Incidence of SARS-CoV-2 Infection and Factors Associated With Complete COVID-19 Vaccine Uptake Among Migrant Origin Persons in Finland.

Objective: We examined incidence of SARS-CoV-2 infection, COVID-19 vaccine uptake and factors associated with complete COVID-19 vaccine uptake among persons of migrant origin in Finland. Methods: Data on laboratory-confirmed SARS-CoV-2 infection and COVID-19 vaccine doses between March 2020 and November 2021 were linked to FinMonik register sample (n = 13,223) and MigCOVID (n = 3,668) survey data using unique personal identifier. Logistic regression was the main method of analyses. Results: Among FinMonik sample, complete COVID-19 vaccine uptake was lower among persons of Russia/former Soviet Union, Estonia, and rest of Africa and higher among persons of Southeast Asia, rest of Asia, and the Middle East/North Africa than among persons originating from Europe/North America/Oceania. Male sex, younger age, migration age (<18 years) and shorter length of residence were associated with lower vaccine uptake among FinMonik sample, whereas younger age, being economically inactive, poorer language skills, experiences of discrimination and psychological distress were associated with lower vaccine uptake among MigCOVID sub-sample. Conclusion: Our Findings point to a further need of tailored and targeted communication and community outreach strategies to increase vaccine uptake among persons of migrant origin.

COVID-19 vaccination rates among adolescents (12-17 years) by immigrant background and sociodemographic factors: A nationwide registry study in Norway.

PURPOSE: Lower COVID-19 vaccination rates have been observed among some adult immigrant populations in Norway, and there appears to be an association with sociodemographic factors. However, knowledge is lacking on the distribution of vaccination rates and role of sociodemographic factors among adolescents. This study aims to describe COVID-19 vaccination rates among adolescents according to immigrant background, household income, and parental education. METHODS: In this nationwide registry study, we analyzed individual-level data on adolescents (12-17 years) from the Norwegian Emergency preparedness register for COVID-19 until September 15th, 2022. We estimated incidence rate ratios (IRR) for receiving at least one COVID-19 vaccine dose by country background, household income and parental education, using Poisson regression, adjusting for age, sex, and county. RESULTS: The sample comprised 384,815 adolescents. Foreign-born and Norwegian-born with foreign-born parents, had lower vaccination rates (57 % and 58 %) compared to adolescents with at least one Norwegian-born parent (84 %). Vaccination rates by country background varied from 88 % (Vietnam) to 31 % (Russia). Variation and associations by country background, household income, and parental education were greater among 12-15-year-olds than 16-17-year-olds. Household income and parental education were positively associated with vaccination. Compared to the lowest income and education category, IRRs for household income ranged from 1.07 (95 % CI 1.06-1.09) to 1.31 (95 % CI 1.29-1.33) among 12-15-year-olds, and 1.06 (95 % CI 1.04-1.07) to 1.17 (95 % CI 1.15-1.18) among 16-17-year-olds. For parental education, from IRR 1.08 (95 % CI 1.06-1.09) to 1.18 (95 % CI 1.17-1.20) among 12-15-year-olds, and 1.05 (95 % CI 1.04-1.07) to 1.09 (95 % CI 1.07-1.10) among 16-17-year-olds. CONCLUSION: COVID-19 vaccination rates varied by immigrant background and age group, with lower rates especially among adolescents with background from Eastern Europe and among younger adolescents. Household income and parental education were positively associated with vaccination rates. Our results may help target measures to increase vaccination rates among adolescents.

Adherence to COVID-19 mitigation measures: The role of sociodemographic and personality factors.

The current COVID-19 pandemic caught the decision makers in many countries sub-optimally prepared to respond. To better cope with similar situations in the future, it is vital to understand the major predictors of health-beneficial behavior and adherence to imposed mitigation measures and guidelines. To tailor the promotion of government-imposed measures, it is important to understand how the sociodemographic background combined with personality traits affect the perception and responsiveness of people. We investigated the perception and adherence to mitigation measures during the pandemic by examining their trends across several sociodemographic categories and personality dimensions. The strongest predictors of confidence in the preventive measures and their implementation were the participants' concern of infection and concern of infecting their loved ones, followed by gender and age. Education, settlement size, field and type of employment, household type, own medical problems, and the age and health of the participants' loved ones had a smaller influence on the perceived guidelines importance and implementation. Adherence to measures was positively related to the participants' score in conscientiousness and, in lesser extent, openness. Agreeableness, energy, and emotional stability correlated positively with adherence to basic guidelines. Study provides information useful for developing and adapting future public health policies and interventions. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s12144-021-02051-5.

Attachment Style, Affective Temperament, and Psychological Distress among Mental Health Nurses during the COVID-19 Pandemic

The nursing staff is more likely to experience drastic stress, which can compromise their physical and mental health and affect the quality of their work. This study aimed to assess the attachment type and affective temperament in connection to the psychological effects of the COVID-19 pandemic on psychiatric hospital nurses. We conducted a cross-sectional online survey utilizing a convenience sample population of 100 nurses who served on the front lines during the COVID-19 outbreak. The key findings showed that most nurses reported moderate attachment anxiety, moderate affective temperament, and mild psychological distress. It is crucial to offer nurses psychological support during COVID-19 through various channels.

COVID-19 Vaccine Hesitancy in Italian Adults with Marfan Syndrome: Insights from a Secondary Analysis of a Cross-Sectional Study.

Although vaccine hesitancy has been reported in many patient groups and countries, there is a lack of data on vaccine hesitancy in patients with Marfan syndrome (MFS). MFS is a rare genetic disorder that can lead to cardiovascular, ocular, and musculoskeletal issues. Because MFS patients may face an increased risk of COVID-19 complications, vaccination is crucial for this population. This brief report aims to describe vaccine hesitancy rates in MFS patients and compare the characteristics of patients who are hesitant and those who are not to gain a better understanding of this specific population. This study analyzes previously published cross-sectional data that examined mental health, sociodemographic, and clinical factors associated with PTSD, depression, anxiety, and insomnia in MFS patients during the third wave of the COVID-19 pandemic in Lombardy, Italy. Of the 112 MFS patients who participated, 26 (23.9%) reported vaccine hesitancy. Vaccine hesitancy may be associated mainly with younger age and not be related to other patient characteristics. Therefore, this report found no differences in individual-level variables, such as sex, education, comorbidities, and mental health symptoms, between those who were hesitant and those who were not. The study findings are insightful and suggest that interventions to address vaccine hesitancy in this population may need to focus on attitudes and beliefs related to vaccination rather than targeting specific sociodemographic or clinical factors.

A large-scale machine learning study of sociodemographic factors contributing to COVID-19 severity.

Understanding sociodemographic factors behind COVID-19 severity relates to significant methodological difficulties, such as differences in testing policies and epidemics phase, as well as a large number of predictors that can potentially contribute to severity. To account for these difficulties, we assemble 115 predictors for more than 3,000 US counties and employ a well-defined COVID-19 severity measure derived from epidemiological dynamics modeling. We then use a number of advanced feature selection techniques from machine learning to determine which of these predictors significantly impact the disease severity. We obtain a surprisingly simple result, where only two variables are clearly and robustly selected-population density and proportion of African Americans. Possible causes behind this result are discussed. We argue that the approach may be useful whenever significant determinants of disease progression over diverse geographic regions should be selected from a large number of potentially important factors.

The willingness of the middle and south of Iraq's population to accept different types of covid19 vaccines

Population around the world had huge concern toward COVID19 disease that affect directly or indirectly on all populations' lives. It caused by novel virus called sever acute respiratory syndrome coronavirus-2 (SARS-CoV-2), therefore;The Iraqi Ministry of Health (MOH) and numerous scientific agencies had advised to promote population for receiving Covid 19 vaccines as Largest astride of an attempt to reduce the serious challenges burden of Covidi 9 in global. Aims of Study are: 1-To evaluate prevalence of the willingness to accept different types of COVID19 vaccines in middle and south of Iraq. 2-Compare the vaccinated and unvaccinated of the southern Iraqi population and detection some factor behind acceptance of COVID19 vaccines. Method: Based Cross-Sectional Observational Study utilized validated questionnaire.it conducted from 5 February to 5 April 2022 and distribute in two ways,online and manually, depending on the different living locations of the participants. Results: The total number of participants' responses was 767. It is obtained from the distribution of surveys in different ways. 104 of participants were excluded due to not giving complete answers to the survey questionnaire. On the other hand, 42 of the participants were excluded due to not living in the middle and south of Iraq. 621 participants from the total participant response were enrolled in the study analysis. Half of participants were 50.08% female and other half were 49.92% male with 52.33% of the participants were married. About two-third of the participants accepted to receive covid19 vaccines (75.68%), while 24.31 % of the participants were unvaccinated(14.65% of them hesitant and 9.66% rejecters). Most of participants were from Basra city (79.87%) and more than half of them were vaccinated and other were unvaccinated (71.98% versus 28.02%) (P value=0.000). Two-third of the participants had graduated degree bachelor and more (75.8%) and the percent of vaccinated group of them were significantly higher than unvaccinated (80.9% versus 19.1%) (P value = 0.000). Less than half of the participants were the healthcare providers (35.91%) and the percent of vaccinated group of them were significantly higher than unvaccinated (82.96% versus 17.04%) (P value=0.002). A small percent of the participants had a chronic disease (15.46%) and 79.17% of them accepted to receive covid19 vaccines which was higher than unvaccinated (20.83%, where 9.3% hesitant and 11.45% rejecters). More than half of participants had sign and symptoms of Covid19 infection (61.84%) and 78.39% of them were vaccinated which was significantly higher than unvaccinated (21.61%) (P value=0.046) and only 41.22% of them were diagnosed by doctor. More than half of the participants had one of the family members and/or friends died from corona virus (66.51%) and 79.18% of them were vaccinated which was significantly higher than unvaccinated (20.82%) (P value=0.004). Conclusion From above results, the percent of covid 19 vaccines acceptance was higher than hesitancy and rejection. The higher rate of covid 19 vaccines acceptance could be related to many factors that might affect on the success of vaccinated programs, including: level of education, place of living, had sign and symptoms of Covid19 infection have family members and/or friends died from covid19 and are members of the health care providers. Knownledgment The study was supported by clinical trial

Covid-19 and the impact on quality of life

Introduction: Covid-19 is a new respiratory disease that is the cause of an acute infection characterized by a progressive epidemiological picture. On the other hand, it will depend on the stage of the disease in which the patient is and the presence of physiological sequelae or acquired comorbidities, being these factors responsible for altering the quality of life and its relationship in the health field, affecting not only the physiological level but also other alterations such as the physical and mental state and the subjective impression of the state of the disease in the patient. Objective: To determine the quality of life of post Covid-19 patients. Materials and methods: A descriptive, cross-sectional study was carried out with a sample of 24 patients who signed the informed consent prior to the application of the evaluation. A section with sociodemographic variables was included and the Saint George questionnaire was applied for quality of life. Finally, the data analysis was compiled in Excel and SPSS software. Results: It was found that 83.3% of the post-covid-19 patients had a "good" quality of life health;the most impaired dimension was "Impact," with a mean of 24.3 ± 9.90, standing out from the other categories. Similarly, it was shown that 21% of the population was diagnosed with diseases after acquiring the virus, but they fall within a range of "good" quality of life without limitations in the dimensions of the questionnaire. Conclusion: Quality of life can become an important factor in the study of health. However, the percentage of the study population does not fall within a poor quality of life. However, it is essential to mention the correlation between Covid-19 and the sociodemographic variables associated with a negative effect on the quality of life according to the Saint George questionnaire evaluation and the degree of the disease in the patient. Introducción: El covid-19 es una nueva enfermedad respiratoria que es causante de una infección aguda caracterizada por un cuadro epidemiológico progresivo. Por otra parte, dependerá del estadio de la enfermedad en la que se encuentra el paciente y la presencia de secuelas fisiológicas o comorbilidades adquiridas, siendo estos factores los responsables de alterar la calidad de vida y su relación en el ámbito salud afectando no solo a nivel fisiológico si no que esta estará ligada a otras alteraciones como el estado físico, mental y la impresión subjetiva del estado de la enfermedad en el paciente. Objetivo: Determinar la calidad de vida de los pacientes post Covid-19. Materiales y métodos: Se realizó un estudio descriptivo, transversal, con una muestra de 24 pacientes los cuales firmaron el consentimiento informado previo a la aplicación de la evaluación. En ella se adjuntó una sección con variables sociodemográficos y para la calidad de vida se aplicó el cuestionario Saint George. Al finalizar, el análisis de datos se recopilo en la base de datos de Excel y software SPSS. Resultados Se encontró que los pacientes post covid-19 presenta una calidad de vida en relación a la salud "buena" en un-83,3%, la dimensión más perjudicada fue el "Impacto" con una media de 24,3 ± 9,90 sobresaliendo de las otras categorías. De igual forma, se demostró que dentro de la población el 21% se diagnostico con enfermedades posterior de haber adquirido el virus, pero se adentran dentro de un rango de "buena" calidad de vida sin limitaciones en las dimensiones del cuestionario. Conclusión: La calidad de vida puede llegar a ser un factor importante de estudio en la salud, sin embargo, el porcentaje de la población de estudio no se enmarca dentro de una calidad de vida mala. Sin embargo, es imprescindible mencionar la correlación del Covid-19 y las variables sociodemográficas asociadas a un efecto negativo en la calidad vida según la evaluación del cuestionario Saint George y el grado de la enfermedad en el paciente.

Experience of psychosis during the COVID-19 pandemic among hospitalized patients

The content of auditory hallucinations (AHs) and delusions is malleable and reflects the social environment and the local culture. COVID-19 is a significant new feature of the social environment, yet research has not yet determined how the phenomenology of psychosis has changed since the COVID-19 outbreak. Adult patients (N = 17) receiving care within an acute inpatient psychiatric care setting in Boston were recruited to participate in an hour-long Zoom interview about their psychosis phenomenology and the potential impact of COVID-19. Thematic analysis of interview data found that for many, ideas about COVID-19 were present in the content of their AHs and shaped their paranoid ideation. Some felt that the frequency and loudness of the AHs had increased. However, not all participants spoke in ways that suggested the virus had affected their experience. Results demonstrate that COVID-19 influenced the content of psychosis for many, but the effect of COVID-19 on psychosis was not uniform. The increased social isolation, financial insecurity, and socio-political climate of the period also seemed to negatively impact individuals with psychosis. Understanding how COVID-19 specifically has influenced psychosis helps to illustrate how societal and external factors may shape this experience.

Anxiety and Stress Experiences of Individuals with Chronic Diseases in the COVID-19 Pandemic: Qualitative Research

Background: Coronavirus disease 2019, caused by the severe acute respiratory syndrome coronavirus 2, is a global pandemic resulting in the deaths of more than 3 million people across the world. It has been reported to be more fatal in individuals with chronic diseases than in healthy adults without a diagnosis of hypertension, diabetes, cardiovascular disorders, or respiratory system diseases. Aim: To determine the experiences and attitudes of individuals with comorbidities in relation to the coronavirus disease 2019 pandemic. Methods: This quali tativ e-phe nomen ologi cal study was conducted with individuals with chronic diseases among the family members of students attending the Healthcare Services Department of Eldivan Vocational School of Health. The sample of the study consisted of 17 individuals with chronic diseases. Data were collected through online interviews conducted between June and July 2020. The obtained data were analyzed using content analysis, and themes were created. Results: The mean age of the participants was 67.17 years;47% were men, and 53% were women. From the data obtained through the interviews, 2 main themes emerged in relation to the pandemic experiences of the participants: negative emotions and positive responses. The theme of negative emotions related to the pandemic was further divided into the following sub-themes: fear of death, fear of being in social environments, lack of information about the pandemic, and external pressures. The theme of positive responses had 2 subthemes: trust in government and spirituality, and individual measures. Conclusion: Individuals with chronic diseases have experienced many positive and negative emotions during the pandemic period. It is recommended to establish emergency information and advice lines for these individuals, provide them with training on health communication and health literacy, and raise their awareness of similar pandemics through practices such as public service announcements.

Parental Decisions on Return to Youth Sport During a Global Pandemic: Examining Parental Decisions by Race, Gender, and Socio-Economic Status

The onset of COVID-19 altered the way parents make decisions on safe activities for their children. Given the impact of this global pandemic, it is important to consider what decisions parents make when faced with the obstacle of keeping a child safe while letting them pursue extracurricular activities, such as sports. To this end, we examine decision-making of parents regarding whether or not they are comfortable allowing their children to participate in sport activities. For this purpose, we conducted two waves of surveys with youth sport parents in spring 2020 and fall 2020. The findings suggest that Black parents and female parents were more comfortable allowing their children to participate and that, in general, parents became more comfortable with local youth sport participation as the pandemic continued.

Impact of Social and Personal Factors on Psychological Distress in the Spanish Population in the COVID-19 Crisis

The coronavirus disease (COVID-19) crisis has had an unprecedented impact on Spanish society regarding health and social issues. The purpose of this study is to analyse the potential relationship that may exist between social and personal factors and the levels of psychological distress experienced by the Spanish population during lockdown. A quantitative cross-sectional study was conducted using an ad hoc online questionnaire consisting of forty-three questions. The survey was administered to a sample of 3,436 people that were living in Spain during the second extension of the State of Alarm. A linear mixed model with random intersection has been used. Our findings demonstrate the intersectional vulnerability of young women and the impact different factors such as a COVID-19 diagnosis, experiencing symptoms compatible with COVID, an existing disability, a previous illness or solitary confinement may have on psychological distress levels. Conversely, higher resilience levels have shown a correlation with lower psychological distress levels.

The COVID-19 Pandemic in Hong Kong: Exploring the Gaps in COVID-19 Prevention Practices from a Social Justice Framework

Like many settings worldwide, Hong Kong has recently been combatting the COVID-19 pandemic. Ethnic minorities have reported perceived discrimination via local media outlets. They have been stereotyped as virus spreaders due to the increasing number of confirmed cases and untraceable COVID-19 clusters in Hong Kong. Using a social justice framework, this qualitative study explores gaps in COVID-19 prevention practices to eliminate systemic barriers for ethnic minorities in Hong Kong. Fifteen interviews were conducted with social service providers who worked closely with ethnic minority groups (South and Southeast Asian groups from low-income households, foreign domestic workers and asylum seekers and refugees) during the fourth wave of the COVID-19 pandemic in Hong Kong. This study yielded six themes using thematic analysis as follows: (i) lacking mental health support for diverse ethnic minority groups;(ii) lacking efforts to eliminate perceived discrimination;(iii) existing language barriers across diverse services;(iv) lacking channels to disseminate accurate information;(v) a need for advanced technology and (vi) lacking appropriate surgical mask sizes for some ethnic minority individuals. This study recommends culturally responsive practices in Hong Kong.

Rural-Urban Differences in Workers' Access to Paid Sick Leave

Paid sick leave (PSL) is associated with health care access and health outcomes. The COVID-19 pandemic highlighted the importance of PSL as a public health strategy, yet PSL is not guaranteed in the United States. Rural workers may have more limited PSL, but research on rural PSL has been limited. We estimated unadjusted and adjusted PSL prevalence among rural versus urban workers and identified characteristics of rural workers with lower PSL access using the 2014–2017 Medical Expenditure Panel Survey. We found rural workers had lower access to PSL than urban workers, even after adjusting for worker and employment characteristics. Paid sick leave access was lowest among rural workers who were Hispanic, lacked employer-sponsored insurance, and reported poorer health status. Lower rural access to PSL poses a threat to the health and health care access of rural workers and has implications for the COVID-19 public health emergency and beyond.

Job Stress during the COVID-19 Pandemic amongst Social Workers: A Comparison between Chinese Mainland and Macao

The COVID-19 pandemic may have resulted in front line social workers experiencing job stress, burnout and other psychological distress. Little is known about the work-related stress experienced by Chinese social workers during the pandemic. This study focused on the job stress of social workers from Mainland and Macao. The research aims of this study included: (1) testing whether there is a difference in job stress between social workers from Mainland and Macao during the pandemic and (2) identifying mediating factors that helped explain such regional differences. An online survey collected data from 292 social workers in Mainland China and 108 from Macao in 2020. Mainland participants reported significantly higher job stress than Macao participants. Regional differences in job stress amongst Mainland and Macao social workers were partially attributed to their age and professional role identity. More attention needs to be paid to social workers in Mainland China as they experience higher job stress than their counterparts from Macao. Future research is needed to examine other factors (e.g. job demand and financial compensation) that may contribute to such regional differences.

Sociodemographic Factors of Depression During the COVID-19 Pandemic in Malaysia: the COVID-19 Mental Health International Study

Objectives: To determine the prevalence of depression and the sociodemographic factors associated with depression in Malaysia during the COVID-19 pandemic. Methods: This study is part of the COVID-19 Mental Health International Study to collect data on the impact of the pandemic on mental health through an online survey. People who were aged ≥18 years, able to read Malay or English, had access to the internet, and consented to participate were asked to complete a pro forma questionnaire to collect their sociodemographic data. The presence of distress and depression was assessed using the English or Malay version of the Center for Epidemiologic Studies Depression Scale. Results: Of 963 participants, 451 (46.8%) had depression and 512 (53.2%) had no depression who were either normal (n = 169, 17.5%) or had distress (n = 343, 35.6%). Participants had higher odds of having depression when living with two people (adjusted odds ratio [AOR] = 3.896, p = 0.001), three people (AOR = 2.622, p < 0.001) or four people (AOR = 3.135, p < 0.001). Participants with three children had higher odds of having depression (AOR = 2.084, p = 0.008), whereas having only one child was a protective factor for depression (AOR = 0.481, p = 0.01). Participants had higher odds of having depression when self-employed (AOR = 3.825, p = 0.003), retired (AOR = 4.526, p = 0.001), being housekeeper (AOR = 7.478, p = 0.004), not working by choice (AOR = 5.511, p < 0.001), or unemployed (AOR = 3.883, p = 0.009). Participants had higher odds of depression when living in a small town (AOR = 3.193, p < 0.001) or rural area (AOR = 3.467, p < 0.001). Participants with no chronic medical illness had lower odds of having depression (AOR = 0.589, p = 0.008). Conclusion: In Malaysia during the COVID-19 pandemic, people who are living with two, three, or four people, having three children, living in a small town or rural areas, and having unstable income have higher odds of having depression. Urgent intervention for those at risk of depression is recommended. Key words: COVID-19;Depression;Malaysia;Sociodemographic factors

School counselors' perceived school climate, leadership practice, psychological empowerment, and multicultural competence before and during COVID‐19

Following a population‐based randomized design, we investigated changes of school counselors' psychological empowerment, multicultural competence, and leadership practice, as well as their perception of school climate from before to during COVID‐19. Specifically, school counselors were randomized into two conditions: (a) the pre‐COVID‐19 condition (n = 506) and (b) the current‐COVID‐19 condition (n = 542). Participants in the pre‐COVID condition responded to survey items following a retrospective manner based on their experiences between September 2019 and March 2020. We found that participants in the current COVID‐19 condition scored significantly higher in psychological empowerment and perceived school climate and lower in multicultural competence and leadership practices compared to the participants in the pre‐COVID‐19 condition. Regardless of directionality of changes, results supported the significant impacts that the pandemic had on school counselors' roles related to addressing systemic issues. We discussed implications of the results to school counseling practice and school counselor training.

Sociodemographic differences in Covid-19 vaccine uptake in Denmark: a nationwide register-based cohort study.

BACKGROUND: Covid-19 vaccination is the main strategy to reduce SARS-CoV-2 transmission, mortality and morbidity. This study aimed to examine sociodemographic differences in Covid-19 vaccine uptake among all individuals invited for Covid-19 vaccination in Denmark. METHODS: This study was designed as a nationwide register-based cohort study. The study population included all Danish residents aged 12 years or above in Denmark between December 27, 2020 and October 20, 2021. Individuals who died during the study period before receiving an invitation for Covid-19 vaccination were excluded. Associations between sociodemographic factors and Covid-19 vaccination uptake were analyzed using logistic regression models adjusting for age, sex, immigration status, educational level, disposable income and history of SARS-CoV-2 infection. RESULTS: The study population included 5,164,558 individuals. The overall vaccination coverage was 87.1% by October 20, 2021. In the full adjusted logistic regression models, the highest ORs for non-vaccination were observed among individuals aged 12-24 years (OR: 8.99 (95% CI: 8.76-9.23)), descendants of non-western immigrants (OR: 5.26 (95% CI: 5.18-5.33)), individuals who never had a PCR-test performed (OR: 2.93 (95% CI: 2.90-2.96)), individuals with primary school as highest completed educational level (OR: 2.87 (95% CI: 2.83-2.91)) and individuals with disposable income < 33,605 EUR (OR: 3.72 (95% CI: 3.52-3.93)). CONCLUSION: Overall, the Covid-19 vaccine uptake was high in Denmark. However, large sociodemographic differences in the vaccine uptake exist. The youngest age groups had the lowest vaccination coverage. Furthermore, the impact of the sociodemographic factors was more pronounced in the youngest age groups. The identified determinants may be used to design policies to help maximize the vaccination coverage.

Evaluation of the Approach towards Vaccination against COVID-19 among the Polish Population-In Relation to Sociodemographic Factors and Physical and Mental Health.

Due to the rapid development of COVID-19 vaccines, the world has faced a huge challenge with their general acceptance, including Poland. For this reason, we attempted to determine the sociodemographic factors influencing the decision of positive or negative attitudes toward COVID-19 vaccination. The analysis included 200,000 Polish participants-80,831 women (40.4%) and 119,169 men (59.6%). The results revealed that the most common reasons for vaccine refusal and hesitancy were the fear of post-vaccination complications and their safety (11,913/31,338, 38.0%; 9966/31,338, 31.8%). Negative attitudes were observed more often among male respondents with primary or secondary education (OR = 2.01, CI95% [1.86-2.17] and OR = 1.52, CI95% [1.41-1.63], respectively). On the other hand, older age ≥ 65 (OR = 3.69; 95%CI [3.44-3.96]), higher education level (OR = 2.14; 95%CI [2.07-2.22]), living in big cities with a range of 200,000-499,999 inhabitants and more than 500,000 inhabitants (OR = 1.57, CI95% [1.50-1.64] and OR = 1.90, CI95% [1.83-1.98], respectively), good physical conditions (OR = 2.05; CI95% [1.82-2.31]), and at last normal mental health conditions (OR = 1.67, CI95% [1.51-1.85]) were significantly associated with COVID-19 vaccine acceptance. Our study indicates which population group should be further supplied with data and information by health education, the government, and healthcare professionals to alleviate the negative attitude toward COVID-19 vaccines.

COVID-19 vaccination uptake amongst ethnic minority communities in England: a linked study exploring the drivers of differential vaccination rates.

BACKGROUND: Despite generally high coronavirus disease 2019 (COVID-19) vaccination rates in the UK, vaccination hesitancy and lower take-up rates have been reported in certain ethnic minority communities. METHODS: We used vaccination data from the National Immunisation Management System (NIMS) linked to the 2011 Census and individual health records for subjects aged ≥40 years (n = 24 094 186). We estimated age-standardized vaccination rates, stratified by ethnic group and key sociodemographic characteristics, such as religious affiliation, deprivation, educational attainment, geography, living conditions, country of birth, language skills and health status. To understand the association of ethnicity with lower vaccination rates, we conducted a logistic regression model adjusting for differences in geographic, sociodemographic and health characteristics. ResultsAll ethnic groups had lower age-standardized rates of vaccination compared with the white British population, whose vaccination rate of at least one dose was 94% (95% CI: 94%-94%). Black communities had the lowest rates, with 75% (74-75%) of black African and 66% (66-67%) of black Caribbean individuals having received at least one dose. The drivers of these lower rates were partly explained by accounting for sociodemographic differences. However, modelled estimates showed significant differences remained for all minority ethnic groups, compared with white British individuals. CONCLUSIONS: Lower COVID-19 vaccination rates are consistently observed amongst all ethnic minorities.