Alimoradi Zainab, Sallam Malik, Jafari Elahe, Potenza Marc N, Pakpour Amir H
Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
Department of Pathology, Microbiology and Forensic Medicine, School of Medicine, The University of Jordan, Amman, Jordan.
Vaccine X. 2023 Aug;14:100308. doi: 10.1016/j.jvacx.2023.100308. Epub 2023 May 6.
OBJECTIVES: Understanding COVID-19 vaccine hesitancy among migrant and refugee groups is critical for achieving vaccine equity. Therefore, we aimed to estimate the prevalence of COVID-19 vaccine acceptance among migrant and refugee populations. METHODS: A systematic review (PROSPERO: CRD42022333337) was conducted (December 2019-July 2022) using PubMed, Scopus, Web of Science, ProQuest and Google Scholar. RESULTS: Nineteen studies from 12 countries were included. The pooled estimated prevalence of COVID-19 vaccine willingness among migrant and refugee groups was 70% (19 studies, 95% CI: 62.3-77.4%, I: 99.19%, τ: 0.03). Female and male participants did not differ significantly with each other ( = 0.64). Although no individual variable contributed statistically significantly in multivariable -regression analysis, the multivariable model that considered methodological quality, mean age of participants, participant group and country of origin explained 67% of variance. DISCUSSION: Proportions of migrant/refugee groups receiving COVID-19 vaccinations approximated those observed among general populations. Additional studies are needed to examine factors relating to vaccine willingness to identify the most significant factors that may be targeted in interventions.
目的：了解移民和难民群体对新冠疫苗的犹豫态度对于实现疫苗公平至关重要。因此，我们旨在估计移民和难民群体中接受新冠疫苗接种的比例。 方法：（2019年12月至2022年7月）通过PubMed、Scopus、科学网、ProQuest和谷歌学术进行了一项系统综述（国际系统综述前瞻性注册库：CRD42022333337）。 结果：纳入了来自12个国家的19项研究。移民和难民群体中新冠疫苗接种意愿的合并估计比例为70%（19项研究，95%置信区间：62.3 - 77.4%，I：99.19%，τ：0.03）。女性和男性参与者之间没有显著差异（ = 0.64）。尽管在多变量回归分析中没有单个变量具有统计学显著贡献，但考虑了方法学质量、参与者平均年龄、参与者群体和原籍国的多变量模型解释了67%的方差。 讨论：接受新冠疫苗接种的移民/难民群体比例与普通人群中观察到的比例相近。需要进一步的研究来检查与疫苗接种意愿相关的因素，以确定在干预措施中可能针对的最重要因素。
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