Deadly places: The role of geography in Aboriginal and Torres Strait Islander COVID-19 vaccination

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Australian and New Zealand Journal of Public Health Pub Date : 2024-02-01 DOI:10.1016/j.anzjph.2024.100130

Gustavo Hermes Soares, Joanne Hedges, Brianna Poirier, Sneha Sethi, Lisa Jamieson

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Abstract

Objective

The objective of this study was to investigate the geospatial distribution of COVID-19 vaccination rates for Aboriginal and Torres Strait Islander Peoples across Local Government Areas in Australia.

Methods

We described the patterns of COVID-19 vaccination across jurisdictions, identified clusters with different levels of vaccination uptake, and assessed the relationship between contextual factors and vaccination (spatial error model, spatial lag model, and geographic weighted regression).

Results

The proportion of the Aboriginal and Torres Strait Islander population that received at least two doses of a COVID-19 vaccine by the last week of June 2022 ranged from 62.9% to 97.5% across Local Government Areas. The proportion of the overall population who is Aboriginal or Torres Strait Islander (β = 0.280, standard deviation [SD] = 1.92), proportion of the total labour force employed (β =0.286, SD = 0.98), and proportion of individuals who speak an Aboriginal or Torres Strait Islander language (β =0.215, SD = 0.15) had, on average, the strongest effects on COVID-19 vaccination rates.

Conclusion

Findings underscore the extent to which area-level demographic influence the COVID-19 vaccination for Aboriginal and Torres Strait Islander Australians.

Implications for public health

Findings can inform vaccination strategies that prioritise geographic areas with higher vulnerability to promote equity for Aboriginal and Torres Strait Islander Peoples.

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致命的地方：地理因素在土著居民和托雷斯海峡岛民接种 COVID-19 疫苗中的作用

方法我们描述了各辖区的 COVID-19 疫苗接种模式，确定了不同接种水平的集群，并评估了环境因素与疫苗接种之间的关系（空间误差模型、空间滞后模型和地理加权回归）。结果到2022年6月的最后一周，各地方政府辖区的土著居民和托雷斯海峡岛民至少接种了两剂COVID-19疫苗的比例从62.9%到97.5%不等。原住民或托雷斯海峡岛民占总人口的比例（β = 0.280，标准差 [SD] = 1.92）、就业人口占总劳动力的比例（β = 0.286，标准差 = 0.98）以及讲原住民或托雷斯海峡岛民语言的人口比例（β = 0.215，标准差 = 0.15）对 COVID-19 疫苗接种率的平均影响最大。对公共卫生的意义研究结果可为疫苗接种策略提供参考，这些策略应优先考虑较脆弱的地理区域，以促进土著居民和托雷斯海峡岛民的公平。

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

Australian and New Zealand Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

5.70%

发文量

121

审稿时长

6-12 weeks

期刊介绍： The Australian and New Zealand Journal of Public Health (ANZJPH) is concerned with public health issues. The research reported includes formal epidemiological inquiries into the correlates and causes of diseases and health-related behaviour, analyses of public policy affecting health and disease, and detailed studies of the cultures and social structures within which health and illness exist. The Journal is multidisciplinary and aims to publish methodologically sound research from any of the academic disciplines that constitute public health.