The impact of targeted local outreach clinics to improve COVID-19 vaccine uptake: controlled interrupted time series in South West England

Autor: Tim Jones, Huzaifa Adamali, Maria Theresa Redaniel, Frank de Vocht, Kate Tilling, Charlie Kenward, Yoav Ben-Shlomo, Sam Creavin
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Archives of Public Health, Vol 82, Iss 1, Pp 1-13 (2024)
Druh dokumentu: article
ISSN: 2049-3258
DOI: 10.1186/s13690-024-01341-1
Popis: Abstract Background Outreach clinics were part of efforts to maximise uptake in COVID-19 vaccination. Methods We used controlled interrupted time series, matching on age, sex, deprivation and vaccination eligibility date, to determine the effect of outreach clinics on time to first COVID-19 vaccine, using a population-based electronic health record database of 914,478 people, from December 2020 to December 2021; people living within 1 mile of each outreach clinics were exposed. Results 50% of 288,473 exposed citizens were white British, and 71% were aged 0–49 years. There was no evidence for an overall statistically significant increase in cumulative percentage vaccinated due to the outreach clinic at 6 weeks, with an overall pooled effect estimate of -0.07% (95% CI: -1.15%, 1.02%). The pooled estimate for increased cumulative vaccine uptake varied slightly depending on how the analysis was stratified; by ethnic group it was − 0.12% (95% CI: -0.90%, 0.66%); by age group it was − 0.06% (95% CI: -0.41%, 0.28%); and by deprivation it was 0.03% (95% CI: -0.74%, 0.79%). Conclusions Living within a mile of an outreach clinic was not associated with higher vaccine uptake. Evaluation of future outreach clinics should consider the relative importance of travel amongst other barriers to accessing vaccines.
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