For example, the certificate could confirm that you have been vaccinated against a disease or that you have some pre-existing immunity’. A vaccine or immunity certificate is a physical or electronic document that confirms your status against a particular disease. Before being asked to report change in vaccine inclination, respondents were primed with a brief definition of vaccine passports: ‘ We would now like to ask you some questions about a vaccine or immunity certificate (commonly referred to as a "vaccine passport"). Responses are given on a five-point scale: ‘ much less inclined’, ‘ somewhat less inclined’, ‘ neither more nor less inclined’, ‘ somewhat more inclined’, or ‘ much more inclined’ and assigned a numeric value from 1 to 5, respectively. As many respondents may not be aware of vaccine passports or certificates, a brief definition was first given (see below). Respondents were asked ‘ If a coronavirus (COVID-19) certificate or passport was required to attend social events in the UK (such as sports events, theatres, pubs, or restaurants), would you be more or less inclined to accept a coronavirus (COVID-19) vaccine?’ and ‘ If a coronavirus (COVID-19) certificate or passport was required for international travel, would you be more or less inclined to accept a coronavirus (COVID-19) vaccine?’ (emphasis added). Change in inclination is strongly connected to stated vaccination intent and will therefore unlikely shift attitudes among Black or Black British respondents, younger age groups, and non-English speakers. Being male (OR 0♸7, 0♷6 to 0♹9) and having degree qualifications (OR 0♸4, 0♷2 to 0♹4) is associated with a decreased inclination to vaccinate if passports were required for domestic use (while accounting for baseline vaccination intent), while Christians (OR 1♲3, 1♰8 to 1♴1) have an increased inclination over atheists or agnostics. This decrease is larger if passports were required for domestic use rather than for facilitating international travel. However, we find that the introduction of vaccine passports will likely lower inclination to accept a COVID-19 vaccine once baseline vaccination intent has been adjusted for. We find that a large minority of respondents report that vaccination passports for domestic use (46♵%) or international travel (42♰%) would make them no more or less inclined to accept a COVID-19 vaccine and a sizeable minority of respondents also state that they would ‘definitely’ accept a COVID-19 vaccine and that vaccine passports would make them more inclined to vaccinate (48♸% for domestic use and 42♹% for international travel). The Lancet Regional Health – Western Pacific.The Lancet Regional Health – Southeast Asia.The Lancet Gastroenterology & Hepatology.
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