Introduction: In Europe, there are lower vaccination uptake amongst populations with Black, Pakistani and Bengali ethnicity; and among more socioeconomically deprived populations. Given the limited research looking into how the COVID-19 pandemic has shaped experiences, views, and perceptions of vaccinations amongst underserved groups; this review addresses the gaps to understanding low vaccination uptake amongst these populations; and summarises key determinants associated with vaccination uptake considering social norms and health beliefs.

Aims: To explore factors determining COVID-19 vaccine uptake amongst underserved populations considering their social norms and health beliefs.

Methods: Published literature was searched using PubMed, MEDLINE, EMBASE; PSYCHINFO and Web of Science and included grey literature from recent conferences. Two independent reviewers screened papers, extracted results and quality assessed all papers.

Results: A total of 37 studies were included. Key health behavioural outcomes were identified determining vaccine uptake among underserved groups, including: health beliefs and experiences; role of social and cultural norms; patient education and information; issues with trust and misconceptions regarding COVID-19 vaccine.

Conclusions: The review uncovers appropriate facilitators to overcome the barriers associated with vaccine hesitancy across these population groups. Furthermore, there are recommendations that providing adequate and tailored information and communication materials can help overcome the misconceptions around vaccine through implementing prevention and support programmes to facilitate vaccine uptake.