イギリスの50万人の非EU移民と難民のCOVID-19ワクチン接種率:人口をベースにした遡及的なコホート研究
Rachel Burns1, Ines Campos-Matos2, Katie Harron3
1Centre for Public Health Data Science, Institute of Health Informatics, University College London, London, UK.
Lancet (London, England)
|March 17, 2023
まとめ
イギリスの移民は,特に難民や高齢者は,ワクチン接種の不平等を強調して,COVID-19のワクチンの接種が遅くなったことを経験しました. 障壁を克服し,多様な移民集団のワクチン公平性を改善するために,ターゲットに絞られた戦略が必要である.
科学分野:
- 公衆衛生
- 流行病学
- 健康に関する公平性
背景:
- COVID-19は移民集団の健康格差を明らかにした.
- 移民に対する予防接種不足のリスクは知られていますが,イギリスではCOVID-19ワクチンの接種データはまだ限られています.
研究 の 目的:
- イギリスの移民のCOVID-19ワクチン接種傾向と遅延を分析する.
- 移民集団と一般の人々のワクチン接種率を比較する
- 年齢,ビザの種類,民族の違いを特定する.
主な方法:
- 百万の移民集団と国のCOVID-19ワクチン接種データを関連付ける人口ベースのコホート研究.
- NHS Digitalから採用した段階的決定的マッチング手順を使用しました.
- 2020年12月から2022年4月までの第一,第二,第三用量の時間的な傾向と差異を分析した.
主要な成果:
- 移民の91. 8%が第2の投与を受け,第3の投与は51. 3%で,第1の投与は一般人よりも遅い.若者の間では格差が広がっている.
- 難民は第2回 (OR1. 75) と第3回 (OR1. 41) の投与が遅れたリスクが高い.
- 高齢の移民 (> 65歳) は,第2回または第3回接種を逃す可能性が一般人よりも4倍以上でした.
結論:
- 移民のすべての年齢層では,初回接種によるCOVID-19ワクチンの接種が遅かった.
- 難民や高齢の移民は 2番目と3番目のワクチンの接種を遅らせられ
- 個人的な障害や構造的な障壁を克服することは 移民のコミュニティのワクチン接種率を向上させる上で 極めて重要です
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