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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...
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/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. |
format | Online Article Text |
id | pubmed-10537724 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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