COVID-19 vaccine hesitancy among undocumented migrants during the early phase of the vaccination campaign: a multicentric cross-sectional study.
COVID-19 vaccine hesitancy among undocumented migrants during the early phase of the vaccination campaign: a multicentric cross-sectional study.
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DOI：
10.1136/bmjopen-2021-056591
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发表时间：
2022-03-17
期刊：
影响因子：
2.9
通讯作者：
Jackson Y
中科院分区：
文献类型：
--
作者：
Page KR;Genovese E;Franchi M;Cella S;Fiorini G;Tlili R;Salazar S;Duvoisin A;Cailhol J;Jackson Y
无证移民的边缘化引发了人们对公平获得COVID-19疫苗接种的担忧。本研究旨在描述移民在疫苗接种运动早期对COVID-19疫苗接种的犹豫。这项多中心横断面调查于2021年2月至5月在美国，瑞士，意大利和法国为无证移民提供护理的医疗机构中进行。资格标准包括年龄>16岁、外国血统和在招募国无有效居留许可。目标是每个研究中心至少100例患者的便利样本。数据收集使用匿名结构式问卷。主要结果为当地COVID-19疫苗接种计划的可及性及疫苗接种需求。共有812名无证移民参加了培训（日内瓦占54.3%，巴尔的摩占17.5%，米兰占15.5%，巴黎占12.7%）。大多数（60.9%）是妇女。中位年龄为39岁（四分位距1）。参与者来自美洲（55.9%）、非洲（12.7%）、西太平洋（11.2%）、东地中海（7.9%）、欧洲（7.6%）和东南亚（4.7%）。总体而言，分别有14.1%和26.2%的参与者报告了先前的COVID-19感染和对严重COVID-19感染的恐惧。严重感染的危险因素经常报告（29.5%）。自认为COVID-19疫苗接种的可及性较高（86.4%），但需求较低（41.1%），这与年龄、合并症和对疫苗接种的看法有关，总体而言，接种疫苗（77.3%）优于接种COVID-19疫苗（56.5%）。参与者主要在传统媒体和社交媒体上搜索有关疫苗接种的信息。我们发现对COVID-19疫苗接种的感知可及性与需求之间存在不匹配。使用不同沟通模式的公共卫生干预措施应建立在对疫苗接种的总体信任基础上，以解决无证移民对COVID-19疫苗接种的犹豫，特别关注男性、年轻移民和严重感染临床风险较低的人群。
The marginalisation of undocumented migrants raises concerns about equitable access to COVID-19 vaccination. This study aims to describe migrants’ hesitancy about the COVID-19 vaccination during the early phase of the vaccination campaign. This multicentric cross-sectional survey was conducted in health facilities providing care to undocumented migrants in the USA, Switzerland, Italy and France in February–May 2021. Eligibility criteria included age >16 years, being of foreign origin and living without valid residency permit in the country of recruitment. A convenience sample of minimum 100 patients per study site was targeted. Data were collected using an anonymous structured questionnaire. The main outcomes were perceived access to the local COVID-19 vaccination programme and demand for vaccination. Altogether, 812 undocumented migrants participated (54.3% Geneva, 17.5% Baltimore, 15.5% Milano and 12.7% Paris). Most (60.9%) were women. The median age was 39 years (interquartile range 1). Participants originated from the Americas (55.9%), Africa (12.7%), Western Pacific (11.2%) Eastern Mediterranean (7.9%), Europe (7.6%) and South-East Asia (4.7%). Overall, 14.1% and 26.2% of participants, respectively, reported prior COVID-19 infection and fear of developing severe COVID-19 infection. Risk factors for severe infection were frequently reported (29.5%). Self-perceived accessibility of COVID-19 vaccination was high (86.4%), yet demand was low (41.1%) correlating with age, comorbidity and views on vaccination which were better for vaccination in general (77.3%) than vaccination against COVID-19 (56.5%). Participants mainly searched for information about vaccination in the traditional and social media. We found a mismatch between perceived accessibility and demand for the COVID-19 vaccination. Public health interventions using different communication modes should build on trust about vaccination in general to tackle undocumented migrants’ hesitancy for COVID-19 vaccination with a specific attention to men, younger migrants and those at low clinical risk of severe infection.
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DOI：
10.15585/mmwr.mm6942e1
发表时间：
2020-10-23
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Gold JAW;Rossen LM;Ahmad FB;Sutton P;Li Z;Salvatore PP;Coyle JP;DeCuir J;Baack BN;Durant TM;Dominguez KL;Henley SJ;Annor FB;Fuld J;Dee DL;Bhattarai A;Jackson BR
通讯作者：
Jackson BR
影响因子：
4.6
作者：
Deal A;Hayward SE;Huda M;Knights F;Crawshaw AF;Carter J;Hassan OB;Farah Y;Ciftci Y;Rowland-Pomp M;Rustage K;Goldsmith L;Hartmann M;Mounier-Jack S;Burns R;Miller A;Wurie F;Campos-Matos I;Majeed A;Hargreaves S;ESCMID Study Group for Infections in Travellers and Migrants (ESGITM)
通讯作者：
ESCMID Study Group for Infections in Travellers and Migrants (ESGITM)
影响因子：
13.8
作者：
Galletly CL;Lechuga J;Dickson-Gomez JB;Glasman LR;McAuliffe TL;Espinoza-Madrigal I
通讯作者：
Espinoza-Madrigal I
影响因子：
3.7
作者：
Jackson, Yves;Paignon, Adeline;Delicado, Noelia
通讯作者：
Delicado, Noelia
影响因子：
2.7
作者：
Chauvin, Sebastien;Garces-Mascarenas, Blanca
通讯作者：
Garces-Mascarenas, Blanca