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. 2022 Dec;25(6):2645-2657.
doi: 10.1111/hex.13589. Epub 2022 Sep 28.

Public views on the Covid-19 immunity certificate: A scoping review

Serena Barello  1   2   3 , Marta Acampora  1 , Michele Paleologo  1   3 , Lavinia Schiavone  1 , Gloria Anderson  1   4 , Guendalina Graffigna  1   3   5
Affiliations

Public views on the Covid-19 immunity certificate: A scoping review

Serena Barello et al. Health Expect. 2022 Dec.

Abstract

Introduction: Already in its first implementation, the introduction of the Covid-19 immunity certificate has generated some debate among the public. This debate might be a hindrance to the effective realization of this policy. This study aimed to systematically review published research evaluating public feeling of the Covid-19 immunity certificate policy measure and to find which factors might influence its acceptance.

Methods: We followed the scoping review methods manual by the Joanna Briggs Institute. We included studies with no time limits that presented novel data, and no exclusions have been made based on study design. We excluded articles that presented just expert opinions.

Results: We found and reviewed 17 articles. The included studies were conducted in two main countries (the United Kingdom and Switzerland), with the rest from Israel, Italy, Spain, Germany, Australia, Taiwan and China. Both qualitative and quantitative studies were included, and nonrepresentative samples were mostly used to explore the public feeling about the Covid-19 immunity certification. The included studies showed that public views on immunity certification are quite contradictory and influenced by age, gender, ethnicity, political orientation and attitudes towards Covid-19 vaccination. The topic more often addressed by the included studies was the public's views on the positive and negative implications of the Covid-19 immunity certificate in terms of ethical, legal and behavioural consequences of this measure.

Conclusion: The varying acceptance rates are notable and may partly be linked to differences in demographics, Covid-19 concerns and ideological beliefs, as seen in other health-related tracking policies. Moreover, dominant factors behind the (un)success of this policy are complex and entangled with the cultural and political dimensions rather than being just technical. For this reason, it is important to expand psychosocial research to better understand the concerns behind health certifications and allow planning of culturally based and ethically sound suitable strategies. This would be very relevant to increasing public approval and compliance with this public health measure.

Patient or public contribution: This does not apply to our work as it was a review paper.

Keywords: Covid-19; Covid-19 immunity certificate; health certificate; immunity passports; public opinion.

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Figures

Figure 1
Figure 1
PRISMA flow diagram. PRISMA, Preferred Reporting Items for Systematic reviews and Meta‐Analyses
See this image and copyright information in PMC

References

    1. Niculaescu CE, Sassoon IK, Landa‐Avila IC, Colak O, Jun GT, Balatsoukas P. Why “One Size Fits All” is not enough when designing COVID‐19 immunity certificates for domestic use: a UK wide cross‐sectional online survey. Health Inform . 2021;12(4):e058317. 10.1101/2021.10.12.21264898 - DOI - PMC - PubMed
    1. Cot C, Cacciapaglia G, Islind AS, Oskarsdottir M, Sannino F. Impact of US vaccination strategy on COVID‐19 wave dynamics. Sci Rep. 2021;11(1):1‐11. 10.1038/s41598-021-90539-2 - DOI - PMC - PubMed
    1. Hall MA, Studdert DM. “Vaccine Passport” certification—policy and ethical considerations. N Engl J Med. 2021;385(11):e32. 10.1056/NEJMp2104289 - DOI - PubMed
    1. Brown R, Kelly D, Wilkinson D, Savulescu J. The scientific and ethical feasibility of immunity passports. Lancet Infect Dis. 2021;21(3):e58‐e63. 10.1016/S1473-3099(20)30766-0 - DOI - PMC - PubMed
    1. Cope K, Stremitzer A. Governments are constitutionally permitted to provide “Vaccine Passports”—some may also be constitutionally obligated to do so. J Nucl Med Off Publ Soc Nucl Med. 2021;62(6):771‐772. 10.2967/jnumed.121.262434 - DOI - PMC - PubMed

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