Low uptake of nasal influenza vaccine in Polish and other ethnic minority children in Edinburgh, Scotland
Low uptake of nasal influenza vaccine in Polish and other ethnic minority children in Edinburgh, Scotland
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DOI：
10.1016/j.vaccine.2018.11.029
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发表时间：
2019-01-29
期刊：
影响因子：
5.5
通讯作者：
Gorman, D. R.
中科院分区：
文献类型：
--
作者：
Bielecki, K.;Kirolos, A.;Gorman, D. R.
在欧洲，没有接种疫苗被公认为是导致传染病爆发的一个因素。低免疫接种率往往与宗教、社会和族裔少数群体有关，包括难民或移民群体。波兰人是苏格兰最新也是最大的移民群体。自2004年以来，他们搬到了苏格兰，加入了来自中国、印度次大陆和非洲的少数民族。自2013年以来，苏格兰对所有小学生实施了季节性流感鼻腔疫苗接种方案。我们调查了爱丁堡的三所小学，这些小学在2016年和2017年报告的流感疫苗接种率很低，并发现这些学校有许多少数民族学生，其中大多数是波兰人。学生被分为三个种族：英国白人、波兰人和其他少数民族（DIEM）。我们使用NHS和教育部的信息来源和名字识别来确定种族。我们审查了疫苗接受、拒绝和不归还同意书的情况。2017年，英国白人儿童鼻腔流感疫苗接种率为70.7% (65.2-75.6%,p < 0.001)，其他少数民族儿童为60.9% (53.967.6%,p < 0.001)，波兰儿童为25.0% （20.9-29.6%,p < 0.001）。英国白人儿童（78.9%）比其他群体（OIEM 68.2%和波兰61.8%）更有可能归还填妥的表格。36.8%的波兰家庭填写了拒绝接种疫苗的同意书，而英国白人家庭的这一比例为6.2%。这些发现表明，鼻腔流感疫苗接种率存在显著差异，这对疫苗犹豫的跨国研究具有重要意义。需要进一步的定性工作和调查波兰和其他移民群体的其他儿童免疫接种率，以评估接种率和行为的差异。(C) 2018 Elsevier Ltd.版权所有。
Failure to vaccinate is well-recognised in Europe as a contributing factor to outbreaks of infectious diseases. Low immunisation rates are often associated with religious, social and ethnic minorities, including refugees or migrant groups. Polish people form Scotland's newest and largest migrant group. They have moved to Scotland since 2004, joining established ethnic minorities from China, the Indian subcontinent and Africa.Scotland has had a seasonal influenza nasal vaccination programme for all primary school children since 2013. We investigated three primary schools in Edinburgh, which had reported low influenza vaccination uptake rates in 2016 and 2017 and found that these schools contained many pupils from ethnic minorities, the majority of whom were Polish. Pupils were categorized as one of three ethnic groupings: White British, Polish and Other Identified Ethnic Minority (DIEM). We ascertained ethnicity using NHS and Education Department information sources and name recognition. We examined vaccine acceptance, declination and non-return of consent forms.In 2017, nasal influenza vaccine uptake was 70.7% (65.2-75.6%, p < 0.001) in White British, 60.9% (53.967.6%%, p < 0.001) in other identified ethnic minorities and 25.0% (20.9-29.6%, p > 0.001) in Polish children. White British children were more likely to return completed forms (78.9%) than other groups (OIEM 68.2% and Polish 61.8%). 36.8% of Polish families completed a consent form declining vaccination compared to 6.2% of White British families.These findings demonstrate that significant differences exist in nasal influenza vaccination uptake rates, which have important implications for the trans-national study of vaccine hesitancy. Further qualitative work and an investigation of uptake rates of other childhood immunisations in Polish and other migrant groups is required to assess differences in uptake and behaviours. (C) 2018 Elsevier Ltd. All rights reserved.