A systematic review and meta-analysis of the global prevalence and determinants of COVID-19 vaccine acceptance and uptake in people living with HIV

Nature Human Behaviour, Год журнала: 2023, Номер 8(1), С. 100 - 114

Опубликована: Окт. 30, 2023

People living with HIV (PLHIV) are at higher risk of poor outcomes SARS-CoV-2 infection. Here we report the pooled prevalence COVID-19 vaccine acceptance/uptake and determinants among this vulnerable population PLHIV based on a systematic review meta-analysis studies published by 25 August 2023. Among 54 included (N = 167,485 participants), 53 166,455) provided data acceptance rate, while 27 150,926) uptake data. The global prevalences were 67.0% 56.6%, respectively. Acceptance rates 86.6% 90.1% for European Region, 74.9% 71.6% Region Americas, 62.3% 78.9% South-East Asian 64.6% 19.3% Eastern Mediterranean 58.0% 35.5% African 57.4% 44.0% Western Pacific Region. rate increased from 65.9% in 2020 to 71.0% 2022, 55.9% 2021 58.1% 2022. Men, aged ≥40 years those who had recently received influenza more likely accept receive vaccine. Factors associated lower Black race, other races (Latinx/Hispanic/mixed race), low education level being unemployed. Vaccine-related factors belief effectiveness, trust, perceived high susceptibility infection fear potential effect PLHIV. Sustained efforts targeted interventions needed reduce regional disparities

Язык: Английский

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COVID-19 vaccination uptake in people experiencing homelessness during the first three years of the global COVID-19 vaccination effort: A systematic review and meta-analysis

Vaccine, Год журнала: 2025, Номер 53, С. 127050 - 127050

Опубликована: Апрель 1, 2025

Язык: Английский

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Vaccine acceptance, determinants, and attitudes toward vaccine among people experiencing homelessness: a systematic review and meta-analysis

BMC Infectious Diseases, Год журнала: 2023, Номер 23(1)

Опубликована: Дек. 15, 2023

COVID-19 has caused millions of deaths globally, with vulnerable populations such as people experiencing homelessness (PEH) at higher risk. This systematic review and meta-analysis aims to identify the prevalence key factors contributing vaccine acceptance experienced by PEH.The protocol this study was registered in PROSPERO (CRD42023391659). We included studies that reported relevant information about or hesitant/refusal among PEH. Eight databases were systematically searched January 2023. Meta-analysis conducted for acceptance, uptake, associated acceptance. Attitudes toward vaccines combined into bar charts.A total 29 papers 19 meta-analysis. The pooled PEH 66% (95%CI: 58%-73%). Our meta-regression showed significantly increased over time. Moreover, subgroup more likely accept after June 2021 (78%, 95%CI: 65%-86%) compared earlier period (56%, 54%-59%). Subgroup also revealed women participants without underlying medical condition (chronic diseases) less vaccine, men those conditions, respectively.The emphasizes need targeted public health interventions aimed increasing PEH, especially early stage pandemic, females, being Black (in Canada USA), young people. These should address common concerns safety, adverse effects, effectiveness, distrust care systems. In addition offering vaccinations different areas convenient them, education programs could be established increase

Язык: Английский

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Statistical characterization of vaccinated cases and deaths due to COVID-19: methodology and case study in South America

AIMS Mathematics, Год журнала: 2023, Номер 8(10), С. 22693 - 22713

Опубликована: Янв. 1, 2023

<abstract><p>Many studies have been performed in different regions of the world as a result COVID-19 pandemic. In this work, we perform statistical study related to number vaccinated cases and deaths due ten South American countries. Our objective is group countries according aforementioned variables. Once groups are built, they characterized based on common properties same differences between that groups. Countries grouped using principal component analysis K-means analysis. These methods combined single procedure propose for classification Regarding both variables, were classified into three Political decisions, availability resources, bargaining power with suppliers health infrastructure among others some factors can affect vaccination process timely care infected people avoid death. general, acted manner relation their citizens exception two deaths, all reached peaks at point period.</p></abstract>

Язык: Английский

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Impact of COVID-19 on individuals experiencing homelessness: Lessons learned and recommendations for practitioners

Global Health Promotion, Год журнала: 2024, Номер 31(3), С. 133 - 136

Опубликована: Март 8, 2024

The COVID-19 pandemic, which brought about unprecedented changes globally, shed light on the significant disparities faced by persons experiencing homelessness (PEH). These individuals an elevated risk of contracting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) due to factors such as lack safe housing, limited access hygiene and sanitation, communal living situations. unique challenges, vulnerabilities, effects PEH is discussed, well lessons learned from these experiences, recommendations for practitioners, ongoing implications addressing homelessness.

Язык: Английский

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A conceptual framework to model social determinants of COVID-19 vaccination uptake among underserved homeless populations

Vaccine X, Год журнала: 2024, Номер 18, С. 100472 - 100472

Опубликована: Март 14, 2024

Homeless people have a higher risk of COVID-19 infection, linked to several social, economic and environmental determinants, frequent comorbidities, obstacles exercising their constitutional social health rights, poor medical cover, insufficient use the healthcare system. Data on vaccine uptake its main determinants are lacking for this underserved population. To construct test conceptual framework model structural among homeless populations, identify population living in two metropolitan areas France. We implemented multicenter cross-sectional survey from 15/11/2021 22/12/2021 adults city Marseille greater Paris area. Persons sheltered migrant worker hostels or emergency shelters, members COVID HOMELESS cohort study Marseille, Travelers traditional housing were all eligible. A standardized face-to-face questionnaire was administered participants where they lived various languages by trained interviewers. used equation modeling analyze uptake, latter defined as receiving at least one dose. The participation rate 64%, accounting 3811 participants. There three factors associated with uptake: i) opportunity, which included having personal general practitioner (β=0.05, p < 0.05), cover somebody accompany participant appointments (β=-0.04, 0.05); ii) motivation, attitudes towards vaccination (β=0.55, press- poster-based information (β=0.03, history iii) type (β=0.13, 0.05) stability (β=0.04, 0.05). Our results highlight that exclusion is determinant They also underline role opportunity motivation play improving

Язык: Английский

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Assessment of the impact of the vaccine pass policy on COVID-19 vaccine hesitancy and uptake among Chinese adults in Hong Kong

Vaccine, Год журнала: 2024, Номер 42(14), С. 3346 - 3354

Опубликована: Апрель 15, 2024

Recognising the importance of attaining high vaccine coverage to mitigate COVID-19 impact, a Vaccine Pass scheme was implemented during and after first large Omicron wave with mortality in older ages Hong Kong early 2022 requiring three doses by June 2022. We did not identify any studies evaluating policy impact vaccination mandates uptake over whole period time Chinese population. aim evaluate on adults population Kong. analysed patterns hesitancy using local data from registry 32 cross-sectional telephone surveys conducted October 2021 December The association phases examined logistic regression analyses, taking into account covariates including self-risk perception, perceived self-efficacy preventing trust government pandemic control as well physical distancing measures demographics. primary series third positively significantly associated successive stages implementation (adjusted odds ratios ranged 2.41 7.81). Other statistically significant drivers included age group, chronic condition, higher personal susceptibility COVID-19, government, educational attainment. observed have increased greater extent annoucement implementation, under contextual changes Since withdrawal further booster has been very low all ages. suggest that improving voluntary should be prioritized.

Язык: Английский

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Completeness of the COVID-19 Vaccination Schedule among Persons Experiencing Homelessness in Brazil

Опубликована: Апрель 14, 2024

Almost four years after COVID-19 was declared a global health emergency, equitable distribution of the vaccine remains challenge, especially among homeless people, fastest growing population in Brazil. Therefore, we sought to identify factors associated with completion vaccination schedule people Materials and Methods: We carried out cross-sectional study capital cities Brazil&#039;s Federative Units, considering living on streets as target population. used sequential inclusion approach, individual interviews conducted by trained professionals, using validated questionnaire. descriptive statistics analyze data binary logistic regression model individuals who completed schedule. Results: It identified that highest density indicators related is located Northeast, Southeast South regions The primary sample consisted 1,392 participants, predominantly male (n: 961; 69.0%), an average age 38.3±15.2 years, belonging black/brown race/color 1,097; 78.8%), elementary school education 1,060; 76.1%). completing were: receiving government aid (OR: 1.58; 95%CI: 1.09 - 2.30), visits from Health Agents Street Clinic 3.19; 1.95 5.36), history 5.77; 3.17 11.15), support for mandatory against 3.76; 2.48 5.76), trust efficacy vaccines 3.92; 2.63 5.89), seeking information NGOs, street clinics, community leaders 1.91; 1.01 3.88) Federal Government&#039;s statements 1.57; 1.06 2.31).Conclusion: advances knowledge highlighting completeness source proved be one determinants completeness, Unified System played leading role raising awareness notably through its strategy when available. evidence points importance affirmative inclusive actions guarantee access people.

Язык: Английский

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Vaccinations in children of non-European origin: The Vax4globe survey

Vaccine, Год журнала: 2024, Номер 42(26), С. 126466 - 126466

Опубликована: Ноя. 1, 2024

Язык: Английский

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Sociodemographic disparities affect COVID‐19 vaccine uptake in non‐elderly adults with increased risk of severe COVID‐19

Journal of Internal Medicine, Год журнала: 2023, Номер 294(5), С. 640 - 652

Опубликована: Июль 10, 2023

There is limited information about sociodemographic disparities in COVID-19 vaccine uptake among non-elderly adults with an increased risk of severe COVID-19. We investigated the individuals aged 18-64 years (non-elderly group) Stockholm County, Sweden.We used population-based health and registries high coverage to perform a cohort study one four doses up until 21 November 2022. The group was compared non-risk groups ≥65 (elderly).The ≥3 55%, 64% 87% (n = 1,005,182), 308,904) elderly 422,604), respectively. Among conditions, Down syndrome showed strongest positive association receiving three (adjusted ratio [aRR] 1.62, 95% confidence interval [CI] 1.54-1.71), whereas chronic liver disease negative (aRR 0.90, CI 0.88-0.92). Higher associated increasing age, being born Sweden, higher education, income living household where other had been vaccinated. Similar trends were observed for first, second, third fourth doses.These results call measures tackle vaccination programmes during beyond pandemic.

Язык: Английский

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