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挪威奥斯陆东部的社会经济地位与新冠疫苗接种差异

Socioeconomic status and disparities in COVID-19 vaccine uptake in Eastern Oslo, Norway.

作者信息

Lillebråten Andreas, Todd Megan, Dimka Jessica, Bakkeli Nan Zou, Mamelund Svenn-Erik

机构信息

Work Research Institute, Oslo Metropolitan University, Norway.

Department of Public Health, City of Philadelphia, United States.

出版信息

Public Health Pract (Oxf). 2023 Jun;5:100391. doi: 10.1016/j.puhip.2023.100391. Epub 2023 May 28.

Abstract

OBJECTIVE

The objective of this study was to assess whether socioeconomic status still remain a barrier to COVID-19 vaccination in eastern Oslo, Norway.

STUDY DESIGN

A cross-section study.

METHODS

We conducted a web-based survey among the residents of six eastern parishes in Oslo, Norway. Text (SMS) messages were sent to 59978 potential participants. 5447 surveys were completed for a response rate of 9.1%. After removing participants who had not been offered the COVID-19 vaccine, we ended up with a valid sample of 4000.

RESULTS

We find a significant association between education and the likelihood of taking the COVID-19 vaccine in bivariate logistic regression. Further, we find a significant higher likelihood of taking the vaccine in the above-low-income group compared to the low-income group. However, when we add control variables to the regression, the significant results concerning both income and education are eliminated. In further analysis, we found that age worked as a moderator between socioeconomic status and vaccine uptake: In the youngest age group (18-29), we found a significant higher likelihood of taking the vaccine in the above-low-income group compared to the low-income group, and in the higher education group compared to the primary education group.

CONCLUSION

Socioeconomic status remains a barrier to COVID-19 vaccination in the eastern parishes of Oslo, Norway. Indicating that Norwegians of lower socioeconomic status still disproportionately face barriers such as transportation, language, flexible work hours, and paid sick time. However, our analysis shows that this association is only found in the age group 18-29.

摘要

目的

本研究的目的是评估社会经济地位是否仍然是挪威奥斯陆东部地区新冠疫苗接种的障碍。

研究设计

一项横断面研究。

方法

我们对挪威奥斯陆东部六个教区的居民进行了一项基于网络的调查。向59978名潜在参与者发送了短信。共完成5447份调查问卷,回复率为9.1%。在剔除未被提供新冠疫苗的参与者后,我们最终得到了4000名有效样本。

结果

在双变量逻辑回归分析中,我们发现教育程度与接种新冠疫苗的可能性之间存在显著关联。此外,我们发现,与低收入群体相比,中低收入以上群体接种疫苗的可能性显著更高。然而,当我们在回归中加入控制变量后,关于收入和教育程度的显著结果均被消除。在进一步分析中,我们发现年龄在社会经济地位和疫苗接种率之间起到了调节作用:在最年轻的年龄组(18 - 29岁)中,我们发现,与低收入群体相比,中低收入以上群体接种疫苗的可能性显著更高,与小学教育程度组相比,高等教育程度组接种疫苗的可能性显著更高。

结论

在挪威奥斯陆东部教区,社会经济地位仍然是新冠疫苗接种的障碍。这表明社会经济地位较低的挪威人仍然不成比例地面临交通、语言、灵活工作时间和带薪病假等障碍。然而,我们的分析表明,这种关联仅在18 - 29岁年龄组中存在。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7328/10280048/5ad63f7308da/gr1.jpg

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