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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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.
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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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