Vaccination coverage among migrants: A systematic review and meta-analysis
M Rojas-Venegas1, N Cano-Ibáñez2, K S Khan3
1Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, Spain.
Semergen
|February 1, 2022
Summary
Migrants have significantly lower vaccination coverage than non-migrants. This systematic review quantifies this disparity, highlighting the need for equitable immunization programs to protect both migrant and host populations.
Area of Science:
- Public Health
- Epidemiology
- Global Health
Background:
- Migrants face barriers to immunization programs, leading to potential inequities.
- Previous studies suggested lower vaccination rates among migrants, but this gap was not quantified.
Purpose of the Study:
- To quantitatively assess and compare vaccination coverage between migrant and non-migrant populations.
- To synthesize existing literature on immunization disparities in migrant groups.
Main Methods:
- Systematic review and meta-analysis of observational studies.
- Literature search across PubMed, Scopus, and Web of Science (inception to Feb 2021).
- Random effects model used to calculate summary odds ratio (OR) for vaccination coverage.
Main Results:
- Included 44 studies with over 7.9 million participants.
- Migrants showed significantly lower odds of vaccination coverage (summary OR 0.50; 95% CI 0.37-0.66).
- 36 out of 39 meta-analyzable studies indicated lower coverage among migrants.
Conclusions:
- Migrants are vaccinated at half the rate of non-migrants.
- Public health strategies must prioritize vaccination equity for migrants.
- Equitable immunization protects not only migrants but also the wider host communities.
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