荷兰具有移民背景人群中与新冠疫苗接种率较低相关的因素。

Factors associated with lower COVID-19 vaccine uptake among populations with a migration background in the Netherlands.

作者信息

Smagge Bente, Labuschagne Lisanne, Pijpers Joyce, van Roon Annika, van den Hof Susan, Hahné Susan, de Melker Hester

机构信息

Centre for Infectious Disease Control, https://ror.org/01cesdt21National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.

出版信息

Epidemiol Infect. 2025 Jun 24;153:e87. doi: 10.1017/S0950268825100216.

Abstract

Lower COVID-19 vaccination coverage was observed among some populations with a migration background in the Netherlands. This study examined determinants of being unvaccinated against COVID-19 in the primary vaccination round in adults and in the 2022 autumn booster round in persons aged ≥60 years, among four populations of non-Dutch origin with below average vaccination coverage: Moroccan, Turkish, Surinamese and Dutch-Caribbean, and persons of Dutch origin. We performed a population-wide register-based study, examining associations between potential determinants and being unvaccinated using multivariable logistic regression and computing population attributable fractions. Being a migrant with two foreign-born parents, younger age, living in highly/extremely urban areas and having a lower income, lower education level and low medical risk for severe COVID-19 were risk factors for being unvaccinated in all populations. Substantial differences in the (strength of) determinants and population attributable fractions between populations were also observed. Socioeconomic status only partially mediated the association with being a migrant with two foreign-born parents. These findings illustrate that interventions targeting specific ethnic minority and migrant populations need further study with the aim to optimize the impact of vaccination programmes and improve health equity. To understand reasons behind non-uptake and design (community-based) interventions, qualitative and survey-based research is needed.

摘要

在荷兰,一些有移民背景的人群中观察到新冠疫苗接种率较低。本研究调查了在成年人首轮疫苗接种以及2022年秋季≥60岁人群加强针接种中,未接种新冠疫苗的决定因素,研究对象为四个疫苗接种率低于平均水平的非荷兰裔人群:摩洛哥裔、土耳其裔、苏里南裔和荷属加勒比裔,以及荷兰裔人群。我们开展了一项基于全人群登记的研究,使用多变量逻辑回归分析潜在决定因素与未接种疫苗之间的关联,并计算人群归因分数。在所有人群中,父母双方均为外国出生的移民、年龄较小、居住在高度/极度城市化地区、收入较低、教育水平较低以及严重新冠的医疗风险较低,都是未接种疫苗的风险因素。各人群在决定因素(的强度)和人群归因分数方面也存在显著差异。社会经济地位仅部分介导了与父母双方均为外国出生的移民之间的关联。这些发现表明,针对特定少数族裔和移民人群的干预措施需要进一步研究,以优化疫苗接种计划的效果并改善健康公平性。为了解未接种疫苗的原因并设计(基于社区的)干预措施,需要开展定性研究和基于调查的研究。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索