Nafilyan, V;
Dolby, T;
Razieh, C;
Gaughan, C;
Morgan, J;
Ayoubkhani, D;
Walker, A;
... Yates, T; + view all
(2021)
Sociodemographic inequality in COVID-19 vaccination coverage amongst elderly adults in England: a national linked data study.
BMJ Open
, 11
, Article e053402. 10.1136/bmjopen-2021-053402.
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Abstract
Objective To examine inequalities in COVID-19 vaccination rates among elderly adults in England. Design Cohort study. Setting People living in private households and communal establishments in England. Participants 6 655 672 adults aged ≥70 years (mean 78.8 years, 55.2% women) who were alive on 15 March 2021. Main outcome measures Having received the first dose of a vaccine against COVID-19 by 15 March 2021. We calculated vaccination rates and estimated unadjusted and adjusted ORs using logistic regression models. Results By 15 March 2021, 93.2% of people living in England aged 70 years and over had received at least one dose of a COVID-19 vaccine. While vaccination rates differed across all factors considered apart from sex, the greatest disparities were seen between ethnic and religious groups. The lowest rates were in people of black African and black Caribbean ethnic backgrounds, where only 67.2% and 73.8% had received a vaccine, with adjusted odds of not being vaccinated at 5.01 (95% CI 4.86 to 5.16) and 4.85 (4.75 to 4.96) times greater than the white British group. The proportion of individuals selfidentifying as Muslim and Buddhist who had received a vaccine was 79.1% and 84.1%, respectively. Older age, greater area deprivation, less advantaged socioeconomic position (proxied by living in a rented home), being disabled and living either alone or in a multigenerational household were also associated with higher odds of not having received the vaccine. Conclusion Research is now urgently needed to understand why disparities exist in these groups and how they can best be addressed through public health policy and community engagement.
| Type: | Article |
|---|---|
| Title: | Sociodemographic inequality in COVID-19 vaccination coverage amongst elderly adults in England: a national linked data study |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1136/bmjopen-2021-053402 |
| Publisher version: | http://dx.doi.org/10.1136/bmjopen-2021-053402 |
| Language: | English |
| Additional information: | © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Inst of Clinical Trials and Methodology UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Inst of Clinical Trials and Methodology > MRC Clinical Trials Unit at UCL |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10131414 |
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