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Household Composition and Inequalities in COVID-19 Vaccination in Wales, UK
The uptake of COVID-19 vaccination in Wales is high at a population level but many inequalities exist. Household composition may be an important factor in COVID-19 vaccination uptake due to the practical, social, and psychological implications associated with different living arrangements. In this s...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10055803/ https://www.ncbi.nlm.nih.gov/pubmed/36992188 http://dx.doi.org/10.3390/vaccines11030604 |
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author | Lench, Alex Perry, Malorie Johnson, Rhodri D. Fry, Richard Richardson, Gill Lyons, Ronan A. Akbari, Ashley Edwards, Adrian Collins, Brendan Joseph-Williams, Natalie Cooper, Alison Cottrell, Simon |
author_facet | Lench, Alex Perry, Malorie Johnson, Rhodri D. Fry, Richard Richardson, Gill Lyons, Ronan A. Akbari, Ashley Edwards, Adrian Collins, Brendan Joseph-Williams, Natalie Cooper, Alison Cottrell, Simon |
author_sort | Lench, Alex |
collection | PubMed |
description | The uptake of COVID-19 vaccination in Wales is high at a population level but many inequalities exist. Household composition may be an important factor in COVID-19 vaccination uptake due to the practical, social, and psychological implications associated with different living arrangements. In this study, the role of household composition in the uptake of COVID-19 vaccination in Wales was examined with the aim of identifying areas for intervention to address inequalities. Records within the Wales Immunisation System (WIS) COVID-19 vaccination register were linked to the Welsh Demographic Service Dataset (WDSD; a population register for Wales) held within the Secure Anonymised Information Linkage (SAIL) databank. Eight household types were defined based on household size, the presence or absence of children, and the presence of single or multiple generations. Uptake of the second dose of any COVID-19 vaccine was analysed using logistic regression. Gender, age group, health board, rural/urban residential classification, ethnic group, and deprivation quintile were included as covariates for multivariable regression. Compared to two-adult households, all other household types were associated with lower uptake. The most significantly reduced uptake was observed for large, multigenerational, adult group households (aOR 0.45, 95%CI 0.43–0.46). Comparing multivariable regression with and without incorporation of household composition as a variable produced significant differences in odds of vaccination for health board, age group, and ethnic group categories. These results indicate that household composition is an important factor for the uptake of COVID-19 vaccination and consideration of differences in household composition is necessary to mitigate vaccination inequalities. |
format | Online Article Text |
id | pubmed-10055803 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-100558032023-03-30 Household Composition and Inequalities in COVID-19 Vaccination in Wales, UK Lench, Alex Perry, Malorie Johnson, Rhodri D. Fry, Richard Richardson, Gill Lyons, Ronan A. Akbari, Ashley Edwards, Adrian Collins, Brendan Joseph-Williams, Natalie Cooper, Alison Cottrell, Simon Vaccines (Basel) Article The uptake of COVID-19 vaccination in Wales is high at a population level but many inequalities exist. Household composition may be an important factor in COVID-19 vaccination uptake due to the practical, social, and psychological implications associated with different living arrangements. In this study, the role of household composition in the uptake of COVID-19 vaccination in Wales was examined with the aim of identifying areas for intervention to address inequalities. Records within the Wales Immunisation System (WIS) COVID-19 vaccination register were linked to the Welsh Demographic Service Dataset (WDSD; a population register for Wales) held within the Secure Anonymised Information Linkage (SAIL) databank. Eight household types were defined based on household size, the presence or absence of children, and the presence of single or multiple generations. Uptake of the second dose of any COVID-19 vaccine was analysed using logistic regression. Gender, age group, health board, rural/urban residential classification, ethnic group, and deprivation quintile were included as covariates for multivariable regression. Compared to two-adult households, all other household types were associated with lower uptake. The most significantly reduced uptake was observed for large, multigenerational, adult group households (aOR 0.45, 95%CI 0.43–0.46). Comparing multivariable regression with and without incorporation of household composition as a variable produced significant differences in odds of vaccination for health board, age group, and ethnic group categories. These results indicate that household composition is an important factor for the uptake of COVID-19 vaccination and consideration of differences in household composition is necessary to mitigate vaccination inequalities. MDPI 2023-03-07 /pmc/articles/PMC10055803/ /pubmed/36992188 http://dx.doi.org/10.3390/vaccines11030604 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Lench, Alex Perry, Malorie Johnson, Rhodri D. Fry, Richard Richardson, Gill Lyons, Ronan A. Akbari, Ashley Edwards, Adrian Collins, Brendan Joseph-Williams, Natalie Cooper, Alison Cottrell, Simon Household Composition and Inequalities in COVID-19 Vaccination in Wales, UK |
title | Household Composition and Inequalities in COVID-19 Vaccination in Wales, UK |
title_full | Household Composition and Inequalities in COVID-19 Vaccination in Wales, UK |
title_fullStr | Household Composition and Inequalities in COVID-19 Vaccination in Wales, UK |
title_full_unstemmed | Household Composition and Inequalities in COVID-19 Vaccination in Wales, UK |
title_short | Household Composition and Inequalities in COVID-19 Vaccination in Wales, UK |
title_sort | household composition and inequalities in covid-19 vaccination in wales, uk |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10055803/ https://www.ncbi.nlm.nih.gov/pubmed/36992188 http://dx.doi.org/10.3390/vaccines11030604 |
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