Department of Epidemiology of the Regional Health Service of Lazio, Asl Roma 1, Rome, Italy.
Sci Rep. 2023 Nov 28;13(1):20890. doi: 10.1038/s41598-023-48273-4.
Migrants may be susceptible to vaccine barriers and hesitancy. We evaluated the association between migrant status, as measured by the citizenship from a High Migratory Pressure Country (HMPC), and COVID-19 vaccination uptake in the resident population in Rome, Italy. We also investigated sex differences. We followed participants for vaccination against COVID-19 in 2021. We calculated crude- and adjusted-vaccination rates and Cox hazard ratios of vaccination for migrants compared to Italians. Among migrants from HMPCs, we estimated HRs for females compared to males, stratifying by geographical area of origin. Models were adjusted for age and deprivation index and stratified by infection history. In 2021, among 1,731,832 18-64-year-olds, migrants were 55% less likely to uptake at least one COVID-19 vaccine dose than their Italian counterpart. Past SARS-CoV-2 infection reduced the difference between migrants and Italians to 27%. Among migrants from HMPCs, we observed a slight excess of vaccination uptake among females compared to males. Focusing on geographical areas, we observed that only females from central-western Asia were 9% less likely to uptake vaccination than males. Health communication strategies oriented to migrants and considering their different languages, cultures, and health literacy should be adopted for prevention before emergencies.
移民可能容易受到疫苗障碍和犹豫的影响。我们评估了移民身份（以高移民压力国家的公民身份衡量）与意大利罗马居民人群中 COVID-19 疫苗接种率之间的关系。我们还研究了性别差异。我们对 2021 年的 COVID-19 疫苗接种进行了随访。我们计算了移民与意大利人相比的粗接种率和调整接种率以及 Cox 疫苗接种风险比。在来自高移民压力国家的移民中，我们根据原籍地理区域估计了女性与男性相比的 HR。模型根据感染史进行了调整和分层。2021 年，在 1731832 名 18-64 岁的人群中，移民接种至少一剂 COVID-19 疫苗的可能性比意大利人低 55%。过去的 SARS-CoV-2 感染将移民和意大利人之间的差异降低到 27%。在来自高移民压力国家的移民中，我们观察到女性的接种率略高于男性。关注地理区域，我们观察到只有来自中-西亚的女性接种疫苗的可能性比男性低 9%。在紧急情况发生之前，应针对移民采取以预防为导向的移民健康沟通策略，并考虑到他们不同的语言、文化和健康素养。
