Department of Infectious Diseases, Public Health Service of Amsterdam, Amsterdam, the Netherlands; Amsterdam UMC location University of Amsterdam, Infectious Diseases, Meibergdreef 9, Amsterdam, the Netherlands; Amsterdam Institute for Infection and Immunity, Infectious Diseases, Amsterdam, the Netherlands.
Department of Infectious Diseases, Public Health Service of Amsterdam, Amsterdam, the Netherlands.
Vaccine. 2023 Mar 17;41(12):2035-2045. doi: 10.1016/j.vaccine.2023.02.030. Epub 2023 Feb 13.
Ethnic minority groups experience a disproportionately high burden of infections, hospitalizations and mortality due to COVID-19, and therefore should be especially encouraged to receive SARS-CoV-2 vaccination. This study aimed to investigate the intent to vaccinate against SARS-CoV-2, along with its determinants, in six ethnic groups residing in Amsterdam, the Netherlands.
We analyzed data of participants enrolled in the population-based multi-ethnic HELIUS cohort, aged 24 to 79 years, who were tested for SARS-CoV-2 antibodies and answered questions on vaccination intent from November 23, 2020 to March 31, 2021. During the study period, SARS-CoV-2 vaccination in the Netherlands became available to individuals working in healthcare or > 75 years old. Vaccination intent was measured by two statements on a 7-point Likert scale and categorized into low, medium, and high. Using ordinal logistic regression, we examined the association between ethnicity and lower vaccination intent. We also assessed determinants of lower vaccination intent per ethnic group.
A total of 2,068 participants were included (median age 56 years, interquartile range 46-63). High intent to vaccinate was most common in the Dutch ethnic origin group (369/466, 79.2%), followed by the Ghanaian (111/213, 52.1%), South-Asian Surinamese (186/391, 47.6%), Turkish (153/325, 47.1%), African Surinamese (156/362, 43.1%), and Moroccan ethnic groups (92/311, 29.6%). Lower intent to vaccinate was more common in all groups other than the Dutch group (P < 0.001). Being female, believing that COVID-19 is exaggerated in the media, and being < 45 years of age were common determinants of lower SARS-CoV-2 vaccination intent across most ethnic groups. Other identified determinants were specific to certain ethnic groups.
Lower intent to vaccinate against SARS-CoV-2 in the largest ethnic minority groups of Amsterdam is a major public health concern. The ethnic-specific and general determinants of lower vaccination intent observed in this study could help shape vaccination interventions and campaigns.
少数民族群体因 COVID-19 而经历不成比例的高感染率、住院率和死亡率，因此尤其应鼓励他们接种 SARS-CoV-2 疫苗。本研究旨在调查在荷兰阿姆斯特丹居住的六个族裔群体对 SARS-CoV-2 疫苗的接种意愿及其决定因素。
我们分析了 2020 年 11 月 23 日至 2021 年 3 月 31 日期间参加基于人群的多族裔 HELIUS 队列研究的参与者的数据。参与者年龄在 24 至 79 岁之间，接受了 SARS-CoV-2 抗体检测，并回答了关于接种意愿的问题。在此期间，荷兰开始向从事医疗保健工作或年龄大于 75 岁的个人提供 SARS-CoV-2 疫苗接种。接种意愿通过两个 7 点李克特量表的陈述来衡量，并分为低、中、高。我们使用有序逻辑回归，研究了族裔与较低的接种意愿之间的关系。我们还按族裔群体评估了每个群体中较低的接种意愿的决定因素。
共纳入 2068 名参与者（中位年龄 56 岁，四分位距 46-63）。荷兰族裔组（466 人中有 369 人，79.2%）的高接种意愿最为常见，其次是加纳人（213 人中有 111 人，52.1%）、南亚苏里南人（391 人中有 186 人，47.6%）、土耳其人（325 人中有 153 人，47.1%）、非洲苏里南人（362 人中有 156 人，43.1%）和摩洛哥裔（311 人中有 92 人，29.6%）。除荷兰组外，其他组的接种意愿较低（P<0.001）。女性、认为媒体夸大了 COVID-19 以及年龄小于 45 岁是大多数族裔群体中 SARS-CoV-2 疫苗接种意愿较低的常见决定因素。其他确定的决定因素则是特定于某些族裔群体的。
阿姆斯特丹最大的少数族裔群体对 SARS-CoV-2 疫苗的接种意愿较低，这是一个主要的公共卫生问题。本研究中观察到的族裔特异性和一般性接种意愿较低的决定因素，可以帮助制定疫苗接种干预和宣传活动。
