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Determinants of COVID-19 Vaccine Uptake in The Netherlands: A Nationwide Registry-Based Study

By September 2022, the uptake of at least one dose of COVID-19 vaccine in the Dutch adult population was 84%. Ecological studies have indicated a lower uptake in certain population groups. We aimed to investigate determinants of COVID-19 vaccine uptake in the Netherlands at individual level to evalu...

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Autores principales: Pijpers, Joyce, van Roon, Annika, van Roekel, Caren, Labuschagne, Lisanne, Smagge, Bente, Ferreira, José A., de Melker, Hester, Hahné, Susan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10537724/
https://www.ncbi.nlm.nih.gov/pubmed/37766087
http://dx.doi.org/10.3390/vaccines11091409
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author Pijpers, Joyce
van Roon, Annika
van Roekel, Caren
Labuschagne, Lisanne
Smagge, Bente
Ferreira, José A.
de Melker, Hester
Hahné, Susan
author_facet Pijpers, Joyce
van Roon, Annika
van Roekel, Caren
Labuschagne, Lisanne
Smagge, Bente
Ferreira, José A.
de Melker, Hester
Hahné, Susan
author_sort Pijpers, Joyce
collection PubMed
description By September 2022, the uptake of at least one dose of COVID-19 vaccine in the Dutch adult population was 84%. Ecological studies have indicated a lower uptake in certain population groups. We aimed to investigate determinants of COVID-19 vaccine uptake in the Netherlands at individual level to evaluate and optimize implementation of the vaccination program and generate hypotheses for research on drivers of, and barriers to, vaccination. A retrospective database study was performed including the entire Dutch population ≥ 18. Vaccination data (5 January 2021–18 November 2021) were at individual levels linked to sociodemographic data. Random forest analyses ranked sociodemographic determinants of COVID-19 vaccine uptake. The most important determinant was age; uptake increased until the age of 80 (67% in 18–35 years, 92% in 67–79 years, and 88% in those > 80). Personal income and socioeconomic position ranked second and third, followed by migration status. Uptake was lower among individuals in the lowest income group (69%), those receiving social benefits (56%), and individuals with two parents born abroad (59%). Our finding that age is the most important determinant for uptake likely reflects the prioritisation of elderly in the programme and the general understanding of their increased vulnerability. However, our findings also reveal important other disparities in vaccine uptake. How to best address this inequity in future vaccination campaigns requires further research.
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spelling pubmed-105377242023-09-29 Determinants of COVID-19 Vaccine Uptake in The Netherlands: A Nationwide Registry-Based Study Pijpers, Joyce van Roon, Annika van Roekel, Caren Labuschagne, Lisanne Smagge, Bente Ferreira, José A. de Melker, Hester Hahné, Susan Vaccines (Basel) Article By September 2022, the uptake of at least one dose of COVID-19 vaccine in the Dutch adult population was 84%. Ecological studies have indicated a lower uptake in certain population groups. We aimed to investigate determinants of COVID-19 vaccine uptake in the Netherlands at individual level to evaluate and optimize implementation of the vaccination program and generate hypotheses for research on drivers of, and barriers to, vaccination. A retrospective database study was performed including the entire Dutch population ≥ 18. Vaccination data (5 January 2021–18 November 2021) were at individual levels linked to sociodemographic data. Random forest analyses ranked sociodemographic determinants of COVID-19 vaccine uptake. The most important determinant was age; uptake increased until the age of 80 (67% in 18–35 years, 92% in 67–79 years, and 88% in those > 80). Personal income and socioeconomic position ranked second and third, followed by migration status. Uptake was lower among individuals in the lowest income group (69%), those receiving social benefits (56%), and individuals with two parents born abroad (59%). Our finding that age is the most important determinant for uptake likely reflects the prioritisation of elderly in the programme and the general understanding of their increased vulnerability. However, our findings also reveal important other disparities in vaccine uptake. How to best address this inequity in future vaccination campaigns requires further research. MDPI 2023-08-24 /pmc/articles/PMC10537724/ /pubmed/37766087 http://dx.doi.org/10.3390/vaccines11091409 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
Pijpers, Joyce
van Roon, Annika
van Roekel, Caren
Labuschagne, Lisanne
Smagge, Bente
Ferreira, José A.
de Melker, Hester
Hahné, Susan
Determinants of COVID-19 Vaccine Uptake in The Netherlands: A Nationwide Registry-Based Study
title Determinants of COVID-19 Vaccine Uptake in The Netherlands: A Nationwide Registry-Based Study
title_full Determinants of COVID-19 Vaccine Uptake in The Netherlands: A Nationwide Registry-Based Study
title_fullStr Determinants of COVID-19 Vaccine Uptake in The Netherlands: A Nationwide Registry-Based Study
title_full_unstemmed Determinants of COVID-19 Vaccine Uptake in The Netherlands: A Nationwide Registry-Based Study
title_short Determinants of COVID-19 Vaccine Uptake in The Netherlands: A Nationwide Registry-Based Study
title_sort determinants of covid-19 vaccine uptake in the netherlands: a nationwide registry-based study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10537724/
https://www.ncbi.nlm.nih.gov/pubmed/37766087
http://dx.doi.org/10.3390/vaccines11091409
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