دورية أكاديمية
أعرض في EDS

Uncovering inequities in Covid-19 vaccine coverage for adults and elderly in Brazil: A multilevel study of 2021-2022 data.

التفاصيل البيبلوغرافية
العنوان: Uncovering inequities in Covid-19 vaccine coverage for adults and elderly in Brazil: A multilevel study of 2021-2022 data.
المؤلفون: Boing AF; Federal University of Santa Catarina, Eng. Agronômico Andrei Cristian Ferreira Street, Florianópolis, SC 88040-900, Brazil., Boing AC; Federal University of Santa Catarina, Eng. Agronômico Andrei Cristian Ferreira Street, Florianópolis, SC 88040-900, Brazil., Barberia L; University of Sao Paulo, 1280 Prof. Almeida Prado Avenue, São Paulo, SP 05508-070, Brazil., Borges ME; Federal University of Goiás, Bom Pastor Avenue, Goiás, GO 76600-000, Brazil., Subramanian SV; Harvard T. H. Chan School of Public Health, Department of Society, Human Development and Health, 677 Huntington Ave, Boston, MA 02115, USA.
المصدر: Vaccine [Vaccine] 2023 Jun 13; Vol. 41 (26), pp. 3937-3945. Date of Electronic Publication: 2023 May 17.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Elsevier Science Country of Publication: Netherlands NLM ID: 8406899 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-2518 (Electronic) Linking ISSN: 0264410X NLM ISO Abbreviation: Vaccine Subsets: MEDLINE
أسماء مطبوعة: Publication: Amsterdam, The Netherlands : Elsevier Science
Original Publication: [Guildford, Surrey, UK] : Butterworths, [c1983-
مواضيع طبية MeSH: COVID-19* , Vaccines*, Male ; Aged ; Humans ; Adult ; Female ; Brazil/epidemiology ; COVID-19 Vaccines ; Vaccination
مستخلص: Vaccination is crucial for reducing severe COVID-19 cases, hospitalizations, and deaths. However, vaccine access disparities within countries, particularly in low- and middle-income nations, may leave disadvantaged regions and populations behind. This study aimed to investigate potential inequalities in vaccine coverage among Brazilian aged 18 years and older based on demographic, geographic, and socioeconomic characteristics at the municipal level. A total of 389 million vaccination records from the National Immunization Program Information System were analyzed to calculate vaccine coverage rates for the first, second, and booster doses among adults (18-59 years) and elderly (60 + years) vaccinated between January 2021 and December 2022. We analyzed the data by gender and used a three-level (municipalities, states, regions) multilevel regression analysis to assess the association between vaccine coverage and municipal characteristics. Vaccination coverage was higher among the elderly than among adults, particularly for the second and booster doses. Adult women showed higher coverage rates than men (ranging from 118 % to 25 % higher along the analyzed period). Significant inequalities were observed when analyzing the evolution of vaccination coverage by sociodemographic characteristics of municipalities. In the early stages of the vaccination campaign, municipalities with higher per capita Gross Domestic Product (pGDP), educational level, and fewer Black residents reached higher population coverages earlier. In December 2022, adult and elderly booster vaccine coverage was 43 % and 19 %, respectively, higher in municipalities in the highest quintile of educational level. Higher vaccine uptake was also observed in municipalities with fewer Black residents and higher pGDP. Municipalities accounted for most of the variance in vaccine coverage (59.7 %-90.4 % depending on the dose and age group). This study emphasizes the inadequate booster coverage and the presence of socioeconomic and demographic disparities in COVID-19 vaccination rates. These issues must be addressed through equitable interventions to avoid potential disparities in morbidity and mortality.
Competing Interests: Declaration of Competing Interest 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.
(Copyright © 2023 Elsevier Ltd. All rights reserved.)
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فهرسة مساهمة: Keywords: Covid-19; Inequalities; Socioeconomic factors; Vaccination coverage
المشرفين على المادة: 0 (COVID-19 Vaccines)
0 (Vaccines)
تواريخ الأحداث: Date Created: 20230523 Date Completed: 20230614 Latest Revision: 20230621
رمز التحديث: 20230621
مُعرف محوري في PubMed: PMC10188915
DOI: 10.1016/j.vaccine.2023.05.030
PMID: 37221119
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-2518
DOI:10.1016/j.vaccine.2023.05.030