COVID-19 vaccination uptake amongst ethnic minority communities in England: a linked study exploring the drivers of differential vaccination rates.
COVID-19 vaccination uptake amongst ethnic minority communities in England: a linked study exploring the drivers of differential vaccination rates.
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DOI：
10.1093/pubmed/fdab400
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发表时间：
2023-03-14
期刊：
影响因子：
--
通讯作者：
Nafilyan V
中科院分区：
文献类型：
--
作者：
Gaughan CH;Razieh C;Khunti K;Banerjee A;Chudasama YV;Davies MJ;Dolby T;Gillies CL;Lawson C;Mirkes EM;Morgan J;Tingay K;Zaccardi F;Yates T;Nafilyan V
尽管英国 2019 年冠状病毒病 (COVID-19) 疫苗接种率普遍较高，但据报道，某些少数族裔社区对疫苗接种犹豫不决且接种率较低。我们使用了与 2011 年人口普查相关的国家免疫管理系统 (NIMS) 的疫苗接种数据以及年龄 ≥ 40 岁受试者的个人健康记录 (n = 24 094 186)。我们估计了按种族群体和主要社会人口特征分层的年龄标准化疫苗接种率，例如宗教信仰、贫困、教育程度、地理位置、生活条件、出生国、语言技能和健康状况。为了了解种族与较低疫苗接种率的关系，我们建立了一个逻辑回归模型，根据地理、社会人口和健康特征的差异进行调整。结果 与英国白人相比，所有族裔的年龄标准化疫苗接种率均较低，英国白人至少接种一剂的疫苗接种率为 94%（95% CI：94%–94%）。黑人社区的比率最低，75%（74-75%）的非洲黑人和 66%（66-67%）的加勒比黑人至少接受过一剂疫苗。造成这些较低比率的部分原因是社会人口统计学差异。然而，模型估计显示，与英国白人相比，所有少数族裔群体仍然存在显着差异。所有少数民族中的 COVID-19 疫苗接种率均较低。
Despite generally high coronavirus disease 2019 (COVID-19) vaccination rates in the UK, vaccination hesitancy and lower take-up rates have been reported in certain ethnic minority communities. We used vaccination data from the National Immunisation Management System (NIMS) linked to the 2011 Census and individual health records for subjects aged ≥40 years (n = 24 094 186). We estimated age-standardized vaccination rates, stratified by ethnic group and key sociodemographic characteristics, such as religious affiliation, deprivation, educational attainment, geography, living conditions, country of birth, language skills and health status. To understand the association of ethnicity with lower vaccination rates, we conducted a logistic regression model adjusting for differences in geographic, sociodemographic and health characteristics. Results All ethnic groups had lower age-standardized rates of vaccination compared with the white British population, whose vaccination rate of at least one dose was 94% (95% CI: 94%–94%). Black communities had the lowest rates, with 75% (74–75%) of black African and 66% (66–67%) of black Caribbean individuals having received at least one dose. The drivers of these lower rates were partly explained by accounting for sociodemographic differences. However, modelled estimates showed significant differences remained for all minority ethnic groups, compared with white British individuals. Lower COVID-19 vaccination rates are consistently observed amongst all ethnic minorities.
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5.7
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