14% 14%
55-64 11% 11% 11%
7% 7% 8%
4% 3%
65+ 1%
Yes, I am eligible for a free flu vaccine Yes, I paid privately to have the flu No, although I am eligible for a free flu No, I did not get vaccinated against flu
and got vaccinated vaccine vaccine, I did not get vaccinated
Q1. Were you were vaccinated against flu for the 2019/2020 winter season? Weighted bases: All (742), 18-34 (178), 35-54 (275), 55-64 (111), 65+ (178)Levels of agreement with the positive statements and disagreement with negative statements
show that the majority of survey respondents have a favourable attitude towards flu vaccines
Flu vaccinations are safe 50% 37% 4% 8%
Flu vaccinations are mainly promoted for the good of the public’s health 41% 46% 7% 6%
Getting the flu vaccine protects others around me 40% 42% 6% 11%
Flu vaccinations are effective 30% 47% 8% 13%
Getting the flu vaccine is important for my health 42% 32% 15% 8%
Flu vaccinations are mainly promoted for the good of the pharmaceutical
8% 45% 31% 14%
company profit
Vaccines have harmful effects which are not being disclosed to the public 3% 32% 44% 19%
Strongly agree Agree Disagree Strongly disagree I don’t know
Q2. To what extent do you agree or disagree with the following statements about vaccines? Weighted bases (719, 716, 712, 717, 735, 710, 711)Levels of agreement/disagreement are visibly lower amongst those respondents who did not
get vaccinated against the flu last winter.
% Strongly agree/ Agree % Strongly disagree/ Disagree
100%
Average for vaccinated
75%
Eligible and
got
vaccinated
Paid privately
50%
for vaccine
Eligible but
did not get
25% vaccinated
Did not get
vaccinated
0%
Getting the flu vaccine Getting the flu vaccine Flu vaccinations are Flu vaccinations are Flu vaccinations Flu vaccinations Vaccines have harmful
is important for my protects others safe effective promoted for public’s promoted for pharma effects which are not
health health co profit being disclosed
Q2. To what extent do you agree or disagree with the following statements about vaccines? Weighted bases: Eligible (327), Paid (51), Eligible, no vaccine (75), No vaccine (261)Pharmacies and GP surgeries are considered the most convenient locations to receive flu
vaccinations. The workplace is also deemed Very convenient by more than 50% of the sample.
Pharmacy 67% 22% 7% 3% 2%
GP surgery 61% 26% 4% 7% 2%
Workplace 58% 12% 13% 6% 11%
Community centre / library 25% 36% 18% 13% 8%
Gym/leisure centre 18% 24% 23% 16% 19%
Place of worship 15% 22% 28% 11% 25%
Hospital 9% 18% 14% 36% 24%
Very convenient Somewhat convenient Neither convenient nor convenient Somewhat inconvenient Very inconvenient
Q3. How convenient or inconvenient do you/would you find the following types of locations to receive flu vaccinations? Weighted bases (724, 735, 691, 708, 705, 709, 706)Nearly half of the respondents who did not get vaccinated last year said that timing of appointments
is a barrier to attending flu vaccine appointments. For disabled respondents, the location of
appointments can cause difficulty, and for carers, forgetting about appointments is an issue.
47%
40% 40%
38%
36% 35%
32% 32% All respondents Not vaccinated Disabled Carer
28%
23% 24%
20%
19% 19% 20%
14%
12%
7% 6%
4% 4% 4% 4% 4%
2% 3% 3%
1%
Timing of Availability of Location of Cost of vaccination Appointment costs Forgetting Childcare duties
appointments appointments appointments appointments
Q4. Do / would any of the following make it difficult for you to attend flu vaccination appointments? ? Weighted bases: All (730), Not vaccinated (337), Disabled (193), Carer (85)Respondents who had not been vaccinated against flu last winter show higher levels of resistance to
flu vaccinations.
36%
All respondents Not vaccinated
“I'm young and healthy so I would rather someone who needs it
gets the vaccine.”
26% “Don't take flu vaccinations as always very sick afterward.”
25% 25% “I feel that at present I have enough immunity as have never had a
23% 'cold' as such or ever had flu.”
18% 18%
16%
14%
13% 13%
11% 11% 11%
10% 10%
8% 9%
6% 7%
5%
4% 4%
3%
Inconvenience – Inconvenience – Cost of vaccine Concern about Unlikely to get Unsure where to Unsure whether Flu is not serious Don’t believe that I don’t know Cost (e.g. travel Other
getting an getting to the potential side the flu get the vaccine have to pay for the vaccine is to appointments)
appointment appointment effects the vaccine effective
Q5. Which of the following, if any, might prevent you from being vaccinated against flu? Weighted bases: All (720), Not vaccinated (333)Scientific experts and Doctors and nurses are the most trusted sources of advice about vaccinations.
With age, the preference for Scientific experts over Doctors and nurses reverses.
All 18-34 35-54 55-64 65+
Scientific
51% 67% 51% 44% 38%
experts
Doctors and
42% 30% 40% 48% 56%
nurses
Other 7% 4% 10% 7% 6%
Q6. Who do you consider to be the most trusted source of advice about vaccinations? Weighted bases: All (741), 18-34 (178), 35-54 (275), 45-54 (111), 65+ (177)Across all age groups, respondents have the greatest level of trust for
Doctors and nurses and Scientific experts. The extent to which
To a great extent / Somewhat
respondents trust Midwives and health visitors declines with age.
Total 18-34 35-54 55-64 65+
Doctors and nurses 77% 21% 98% 100% 97% 98% 98%
Scientific experts 72% 24% 2% 96% 100% 95% 94% 96%
Midwives and health visitors 39% 43% 7% 2% 9% 82% 93% 80% 78% 75%
Friends and family 38% 42% 15% 2% 41% 42% 41% 35% 42%
Online sources 35% 31% 26% 7% 36% 39% 39% 41% 24%
Online forums 6% 36% 53% 5% 6% 0% 10% 9% 6%
Social media 29% 65% 4% 2% 0% 4% 3% 2%
To a great extent Somewhat Very little Not at all I don’t know
Q7. To what extent do you trust the following sources for advice about vaccinations? Weighted bases: All (712), 18-34 (178), 35-54(267), 55/64 (107), 65+ (161)Comments about vaccinations on online forums and social media were most likely to have been viewed
by respondents in the 18-34 age band. Positive and negative comments are viewed equally.
Comments in support of vaccinations on online forums Comments against vaccinations on online forums
All 10% 18% 60% 12% 7% 17% 63% 13%
18-34 23% 23% 44% 10% 17% 22% 51% 11%
35-54 7% 14% 68% 11% 7% 13% 69% 11%
55-64 22% 67% 10% 23% 65% 11%
65+ 5% 17% 62% 16% 16% 66% 17%
Comments in support of vaccinations on social media Comments against vaccinations on social media
All 8% 28% 53% 11% 10% 27% 55% 9%
18-34 17% 53% 17% 13% 23% 49% 24% 4%
35-54 9% 22% 62% 7% 9% 23% 61% 7%
55-64 22% 64% 12% 4% 17% 67% 12%
65+ 15% 68% 16% 1% 15% 68% 16%
Yes, often Yes, sometimes No, never N/A Yes, often Yes, sometimes No, never N/A
Q8. In the past 12 months, have you read any…? Weighted bases: All (735), 18-34 (178), 35-54 (275), 55-64 (109), 65+ (173)Across all age groups, information provided online, in print or face to face direct
from schools, the NHS and GP practices are the preferred routes through which
people would like to receive vaccination information
18-34 35-54 55-64 65+
Information websites, e.g. nhs.uk 67% 81% 68% 63% 56%
Direct letter home from school/GP, etc. 63% 76% 61% 57% 55%
Face to face at GP/midwife/school nurse appointments 54% 63% 49% 55% 51%
Newsletters (e.g. from GP practice) 48% 51% 38% 49% 61%
Posters/Leaflets 33% 42% 29% 30% 34%
Radio 25% 14% 32% 26% 26%
Information given out in groups/places you attend 23% 42% 18% 21% 11%
Social media 17% 33% 17% 11% 5%
Printed media/press 16% 4% 20% 20% 18%
Roadshows 11% 19% 14% 5% 4%
Other 5% 4% 7% 5% 5%
Q9. In your opinion, how would you like to receive information about vaccines? Weighted bases: All (741), 18-34 (178), 35-54 (275), 55-64 (111), 65+ (178)The preference for accessing vaccination information online increases with
education attainment level. Under- Alevel/ GCSE/O- Other
Postgrad
grad SCE Level /None
Information websites, e.g. nhs.uk 67% 79% 67% 66% 52% 36%
Direct letter home from school/GP, etc. 63% 66% 60% 64% 63% 56%
Face to face at GP/midwife/school nurse appointments 54% 57% 56% 37% 63% 50%
Newsletters (e.g. from GP practice) 48% 50% 53% 38% 37% 63%
Posters/Leaflets 33% 36% 37% 25% 34% 25%
Radio 25% 30% 26% 20% 23% 15%
Information given out in groups/places you attend 23% 29% 23% 16% 17% 11%
Social media 17% 20% 19% 16% 11% 7%
Printed media/press 16% 20% 12% 15% 18% 10%
Roadshows 11% 11% 14% 10% 7% 2%
Other 5% 3% 7% 6% 4% 5%
Q9. In your opinion, how would you like to receive information about vaccines? Weighted bases: All (738), Postgrad (227), Undergrad (271), Alevel (123), GCSE 81), Other (36)Summary
Finding Implication for winter campaign
1. With 50% of the survey respondents vaccinated and favourable attitudes towards 1. The findings from this survey do not necessary represent those members of the public
vaccination apparent, the participants who responded to this survey represent an who are strongly against vaccinations, thus insight drawn from this report will not
amenable subgroup of the population. necessarily inform comms on how to counteract negative messaging around vaccines.
2. Amongst participants who did not get vaccinated against flu last year, lower levels of 2. Prevailing assumptions that could be addressed in comms could be challenging the belief
agreement with positive statements and disagreement with negative statements about that a healthy person does not need a flu vaccine, or that having a flu vaccine takes it away
vaccination was observed, indicating that they were less favourable towards vaccination. from someone else who might need it more. Combating negative messaging around side-
effects and ineffectiveness of the flu vaccine could also be prudent.
3. Barriers to attending a flu vaccination appointment tended to be centred around time, 3. Comms should emphasise the various locations flu vaccines are available, encouraging
availability and location of appointments. Similarly, the main factors which might prevent people to use vaccine services in the community, to fit around their schedules. Could drop-
people from getting vaccinated against the flu were focussed on the inconvenience of in clinics be offered /promoted to alleviate need for making a fixed appointment?
getting an/to the appointment, cost of the vaccine and potential side-effects
4. The most trusted sources of information for vaccinations are scientific experts and 4. Be sure to utilise NHS branding in comms, as trust is high. Also signpost to trusted
Doctors and nurses scientific evidence in support of vaccinations.
5. Comments about vaccinations on online forums and social media were most likely to 5. Messaging distributed through online forums and social media will be limited in its
have been viewed by respondents in the 18-34 age band. reach, but will resonate with younger members of the population.
6. Across all age groups, information provided online, in print or face to face direct from 6. Using a multi-channel approach will ensure different audiences receive messages about
schools, the NHS and GP practices are the preferred routes people would like to receive flu vaccines – all channels tested were selected, so there is appetite for many different
vaccination information. The preference for self-accessing vaccination information online approaches to be used.
increases with education attainment level, and decreases with age.You can also read
