Differences in COVID-19 vaccination coverage by occupation in England: a national linked data study
Differences in COVID-19 vaccination coverage by occupation in England: a national linked data study
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DOI：
10.1136/oemed-2021-108140
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发表时间：
2022-09-07
影响因子：
4.9
通讯作者：
van Tongeren, Martie
中科院分区：
文献类型：
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作者：
Nafilyan, Vahe;Dolby, Ted;van Tongeren, Martie
监测不同人群在COVID-19疫苗接种方面的差异对于帮助为应对大流行的政策提供信息至关重要。一个关键的数据缺口是缺乏按职业分列的数据。本研究利用全国人口水平的数据，调查了英格兰不同职业的疫苗接种率差异。方法按详细职业类别计算18-64岁成年人接种三次COVID-19疫苗的比例（于2022年2月28日评估），并估计调整后的or，以检查这些差异是由职业还是其他因素（如教育）驱动的。我们还研究了疫苗接种率是否因在家工作的能力而异。结果我们的研究人群包括15 456 651名18-64岁的成年人。不同职业的疫苗接种率差异显著，卫生专业人员接种率最高（84.7%），教学和其他教育专业人员接种率最高（83.6%），初级行业和相关职业的接种率最低（57.6%）。我们在细致的职业群体中发现了疫苗接种率的巨大差异。调整其他可能与职业和疫苗接种有关的因素，如教育，并没有实质性地改变结果。疫苗接种率与在家工作的能力有关，在可以在家工作的职业中，接种率更高。结论提高低疫苗接种率职业的疫苗接种率对保护公众和控制感染具有重要意义。应努力提高那些不能在家完成并涉及与公众接触的职业的疫苗接种率。
Background Monitoring differences in COVID-19 vaccination uptake in different groups is crucial to help inform the policy response to the pandemic. A key data gap is the absence of data on uptake by occupation. This study investigates differences in vaccination rates by occupation in England, using nationwide population-level data. Methods We calculated the proportion of people who had received three COVID-19 vaccinations (assessed on 28 February 2022) by detailed occupational categories in adults aged 18-64 and estimated adjusted ORs to examine whether these differences were driven by occupation or other factors, such as education. We also examined whether vaccination rates differed by ability to work from home. Results Our study population included 15 456 651 adults aged 18-64 years. Vaccination rates differed markedly by occupation, being higher in health professionals (84.7%) and teaching and other educational professionals (83.6%) and lowest in people working in elementary trades and related occupations (57.6%). We found substantial differences in vaccination rates looking at finer occupational groups. Adjusting for other factors likely to be linked to occupation and vaccination, such as education, did not substantially alter the results. Vaccination rates were associated with ability to work from home, the rate being higher in occupations which can be done from home. Many occupations with low vaccination rates also involved contact with the public or with vulnerable people Conclusions Increasing vaccination coverage in occupations with low vaccination rates is crucial to help protecting the public and control infection. Efforts should be made to increase vaccination rates in occupations that cannot be done from home and involve contact with the public.