Sociodemographic Disparities in COVID-19 Vaccine Uptake and Vaccination Intent in Canada.

IF 2.7 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Reports Pub Date : 2022-12-21 DOI:10.25318/82-003-x202201200004-eng

Mireille Guay, Aubrey Maquiling, Ruoke Chen, Valérie Lavergne, Donalyne-Joy Baysac, Jackie Kokaua, Catherine Dufour, Eve Dubé, Shannon E MacDonald, Nicolas L Gilbert

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引用次数: 1

Abstract

Introduction: This study's objective was to examine sociodemographic disparities in COVID-19 vaccine uptake and vaccination intent in the Canadian provinces by identifying factors associated with vaccine uptake in seniors prioritized for vaccination at the time of the survey and vaccination intent in all adults.

Data and methods: A cross-sectional survey of Canadian adults was conducted in all provinces from mid-April to mid-May 2021. In addition to sociodemographic characteristics, respondents (n=10,678) provided information on their COVID-19 vaccination status or their intent to get vaccinated. Logistic regression models were fitted using sociodemographic factors as explanatory variables and vaccination status (unvaccinated vs at least one dose) or vaccination intent (unlikely versus likely or already vaccinated) as outcomes. To account for vaccine prioritization groups, multiple regression models were adjusted for province of residence, age, Indigenous identity and health care worker status.

Results: Seniors with a lower household income (less than $60,000) and those living in smaller communities (fewer than 100,000 inhabitants) had higher odds of being unvaccinated. Among Canadian adults, the odds of being unlikely to get vaccinated were higher for males (adjusted odds ratio [AOR] 1.3), individuals younger than 60 (AOR between 3.3 and 5.1), non-health care workers (AOR 3.3), those with less than a high school education (AOR 3.4) or a household income of less than $30,000 (AOR 2.7) and individuals who do not identify as South Asian, Chinese, Black, Filipino, Arab, Latin American, Southeast Asian, West Asian, Korean or Japanese (AOR 1.7).

Interpretation: COVID-19 vaccine uptake (80%) and vaccination intent (95%) were high among Canadians; however, relative disparities were observed among specific groups. Continued efforts targeted toward these groups are essential in reducing potential inequity in access or service provision.

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加拿大COVID-19疫苗摄取和疫苗接种意向的社会人口统计学差异

本研究的目的是通过确定调查时优先接种疫苗的老年人的疫苗接种相关因素和所有成年人的疫苗接种意图，研究加拿大各省COVID-19疫苗接种和疫苗接种意图的社会人口统计学差异。数据和方法:于2021年4月中旬至5月中旬对加拿大各省的成年人进行了横断面调查。除了社会人口统计学特征外，受访者(n= 10678)还提供了有关其COVID-19疫苗接种状况或接种意向的信息。使用社会人口学因素作为解释变量，使用接种状态(未接种vs至少接种一剂)或接种意图(不太可能接种vs可能接种或已经接种)作为结果，拟合逻辑回归模型。为了考虑疫苗优先组，根据居住省份、年龄、土著身份和卫生保健工作者身份调整了多元回归模型。结果:家庭收入较低(低于6万美元)和生活在较小社区(少于10万居民)的老年人未接种疫苗的几率较高。在加拿大成年人中，男性(调整优势比[AOR] 1.3)、60岁以下的个体(AOR在3.3和5.1之间)、非卫生保健工作者(AOR 3.3)、高中教育程度以下的个体(AOR 3.4)或家庭收入低于30,000美元的个体(AOR 2.7)以及不认为自己是南亚人、中国人、黑人、菲律宾人、阿拉伯人、拉丁美洲人、东南亚人、西亚人、韩国人或日本人的个体(AOR 1.7)不太可能接种疫苗的几率更高。解释:加拿大人的COVID-19疫苗接种率(80%)和疫苗接种意图(95%)很高;然而，在特定群体中观察到相对差异。针对这些群体的持续努力对于减少在获取或提供服务方面的潜在不平等至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Reports PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

4.00%

发文量

期刊介绍： Health Reports publishes original research on diverse topics related to understanding and improving the health of populations and the delivery of health care. We publish studies based on analyses of Canadian national/provincial representative surveys or Canadian national/provincial administrative databases, as well as results of international comparative health research. Health Reports encourages the sharing of methodological information among those engaged in the analysis of health surveys or administrative databases. Use of the most current data available is advised for all submissions.