Factors associated with COVID-19 vaccine uptake in adolescents: a national cross-sectional study, August 2021-January 2022, England.

Factors associated with COVID-19 vaccine uptake in adolescents: a national cross-sectional study, August 2021-January 2022, England.
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DOI:
10.1136/bmjopen-2023-071707
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发表时间:
2023-09-29
期刊:
影响因子:
2.9
通讯作者:
Ladhani, Shamez N.
Ladhani, Shamez N.
中科院分区:
医学3区
文献类型:
--
作者:
Aiano, Felicity;Ireland, Georgina;Powell, Annabel;Campbell, Colin N. J.;Judd, Alison;Davies, Byron;Saib, Anisah;Mangtani, Punam;Nguipdop-Djomo, Patrick;Ladhani, Shamez N.

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评估与英国公立中学学生接种新冠肺炎疫苗相关的社会经济和地理因素。横断面观察性研究。英国的公立学校。2021/2022学年,12-17岁的学生在英格兰的国家资助学校就读。与接种疫苗接种有关的人口、社会经济和地理因素。我们将英国学校人口普查的个人数据与国家免疫接种管理系统联系起来,以获得320万青少年的新冠肺炎疫苗接种状况。我们使用多变量Logistic回归来评估与疫苗接种相关的人口、社会经济和地理因素。到2022年1月9日,56.8%的12-17岁青少年接受了至少一剂疫苗,摄取率从12岁的48.7%上升到17岁的77.2%。在12-15岁的青少年中,不同地区和民族接种疫苗的情况有很大差异。将英语作为额外语言的学生(38.2%比55.5%),有特殊教育需求(48.1%比53.5%),有资格享受免费学校餐(35.9%比58.9%),以及生活在较贫困地区(最贫困的36.1%和最不贫困的70.3%)的学生接种疫苗的比例较低。社会经济变量比地理变量对接种几率的影响更大。学校层面的分析发现,即使在同一地区,不同学校之间的疫苗接种量也存在很大差异。有资格获得免费学校餐的学生比例较高的学校接种疫苗的比例较低。我们发现,不同地理区域和种族的疫苗接种率存在很大差异。与地理变量相比,社会经济变量对接种疫苗几率的影响更大。需要进一步的研究来确定循证干预措施,以提高青少年的疫苗接种率。
To assess socioeconomic and geographical factors associated with COVID-19 vaccine uptake in pupils attending state-funded secondary schools in England. Cross-sectional observational study. State-funded schools in England. Pupils aged 12–17 years attending state-funded schools in England for the academic year 2021/2022. Demographic, socioeconomic and geographical factors associated with vaccination uptake. We linked individual-level data from the English Schools Census to the National Immunisation Management System to obtain COVID-19 vaccination status of 3.2 million adolescents. We used multivariable logistic regression to assess demographic, socioeconomic and geographical factors associated with vaccination. By 9 January 2022, 56.8% of adolescents aged 12–17 years old had received at least one dose, with uptake increasing from 48.7% in those aged 12 years old to 77.2% in those aged 17 years old. Among adolescents aged 12–15 years old, there were large variations in vaccine uptake by region and ethnic group. Pupils who spoke English as an additional language (38.2% vs 55.5%), with special educational needs (48.1% vs 53.5%), eligible for free school meals (35.9% vs 58.9%) and lived in more deprived areas (36.1% in most deprived vs 70.3% in least deprived) had lower vaccine uptake. Socioeconomic variables had greater impact on the odds of being vaccinated than geographical variables. School-level analysis found wide variation in vaccine uptake between schools even within the same region. Schools with higher proportions of pupils eligible for free school meals had lower vaccine uptake. We found large differences in vaccine uptake by geographical region and ethnicity. Socioeconomic variables had a greater impact on the odds of being vaccinated than geographical variables. Further research is required to identify evidence-based interventions to improve vaccine uptake in adolescents.
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影响因子: 11.8
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DOI: 10.1016/j.vaccine.2021.10.077
发表时间: 2021-12-03
期刊: Vaccine
影响因子: 5.5
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发表时间: 2022-02-07
期刊: Vaccine
影响因子: 5.5
作者:
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DOI: 10.1016/j.vaccine.2021.10.002
发表时间: 2021-12-20
期刊: Vaccine
影响因子: 5.5
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