TY - JOUR
T1 - Characteristics associated with COVID-19 vaccine uptake among adults aged 50 years and above in England (8 December 2020-17 May 2021)
T2 - a population-level observational study
AU - Tessier, Elise
AU - Rai, Yuma
AU - Clarke, Eleanor
AU - Lakhani, Anissa
AU - Tsang, Camille
AU - Makwana, Ashley
AU - Heard, Heather
AU - Rickeard, Tim
AU - Lakhani, Shreya
AU - Roy, Partho
AU - Edelstein, Michael
AU - Ramsay, Mary
AU - Lopez-Bernal, Jamie
AU - White, Joanne
AU - Andrews, Nick
AU - Campbell, Colin N.J.
AU - Stowe, Julia
N1 - Publisher Copyright:
© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2022/3/1
Y1 - 2022/3/1
N2 - Objective To determine characteristics associated with COVID-19 vaccine coverage among individuals aged 50 years and above in England since the beginning of the programme. Design Observational cross-sectional study assessed by logistic regression and mean prevalence margins. Setting COVID-19 vaccinations delivered in England from 8 December 2020 to 17 May 2021. Participants 30 624 257/61 967 781 (49.4%) and 17 360 045/61 967 781 (28.1%) individuals in England were recorded as vaccinated in the National Immunisation Management System with a first dose and a second dose of a COVID-19 vaccine, respectively. Interventions Vaccination status with COVID-19 vaccinations. Main outcome measures Proportion, adjusted ORs and mean prevalence margins for individuals not vaccinated with dose 1 among those aged 50-69 years and dose 1 and 2 among those aged 70 years and above. Results Of individuals aged 50 years and above, black/African/Caribbean ethnic group was the least likely of all ethnic groups to be vaccinated with dose 1 of the COVID-19 vaccine. However, of those aged 70 years and above, the odds of not having dose 2 was 5.53 (95% CI 5.42 to 5.63) and 5.36 (95% CI 5.29 to 5.43) greater among Pakistani and black/African/Caribbean compared with white British ethnicity, respectively. The odds of not receiving dose 2 was 1.18 (95% CI 1.16 to 1.20) higher among individuals who lived in a care home compared with those who did not. This was the opposite to that observed for dose 1, where the odds of being unvaccinated was significantly higher among those not living in a care home (0.89 (95% CI 0.87 to 0.91)). Conclusions We found that there are characteristics associated with low COVID-19 vaccine coverage. Inequalities, such as ethnicity are a major contributor to suboptimal coverage and tailored interventions are required to improve coverage and protect the population from SARS-CoV-2.
AB - Objective To determine characteristics associated with COVID-19 vaccine coverage among individuals aged 50 years and above in England since the beginning of the programme. Design Observational cross-sectional study assessed by logistic regression and mean prevalence margins. Setting COVID-19 vaccinations delivered in England from 8 December 2020 to 17 May 2021. Participants 30 624 257/61 967 781 (49.4%) and 17 360 045/61 967 781 (28.1%) individuals in England were recorded as vaccinated in the National Immunisation Management System with a first dose and a second dose of a COVID-19 vaccine, respectively. Interventions Vaccination status with COVID-19 vaccinations. Main outcome measures Proportion, adjusted ORs and mean prevalence margins for individuals not vaccinated with dose 1 among those aged 50-69 years and dose 1 and 2 among those aged 70 years and above. Results Of individuals aged 50 years and above, black/African/Caribbean ethnic group was the least likely of all ethnic groups to be vaccinated with dose 1 of the COVID-19 vaccine. However, of those aged 70 years and above, the odds of not having dose 2 was 5.53 (95% CI 5.42 to 5.63) and 5.36 (95% CI 5.29 to 5.43) greater among Pakistani and black/African/Caribbean compared with white British ethnicity, respectively. The odds of not receiving dose 2 was 1.18 (95% CI 1.16 to 1.20) higher among individuals who lived in a care home compared with those who did not. This was the opposite to that observed for dose 1, where the odds of being unvaccinated was significantly higher among those not living in a care home (0.89 (95% CI 0.87 to 0.91)). Conclusions We found that there are characteristics associated with low COVID-19 vaccine coverage. Inequalities, such as ethnicity are a major contributor to suboptimal coverage and tailored interventions are required to improve coverage and protect the population from SARS-CoV-2.
KW - COVID-19
KW - health policy
KW - public health
UR - http://www.scopus.com/inward/record.url?scp=85125602670&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2021-055278
DO - 10.1136/bmjopen-2021-055278
M3 - ???researchoutput.researchoutputtypes.contributiontojournal.article???
C2 - 35232787
AN - SCOPUS:85125602670
SN - 2044-6055
VL - 12
JO - BMJ Open
JF - BMJ Open
IS - 3
M1 - e055278
ER -
