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Long-term spatial patterns in COVID-19 booster vaccine uptake
Anthony J Wood1, Anne Marie MacKintosh2, Martine Stead2
1Roslin Institute, University of Edinburgh, Edinburgh, UK.
Communications Medicine
|July 2, 2025
Summary
COVID-19 vaccine uptake, particularly boosters, is influenced by socio-demographic factors like deprivation and ethnicity. Understanding these patterns is key to equitable vaccine distribution and future public health strategies.
Area of Science:
- Public Health
- Epidemiology
- Health Equity
Background:
- Vaccination is crucial for controlling infectious diseases, exemplified by COVID-19.
- Unequal vaccine uptake, influenced by socio-demographics, impacts disease burden.
- Identifying uptake variations is vital for reducing hesitancy and improving access.
Purpose of the Study:
- To analyze COVID-19 booster vaccination patterns in Scotland.
- To identify the influence of socio-demographic factors on vaccine uptake.
- To develop a predictive model for future vaccination distributions.
Main Methods:
- Analysis of COVID-19 booster vaccinations by age, sex, dose, and location in Scotland.
- Utilized Random Forests to model first booster uptake, linking to public demographic data.
- Developed a predictive method for future uptake distributions based on deprivation trends.
Main Results:
- Age and sex significantly impact model fit for vaccine uptake.
- Community deprivation and minority ethnicity proportions substantially influence uptake.
- Deprivation's impact on vaccine uptake is projected to increase over time, especially for second boosters.
Conclusions:
- COVID-19 disproportionately affects deprived communities due to vaccine access disparities.
- The methodology relies on public demographic and vaccination data, adaptable globally.
- Findings inform strategies to enhance vaccine equity and address hesitancy.
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