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德国 SARS-CoV-2 感染和疫苗接种的社会经济差异:COVID-19 疫苗接种运动一年后的血清流行病学研究。

Socioeconomic Differences in SARS-CoV-2 Infection and Vaccination in Germany: A Seroepidemiological Study After One Year of COVID-19 Vaccination Campaign.

机构信息

Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.

Socio-Economic Panel, German Institute for Economic Research, Berlin, Germany.

出版信息

Int J Public Health. 2023 Sep 14;68:1606152. doi: 10.3389/ijph.2023.1606152. eCollection 2023.


DOI:10.3389/ijph.2023.1606152
PMID:37780135
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10538434/
Abstract

To evaluate the socioeconomic patterns of SARS-CoV-2 antigen contacts through infection, vaccination or both ("hybrid immunity") after 1 year of vaccination campaign. Data were derived from the German seroepidemiological Corona Monitoring Nationwide study (RKI-SOEP-2; = 10,448; November 2021-February 2022). Combining serological and self-report data, we estimated adjusted prevalence ratios (PR) of SARS-CoV-2 infection, COVID-19 vaccination, basic immunization (at least two SARS-CoV-2 antigen contacts through vaccination and/or infection), and three antigen contacts by education and income. Low-education groups had 1.35-times (95% CI 1.01-1.82) the risk of SARS-CoV-2 infection compared to high-education groups. COVID-19 vaccination (at least one dose) and basic immunization decreased with lower education and income. Low-education and low-income groups were less likely to have had at least three antigen contacts (PR low vs. high education: 0.74, 95% CI 0.65-0.84; PR low vs. high income: 0.66, 95% CI 0.57-0.77). The results suggest a lower level of protection against severe COVID-19 for individuals from low and medium socioeconomic groups. Pandemic response and vaccination campaigns should address the specific needs and barriers of these groups.

摘要

评估接种疫苗一年后,通过感染、接种疫苗或两者结合(“混合免疫”)而接触 SARS-CoV-2 抗原的社会经济模式。数据来自德国血清流行病学冠状病毒全国监测研究(RKI-SOEP-2;n=10448;2021 年 11 月至 2022 年 2 月)。通过结合血清学和自我报告数据,我们估计了 SARS-CoV-2 感染、COVID-19 疫苗接种、基础免疫(至少通过接种和/或感染与 SARS-CoV-2 抗原接触两次)以及通过教育和收入的三种抗原接触的调整后患病率比(PR)。与高学历组相比,低学历组感染 SARS-CoV-2 的风险高 1.35 倍(95%CI 1.01-1.82)。COVID-19 疫苗接种(至少一剂)和基础免疫随着教育和收入的降低而减少。低教育和低收入群体不太可能有至少三次抗原接触(低 vs. 高教育 PR:0.74,95%CI 0.65-0.84;低 vs. 低教育收入 PR:0.66,95%CI 0.57-0.77)。结果表明,来自中低社会经济群体的个体对严重 COVID-19 的保护水平较低。大流行应对和疫苗接种活动应针对这些群体的特定需求和障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c7d/10538434/32a2b9ee766a/ijph-68-1606152-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c7d/10538434/4ecb7c1c0fea/ijph-68-1606152-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c7d/10538434/32a2b9ee766a/ijph-68-1606152-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c7d/10538434/4ecb7c1c0fea/ijph-68-1606152-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c7d/10538434/32a2b9ee766a/ijph-68-1606152-g002.jpg

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引用本文的文献

[1]
Can pre-existing medical conditions explain occupational differences in COVID-19 disease severity? An analysis of 3.17 million people insured in Germany.

Scand J Work Environ Health. 2025-9-1

[2]
Reconsidering inequalities in COVID-19 vaccine uptake in Germany: a spatiotemporal analysis combining individual educational level and area-level socioeconomic deprivation.

Sci Rep. 2024-10-13

[3]
Recruiting people with selected citizenships for the health interview survey GEDA Fokus throughout Germany: evaluation of recruitment efforts and recommendations for future research.

BMC Med Res Methodol. 2024-9-12

[4]
Participatory, Virologic, and Wastewater Surveillance Data to Assess Underestimation of COVID-19 Incidence, Germany, 2020-2024.

Emerg Infect Dis. 2024-9

[5]
Life Science 2.0: reframing the life science sector for 'the benefit on mankind'.

Glob Health Action. 2024-12-31

[6]
Social Inequalities in Long-Term Health Effects After COVID-19-A Scoping Review.

Int J Public Health. 2024

本文引用的文献

[1]
Protective effectiveness of previous SARS-CoV-2 infection and hybrid immunity against the omicron variant and severe disease: a systematic review and meta-regression.

Lancet Infect Dis. 2023-5

[2]
Socioeconomic differences in the reduction of face-to-face contacts in the first wave of the COVID-19 pandemic in Germany.

BMC Public Health. 2022-12-23

[3]
Effectiveness of vaccines in preventing hospitalization due to COVID-19: A multicenter hospital-based case-control study, Germany, June 2021 to January 2022.

Vaccine. 2023-1-9

[4]
Socioeconomic differences in COVID-19 infection, hospitalisation and mortality in urban areas in a region in the South of Europe.

BMC Public Health. 2022-12-12

[5]
COVID-19 mortality and deprivation: pandemic, syndemic, and endemic health inequalities.

Lancet Public Health. 2022-11

[6]
Temporal Dynamics of Socioeconomic Inequalities in COVID-19 Outcomes Over the Course of the Pandemic-A Scoping Review.

Int J Public Health. 2022

[7]
Facing the Omicron variant-how well do vaccines protect against mild and severe COVID-19? Third interim analysis of a living systematic review.

Front Immunol. 2022

[8]
Inequality in the distribution of Covid-19 vaccine: a systematic review.

Int J Equity Health. 2022-8-30

[9]
Understanding how socioeconomic inequalities drive inequalities in COVID-19 infections.

Sci Rep. 2022-5-18

[10]
Educational inequalities in risk perception, perceived effectiveness, trust and preventive behaviour in the onset of the COVID-19 pandemic in Germany.

Public Health. 2022-5

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