COVID-19 and missed or delayed vaccination in 26 middle- and high-income countries: An observational survey.

Autor: Shapiro GK; Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. Electronic address: gilla.shapiro@uhnresearch.ca., Gottfredson N; Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA., Leask J; School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia; Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia., Wiley K; School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia., Ganter-Restrepo FE; Department of Immunization, Vaccines and Biologicals, World Health Organization, Geneva, Switzerland., Jones SP; Institute of Global Health Innovation, Imperial College London, St Mary's Hospital, London, United Kingdom., Menning L; Department of Immunization, Vaccines and Biologicals, World Health Organization, Geneva, Switzerland., Brewer NT; Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA; Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, United States.
Jazyk: angličtina
Zdroj: Vaccine [Vaccine] 2022 Feb 07; Vol. 40 (6), pp. 945-952. Date of Electronic Publication: 2021 Dec 21.
DOI: 10.1016/j.vaccine.2021.12.041
Abstrakt: Background: The COVID-19 pandemic has disrupted vaccination services and raised the risk of a global resurgence of preventable diseases. We assessed the extent of and reasons for missed or delayed vaccinations (hereafter 'missed') in middle- and high-income countries in the early months of the pandemic.
Methods: From May to June 2020, participants completed an online survey on missed vaccination. Analyses separated missed childhood and adult vaccination in middle-and high-income countries.
Results: Respondents were 28,429 adults from 26 middle- and high-income countries. Overall, 9% of households had missed a vaccine, and 13% were unsure. More households in middle- than high-income countries reported missed childhood vaccination (7.6% vs. 3.0%) and missed adult vaccination (9.6% vs. 3.4%, both p < .05). Correlates of missed childhood vaccination in middle-income countries included COVID-19 risk factors (respiratory and cardiovascular diseases), younger age, male sex, employment, psychological distress, larger household size, and more children. In high-income countries, correlates of missed childhood vaccination also included immunosuppressive conditions, but did not include sex or household size. Fewer correlates were associated with missed adult vaccination other than COVID-19 risk factors and psychological distress. Common reasons for missed vaccinations were worry about getting COVID-19 at the vaccination clinic (15%) or when leaving the house (11%). Other reasons included no healthcare provider recommendation, clinic closure, and wanting to save services for others.
Interpretation: Missed vaccination was common and more prevalent in middle- than high-income countries. Missed vaccination could be mitigated by emphasizing COVID-19 safety measures in vaccination clinics, ensuring free and accessible immunization, and clear healthcare provider recommendations.
Competing Interests: Declaration of Competing Interest GKS, NG, JL, and KR report consulting fees from the World Health Organization during the conduct of the study. GKS is supported by a Canadian Institutes of Health Research 2019 Fellowship Award (CIHR MFE 171271) outside the submitted work. NB reports consulting fees for Merck, Novartis, Centers for Disease Control and Prevention, and World Health Organization. All other authors declare no conflict of interest. Pharmaceutical companies or other agencies were not involved in the funding of this article. The funders of this study played no role in the study design, data collection, data analysis, data interpretation, or writing of this manuscript.
(Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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