Ethnic and minority group differences in engagement with COVID-19 vaccination programmes - at Pandemic Pace; when vaccine confidence in mass rollout meets local vaccine hesitancy.
Ethnic and minority group differences in engagement with COVID-19 vaccination programmes - at Pandemic Pace; when vaccine confidence in mass rollout meets local vaccine hesitancy.
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DOI：
10.1186/s13584-021-00467-9
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发表时间：
2021-05-27
影响因子：
4.5
通讯作者：
Mabhala MA
中科院分区：
文献类型：
--
作者：
Reid JA;Mabhala MA
以色列、英国、美国和其他一些富裕国家率先实施了 COVID-19 疫苗大规模疫苗接种计划。来自这些国家的证据表明，他们的少数民族在 COVID-19 疫苗的推出中可能处于不成比例的不利地位，因为他们受到了与 COVID-19 相关的严重疾病的影响。与占主导地位的人口群体相比，他们的劣势与社会地位较低和社会福利较少有关。尽管受到方法论的限制，早期研究将少数族裔中 COVID-19 的使用率较低归因于疫苗使用率、犹豫或缺乏疫苗信心的更广泛的决定因素，包括信任度较低和对疫苗安全性的更大担忧。所有早期采用国家都需要进行早期哨点研究。少数群体育龄群体中一个新出现的主题是担心 COVID-19 疫苗对生育能力的潜在不利影响。受人尊敬的专业团体再次保证，这并不是一个可信的理由。药物和疫苗监管机构在新基因疫苗的紧急许可中使用可理解的、谨慎的和有条件的语言。应更加重视是否存在潜在遗传毒性或生殖毒性的技术评估。从公共卫生的角度来看，哨点研究应识别此类社区问题并尽早采取行动，以提供令人信服的解释和证据。地方公共卫生人员队伍需要多元化、具备多种技能，并且能够与少数群体和弱势群体良好互动。英国当地公共卫生总监驻扎在每个地方政府区域，他们有职权范围和机会来促进迅速采取行动，以增加疫苗的接种率。在疫苗快速推出的过程中，为尽量减少接种变化而付出的额外努力可能会在未来一两年内取得进展。然而，鉴于包容性较低的社会体系中仍然存在潜在的不平等，我们预计差异不会消失。
Israel, the UK, the USA, and some other wealthier countries lead in the implementation of COVID-19 vaccine mass vaccination programmes. Evidence from these countries indicates that their ethnic minorities could be as disproportionately disadvantaged in COVID-19 vaccines roll-out as they were affected by COVID-19-related serious illnesses. Their disadvantage is linked to their lower social status and fewer social goods compared with dominant population groups. Albeit limited by methodology, early studies attribute lower uptake of COVID-19 amongst ethnic minorities to the wider determinants of vaccine uptake, hesitancy or lack of vaccine confidence, including lower levels of trust and greater concerns about vaccine safety. Early sentinel studies are needed in all early adopter countries. One emerging theme among those of reproductive age in minority communities concerns a worry regarding COVID-19 vaccine’s potential adverse effect on fertility. Respected professional groups reassure this is not a credible rationale. Drug and vaccine regulators use understandable, cautious and conditional language in emergency licencing of new gene-based vaccines. Technical assessments on whether there is any potential genotoxicity or reproductive toxicity should be more emphatic. From a public health perspective, sentinel studies should identify such community concerns and act early to produce convincing explanations and evidence. Local public health workforces need to be diverse, multiskilled, and able to engage well with minorities and vulnerable groups. The local Directors of Public Health in the UK are based in each local government area and have a remit and opportunity to stimulate speedy action to increase vaccine uptake. During the rapid Pandemic Pace of the vaccines roll-out, extra efforts to minimise uptake variations are likely to achieve improvements in the next year or two. We expect variations will not disappear however, given that underlying inequalities persist in less inclusive social systems.
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DOI：
10.1056/nejmoa2104840
发表时间：
2021-06-03
期刊：
The New England journal of medicine
影响因子：
--
作者：
Greinacher A;Thiele T;Warkentin TE;Weisser K;Kyrle PA;Eichinger S
通讯作者：
Eichinger S
影响因子：
4.5
作者：
Green MS;Abdullah R;Vered S;Nitzan D
通讯作者：
Nitzan D
DOI：
10.1016/s0140-6736(21)00191-4
发表时间：
2021-02-20
期刊：
Lancet (London, England)
影响因子：
--
作者：
Jones I;Roy P
通讯作者：
Roy P
影响因子：
4.5
作者：
Glied S
通讯作者：
Glied S
DOI：
10.1016/s1473-3099(20)30942-7
发表时间：
2021-05
期刊：
The Lancet. Infectious diseases
影响因子：
--
作者：
Ella R;Vadrevu KM;Jogdand H;Prasad S;Reddy S;Sarangi V;Ganneru B;Sapkal G;Yadav P;Abraham P;Panda S;Gupta N;Reddy P;Verma S;Kumar Rai S;Singh C;Redkar SV;Gillurkar CS;Kushwaha JS;Mohapatra S;Rao V;Guleria R;Ella K;Bhargava B
通讯作者：
Bhargava B