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在英格兰为50万非欧盟移民和难民提供COVID-19疫苗接种覆盖
Rachel Burns1, Sacha Wyke2, Max T Eyre3
1Centre for Public Health Data Science, Institute of Health Informatics, University College London, London, UK. r.burns@ucl.ac.uk.
Nature human behaviour
|December 4, 2023
概括
英格兰的移民和难民人口经历了大量的COVID-19疫苗延迟,特别是第二剂和第三剂. 年龄较大的移民和特定种族群体面临更高的风险,强调需要解决疫苗接种公平的障碍.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康 公平 卫生 公平
背景情况:
- 移民面临免疫不足和健康不平等,但COVID-19疫苗覆盖率数据在全球范围内有限.
- COVID-19大流行加剧了包括移民在内的弱势群体的现有健康差异.
研究的目的:
- 分析非欧盟移民和英格兰重新安置的难民中COVID-19疫苗覆盖率,包括剂量延迟和逾期接种疫苗.
- 根据移民人口的签证类型,种族和年龄来确定疫苗接种的差异.
主要方法:
- 将国家COVID-19疫苗接种数据与非欧盟移民和英格兰重新安置难民的记录联系起来.
- 分析了2020年12月至2022年4月期间第二次和第三次剂量延迟和逾期剂量的模式.
- 利用调整后的赔率比率来评估与人口统计因素相关的风险.
主要成果:
- 91.8%的移民接受了第二剂,51.3%接受了第三剂.
- 难民的第二剂 (aOR 1.66) 和第三剂 (aOR 1.55) 的延迟风险最高.
- 与白人移民相比,黑人移民的第二剂延迟率 (aOR 2.37) 较高,第三剂的趋势反转. 与普通人群相比,老年移民 (>65) 接种疫苗的可能性明显低.
结论:
- 在英格兰的移民人口中,COVID-19疫苗接种和及时性存在显著差异.
- 针对性干预对于解决阻碍不同移民群体接种疫苗的个人和结构性障碍至关重要.
- 需要进一步的研究来理解和减轻移民健康中的疫苗不平等.
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