An intersectional analysis of sociodemographic disparities in Covid-19 vaccination: A nationwide register-based study in Sweden

Spetz, Malin; Lundberg, Lisa; Nwaru, Chioma Adanma; Li, H.; Santosa, Ailiana; Ng, Nawi; Leach, Susannah; Gisslén, Magnus; Hammar, Niklas; Nyberg, Fredrik

doi:10.1016/j.vaccine.2022.09.065

Cited by 20 publications

(22 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 9 A recent study of the general population in Sweden found that younger age, male sex, lower income and being born outside of Sweden were associated with lower uptake of at least one dose of COVID-19 vaccine. 10 , 11 Registry-based studies from the UK also show social inequalities in uptake of at least one vaccine dose, including lower uptake among some ethnic groups and among individuals living in deprived areas. 12 , 13 Self-reported survey data from the US also indicate inequalities in uptake of at least one dose of COVID-19 vaccine.…”

Section: Introductionmentioning

confidence: 99%

Coverage of primary and booster vaccination against COVID-19 by socioeconomic level: A nationwide cross-sectional registry study

Hansen

Labberton

Kour

et al. 2023

Human Vaccines & Immunotherapeutics

View full text Add to dashboard Cite

High and equitable COVID-19 vaccination coverage is important for pandemic control and prevention of health inequity. However, little is known about socioeconomic correlates of booster vaccination coverage. In this cross-sectional study of all Norwegian adults in the national vaccination program ( N = 4,190,655), we use individual-level registry data to examine coverage by levels of household income and education of primary (≥2 doses) and booster (≥3 doses) vaccination against COVID-19. We stratify the analyses by age groups with different booster recommendations and report relative risk ratios (RR) for vaccination by 25 August 2022. In the 18–44 y group, individuals with highest vs. lowest education had 94% vs. 79% primary coverage (adjusted RR (adjRR) 1.15, 95%CI 1.14–1.15) and 67% vs. 38% booster coverage (adjRR 1.55, 95% CI 1.55–1.56), while individuals with highest vs. lowest income had 94% vs. 81% primary coverage (adjRR 1.10, 95%CI 1.10–1.10) and 60% vs. 43% booster coverage (adjRR 1.23, 95%CI 1.22–1.24). In the ≥45 y group, individuals with highest vs. lowest education had 96% vs. 92% primary coverage (adjRR 1.02, 95%CI 1.02–1.02) and 88% vs. 80% booster coverage (adjRR 1.09, 95%CI 1.09–1.09), while individuals with highest vs. lowest income had 98% vs. 82% primary coverage (adjRR 1.16, 95%CI 1.16–1.16) and 92% vs. 64% booster coverage (adjRR 1.33, 95%CI 1.33–1.34). In conclusion, we document large socioeconomic inequalities in COVID-19 vaccination coverage, especially for booster vaccination, even though all vaccination was free-of-charge. The results highlight the need to tailor information and to target underserved groups for booster vaccination.

show abstract

Section: Introductionmentioning

confidence: 99%

Coverage of primary and booster vaccination against COVID-19 by socioeconomic level: A nationwide cross-sectional registry study

Hansen

Labberton

Kour

et al. 2023

Human Vaccines & Immunotherapeutics

View full text Add to dashboard Cite

show abstract

“…Finally, the age groups studied had experienced strict social restrictions throughout the pandemic, which potentially could have made an impact on their decision-making process regarding COVID-19 vaccination. While limited information exists on adolescent’s motivations to get vaccinated, some studies link COVID-19 vaccination willingness with desire to stay healthy, protect others, and minimize spread of COVID-19, to adolescents’ motivation to get vaccinated [30] , [31] . Additionally, vaccination willingness has been linked to getting the vaccine as a means to lift COVID-19 restrictions and end the pandemic [32] .…”

Section: Discussionmentioning

confidence: 99%

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

Hussaini

Labberton

Winje

et al. 2023

Vaccine

View full text Add to dashboard Cite

“…9 A recent study of the general population in Sweden found that younger age, male sex, lower income and being born outside of Sweden were associated with lower uptake of at least one dose of COVID-19 vaccine. 10,11 Registry-based studies from the UK also show social inequalities in uptake of at least one vaccine dose, including lower uptake among some ethnic groups and among individuals living in deprived areas. 12,13 Self-reported survey data from the US also indicate inequalities in uptake of at least one dose of COVID-19 vaccine.…”

Section: Introductionmentioning

confidence: 99%

Coverage of primary and booster vaccination against COVID-19 by socioeconomic level: A nationwide cross-sectional registry study

Hansen

Labberton

Kour

et al. 2023

Preprint

View full text Add to dashboard Cite

High and equitable COVID-19 vaccination coverage is important for pandemic control and prevention of health inequity. However, little is known about socioeconomic correlates of booster vaccination coverage. In this cross-sectional study of all Norwegian adults in the national vaccination program (N = 4,190,655), we use individual-level registry data to examine coverage by levels of household income and education of primary (≥2 doses) and booster (≥3 doses) vaccination against COVID-19. We stratify the analyses by age groups with different booster recommendations and report relative risk ratios (RR) for vaccination by 25 August 2022. In the 18-44 years group, individuals with highest vs. lowest education had 94% vs. 79% primary coverage (adjusted RR (adjRR) 1.15, 95%CI 1.14-1.15) and 67% vs. 38% booster coverage (adjRR 1.55, 95% CI 1.55-1.56), while individuals with highest vs. lowest income had 94% vs. 81% primary coverage (adjRR 1.10, 95%CI 1.10-1.10) and 60% vs. 43% booster coverage (adjRR 1.23, 95%CI 1.22-1.24). In the ≥45 years group, individuals with highest vs. lowest education had 96% vs. 92% primary coverage (adjRR 1.02, 95%CI 1.02-1.02) and 88% vs. 80% booster coverage (adjRR 1.09, 95%CI 1.09-1.09), while individuals with highest vs. lowest income had 98% vs. 82% primary coverage (adjRR 1.16, 95%CI 1.16-1.16) and 92% vs. 64% booster coverage (adjRR 1.33, 95%CI 1.33-1.34). In conclusion, we document large socioeconomic inequalities in COVID-19 vaccination coverage, especially for booster vaccination, even though all vaccination was free-of-charge. The results highlight the need to tailor information and to target underserved groups for booster vaccination.

show abstract

An intersectional analysis of sociodemographic disparities in Covid-19 vaccination: A nationwide register-based study in Sweden

Cited by 20 publications

References 24 publications

Coverage of primary and booster vaccination against COVID-19 by socioeconomic level: A nationwide cross-sectional registry study

Coverage of primary and booster vaccination against COVID-19 by socioeconomic level: A nationwide cross-sectional registry study

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

Coverage of primary and booster vaccination against COVID-19 by socioeconomic level: A nationwide cross-sectional registry study

Contact Info

Product

Resources

About