Meckl Markus, Gudmundsson Birgir, Olafsson Kjartan, Barille Stephanie
University of Akureyri, Iceland.
Social Science Research Institute, University of Iceland.
Laeknabladid. 2025 Jul;111(7-08):325-330. doi: 10.17992/lbl.2025.0708.850.
This article examines the COVID-19 vaccination behaviour of immigrants in Iceland by comparing it to the behaviour of native Icelanders. Little to no information has previously been available on this subject in Iceland. However, mapping the situation is an important prerequisite for guiding further research in this field, as well as providing insight into whether and to what extent vaccine hesitancy among immigrants constitutes a public health issue in Iceland.
The data used in this analysis come from the fifth round of the Directorate of Health's survey Health and Well-being, conducted in 2022. The survey was a sample survey, and in this round, the sample was expanded to include both native Icelanders and a sample drawn from the population of foreign nationals aged 18 and older who had resided in Iceland for three years prior to the survey.
The results show a significant difference in vaccination behaviour between native Icelanders and immigrants, particularly among immigrants from Central and Eastern Europe. Only 32% of Polish immigrants and 43% of other immigrants from Central and Eastern Europe received three doses of the vaccine, compared to 73% of Icelanders. Trust in the Directorate of Health, economic status, and social participation predict vaccination behaviour, whereas trust in the media or the healthcare system as a whole does not.
Greater emphasis should be placed on strengthening trust in vaccination authorities, such as the Directorate of Health and the Chief Epidemiologist. Additionally, economic status and social participation of specific groups should be considered to effectively influence the vaccination behaviour of immigrants.
本文通过将冰岛移民的新冠疫苗接种行为与冰岛本土居民的行为进行比较，对其展开研究。此前冰岛几乎没有关于这一主题的信息。然而，梳理这一情况是指导该领域进一步研究的重要前提，同时也有助于了解移民中的疫苗犹豫是否以及在何种程度上构成冰岛的公共卫生问题。
本分析中使用的数据来自2022年卫生局进行的第五轮健康与福祉调查。该调查为抽样调查，在这一轮中，样本范围扩大到包括冰岛本土居民以及从18岁及以上外国公民群体中抽取的样本，这些外国公民在调查前已在冰岛居住三年。
结果显示，冰岛本土居民和移民在疫苗接种行为上存在显著差异，尤其是来自中东欧的移民。只有32%的波兰移民和43%的其他中东欧移民接种了三剂疫苗，相比之下，冰岛人的这一比例为73%。对卫生局的信任、经济状况和社会参与度能够预测疫苗接种行为，而对媒体或整个医疗体系的信任则不能。
应更加重视增强对疫苗接种当局的信任，比如卫生局和首席流行病学家。此外，应考虑特定群体的经济状况和社会参与度，以有效影响移民的疫苗接种行为。
