Academic Journal
COVID-19 and missed or delayed vaccination in 26 middle- and high-income countries: An observational survey
| العنوان: | COVID-19 and missed or delayed vaccination in 26 middle- and high-income countries: An observational survey |
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| المؤلفون: | Shapiro G.K, Gottfredson N, Leask J, Wiley K, Ganter-Restrepo F.E, Jones S.P, Menning L, Brewer N.T |
| المصدر: | Vaccine, 40(6) |
| بيانات النشر: | Elsevier Ltd |
| سنة النشر: | 2022 |
| المجموعة: | Carolina Digital Repository (UNC - University of North Carolina) |
| مصطلحات موضوعية: | Immunization, Under-vaccination, COVID-19, Cross-country analysis |
| الوصف: | Background: The COVID-19 pandemic has disrupted vaccination services and raised the risk of a global resurgence of preventable diseases. We assessed the extent of and reasons for missed or delayed vaccinations (hereafter ‘missed’) in middle- and high-income countries in the early months of the pandemic. Methods: From May to June 2020, participants completed an online survey on missed vaccination. Analyses separated missed childhood and adult vaccination in middle-and high-income countries. Results: Respondents were 28,429 adults from 26 middle- and high-income countries. Overall, 9% of households had missed a vaccine, and 13% were unsure. More households in middle- than high-income countries reported missed childhood vaccination (7.6% vs. 3.0%) and missed adult vaccination (9.6% vs. 3.4%, both p < .05). Correlates of missed childhood vaccination in middle-income countries included COVID-19 risk factors (respiratory and cardiovascular diseases), younger age, male sex, employment, psychological distress, larger household size, and more children. In high-income countries, correlates of missed childhood vaccination also included immunosuppressive conditions, but did not include sex or household size. Fewer correlates were associated with missed adult vaccination other than COVID-19 risk factors and psychological distress. Common reasons for missed vaccinations were worry about getting COVID-19 at the vaccination clinic (15%) or when leaving the house (11%). Other reasons included no healthcare provider recommendation, clinic closure, and wanting to save services for others. Interpretation: Missed vaccination was common and more prevalent in middle- than high-income countries. Missed vaccination could be mitigated by emphasizing COVID-19 safety measures in vaccination clinics, ensuring free and accessible immunization, and clear healthcare provider recommendations. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | https://doi.org/10.17615/fc12-km49; https://cdr.lib.unc.edu/downloads/n009wd04z?file=thumbnail; https://cdr.lib.unc.edu/downloads/n009wd04z |
| DOI: | 10.17615/fc12-km49 |
| الاتاحة: | https://doi.org/10.17615/fc12-km49 https://cdr.lib.unc.edu/downloads/n009wd04z?file=thumbnail https://cdr.lib.unc.edu/downloads/n009wd04z |
| رقم الانضمام: | edsbas.F4AD65B |
| قاعدة البيانات: | BASE |
| DOI: | 10.17615/fc12-km49 |
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