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COVID-19 vaccination uptake amongst ethnic minority communities in England: a linked study exploring the drivers of differential vaccination rates.
Gaughan, Charlotte Hannah; Razieh, Cameron; Khunti, Kamlesh; Banerjee, Amitava; Chudasama, Yogini V; Davies, Melanie J; Dolby, Ted; Gillies, Clare L; Lawson, Claire; Mirkes, Evgeny M; Morgan, Jasper; Tingay, Karen; Zaccardi, Francesco; Yates, Thomas; Nafilyan, Vahe.
  • Gaughan CH; Office for National Statistics, Newport NP10 8XG, UK.
  • Razieh C; Diabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester LE5 4PW, UK.
  • Khunti K; National Institute for Health Research (NIHR) Leicester Biomedical Research Centre (BRC), Leicester General Hospital, Leicester LE5 4PW, UK.
  • Banerjee A; Leicester Real World Evidence Unit, Diabetes Research Centre, University of Leicester, Leicester LE5 4PW, UK.
  • Chudasama YV; Diabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester LE5 4PW, UK.
  • Davies MJ; Leicester Real World Evidence Unit, Diabetes Research Centre, University of Leicester, Leicester LE5 4PW, UK.
  • Dolby T; NIHR Applied Research Collaboration - East Midlands (ARC-EM), Leicester General Hospital, Leicester LE5 4PW, UK.
  • Gillies CL; Leicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester General Hospital, Leicester LE5 4PW, UK.
  • Lawson C; Institute of Health Informatics, University College London, London NW1 2DA, UK.
  • Mirkes EM; Department of Cardiology, University College London Hospitals NHS Foundation Trust, London NW1 2PG, UK.
  • Morgan J; Department of Cardiology, Barts Health NHS Trust, London E1 1BB, UK.
  • Tingay K; Diabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester LE5 4PW, UK.
  • Zaccardi F; Leicester Real World Evidence Unit, Diabetes Research Centre, University of Leicester, Leicester LE5 4PW, UK.
  • Yates T; NIHR Applied Research Collaboration - East Midlands (ARC-EM), Leicester General Hospital, Leicester LE5 4PW, UK.
  • Nafilyan V; Leicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester General Hospital, Leicester LE5 4PW, UK.
J Public Health (Oxf) ; 2022 Jan 06.
Article in English | MEDLINE | ID: covidwho-1612641
ABSTRACT

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.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study / Randomized controlled trials Language: English Year: 2022 Document Type: Article Affiliation country: Pubmed

Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study / Randomized controlled trials Language: English Year: 2022 Document Type: Article Affiliation country: Pubmed