Social determinants of health and vaccine uptake during the first wave of the COVID-19 pandemic: A systematic review.

Autor:	Vardavas C; School of Medicine, University of Crete, Heraklion, Crete, Greece.; Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Harvard University, Boston, MA, USA., Nikitara K; School of Medicine, University of Crete, Heraklion, Crete, Greece., Aslanoglou K; School of Medicine, University of Crete, Heraklion, Crete, Greece., Lagou I; School of Medicine, University of Crete, Heraklion, Crete, Greece., Marou V; School of Medicine, University of Crete, Heraklion, Crete, Greece., Phalkey R; Health Centre for Evidence Based Healthcare, School of Medicine, University of Nottingham, Nottingham, UK., Leonardi-Bee J; Health Centre for Evidence Based Healthcare, School of Medicine, University of Nottingham, Nottingham, UK., Fernandez E; Tobacco Control Unit, WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia-ICO, L'Hospitalet de Llobregat (Barcelona), Spain.; Tobacco Control Research Group, Institut d'Investigació Biomèdica de. Ellvitge-IDIBELL, L'Hospitalet de Llobregat (Barcelona), Spain.; School of Medicine and Health Sciences, Campus of Bellvitge, Universitat de Barcelona, Spain.; Centre of Biomedical Research Network on Respiratory Diseases (CIBERES de Enfermedaes Respiratorias), Insituto de Salud Carlos III, Madrid, Spain., Vivilaki V; Department of Midwifery, University of West Attica, Athens, Greece., Kamekis A; School of Medicine, University of Crete, Heraklion, Crete, Greece., Symvoulakis E; School of Medicine, University of Crete, Heraklion, Crete, Greece., Noori T; Emergency Preparedness and Response Support, European Centre for Disease Prevention and Control, Solna, Sweden., Wuerz A; Emergency Preparedness and Response Support, European Centre for Disease Prevention and Control, Solna, Sweden., Suk JE; Emergency Preparedness and Response Support, European Centre for Disease Prevention and Control, Solna, Sweden., Deogan C; Emergency Preparedness and Response Support, European Centre for Disease Prevention and Control, Solna, Sweden.
Jazyk:	angličtina
Zdroj:	Preventive medicine reports [Prev Med Rep] 2023 Jul 16; Vol. 35, pp. 102319. Date of Electronic Publication: 2023 Jul 16 (Print Publication: 2023).
DOI:	10.1016/j.pmedr.2023.102319
Abstrakt:	Social determinants of health significantly impact population health status. The aim of this systematic review was to examine which social vulnerability factors or determinants of health at the individual or county level affected vaccine uptake within the first phase of the vaccination program. We performed a systematic review of peer-reviewed literature published from January 2020 until September 2021 in Medline and Embase (Bagaria et al., 2022) and complemented the review with an assessment of pre-print literature within the same period. We restricted our criteria to studies performed in the EU/UK/EEA/US that report vaccine uptake in the general population as the primary outcome and included various social determinants of health as explanatory variables. This review provides evidence of significant associations between the early phases of vaccination uptake for SARS-CoV-2 and multiple socioeconomic factors including income, poverty, deprivation, race/ethnicity, education and health insurance. The identified associations should be taken into account to increase vaccine uptake in socially vulnerable groups, and to reduce disparities in uptake, in particular within the context of public health preparedness for future pandemics. While further corroboration is needed to explore the generalizability of these findings across the European setting, these results confirm the need to consider vulnerable groups and social determinants of health in the planning and roll-out of SARS-CoV-2 vaccination programs and within the context of future respiratory pandemics. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2023 Published by Elsevier Inc.)
Databáze:	MEDLINE
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