Cargando…
Strategies to improve vaccination rates in people who are homeless: A systematic review
People who are homeless experience higher rates of vaccine-preventable disease, including COVID-19, than the general population, and poorer associated health outcomes. However, delivering vaccinations to people who are homeless is complex, and there is a lack of evidence to inform practice in this a...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier Ltd.
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9040475/ https://www.ncbi.nlm.nih.gov/pubmed/35484042 http://dx.doi.org/10.1016/j.vaccine.2022.04.022 |
_version_ | 1784694344484126720 |
---|---|
author | McCosker, Laura K. El-Heneidy, Asmaa Seale, Holly Ware, Robert S. Downes, Martin J. |
author_facet | McCosker, Laura K. El-Heneidy, Asmaa Seale, Holly Ware, Robert S. Downes, Martin J. |
author_sort | McCosker, Laura K. |
collection | PubMed |
description | People who are homeless experience higher rates of vaccine-preventable disease, including COVID-19, than the general population, and poorer associated health outcomes. However, delivering vaccinations to people who are homeless is complex, and there is a lack of evidence to inform practice in this area. The aim of this systematic review is to: (a) identify, (b) analyse the characteristics of, and (c) evaluate the outcomes of, strategies to improve vaccination rates in people who are homeless. Literature was retrieved from eight electronic databases. Studies undertaken in high-income countries, published in English, in a peer-reviewed journal, and in full-text were considered. No limits were placed on study design or date. A total of 1,508 articles were retrieved and, after the removal of duplicates, 637 were screened. Twenty-three articles, reporting on nineteen separate vaccination strategies for hepatitis A/B, influenza, herpes zoster, invasive pneumococcal disease, and diphtheria in people who are homeless, were selected for inclusion. All the strategies were effective at improving vaccination rates in, people who are homeless. Most strategies involved vaccination clinics and most were delivered, at least in part, by nurses. Other characteristics of successful strategies included: delivering vaccinations at convenient locations; using accelerated vaccination schedules (if available); vaccinating at the first appointment, regardless of whether a person’s vaccination history or serological status were known (if clinically safe); operating for a longer duration; offering training to staff about working with people who are homeless; widely promoting clinics; considering education, reminders, incentives, and co-interventions; ensuring no out-of-pocket costs; and working collaboratively with stakeholders, including people who are homeless themselves. These findings will inform evidence-based vaccination strategies, including for COVID-19, in people who are homeless, and improve associated health outcomes in this at-risk, hard-to-reach group. |
format | Online Article Text |
id | pubmed-9040475 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier Ltd. |
record_format | MEDLINE/PubMed |
spelling | pubmed-90404752022-04-26 Strategies to improve vaccination rates in people who are homeless: A systematic review McCosker, Laura K. El-Heneidy, Asmaa Seale, Holly Ware, Robert S. Downes, Martin J. Vaccine Review People who are homeless experience higher rates of vaccine-preventable disease, including COVID-19, than the general population, and poorer associated health outcomes. However, delivering vaccinations to people who are homeless is complex, and there is a lack of evidence to inform practice in this area. The aim of this systematic review is to: (a) identify, (b) analyse the characteristics of, and (c) evaluate the outcomes of, strategies to improve vaccination rates in people who are homeless. Literature was retrieved from eight electronic databases. Studies undertaken in high-income countries, published in English, in a peer-reviewed journal, and in full-text were considered. No limits were placed on study design or date. A total of 1,508 articles were retrieved and, after the removal of duplicates, 637 were screened. Twenty-three articles, reporting on nineteen separate vaccination strategies for hepatitis A/B, influenza, herpes zoster, invasive pneumococcal disease, and diphtheria in people who are homeless, were selected for inclusion. All the strategies were effective at improving vaccination rates in, people who are homeless. Most strategies involved vaccination clinics and most were delivered, at least in part, by nurses. Other characteristics of successful strategies included: delivering vaccinations at convenient locations; using accelerated vaccination schedules (if available); vaccinating at the first appointment, regardless of whether a person’s vaccination history or serological status were known (if clinically safe); operating for a longer duration; offering training to staff about working with people who are homeless; widely promoting clinics; considering education, reminders, incentives, and co-interventions; ensuring no out-of-pocket costs; and working collaboratively with stakeholders, including people who are homeless themselves. These findings will inform evidence-based vaccination strategies, including for COVID-19, in people who are homeless, and improve associated health outcomes in this at-risk, hard-to-reach group. Elsevier Ltd. 2022-05-20 2022-04-26 /pmc/articles/PMC9040475/ /pubmed/35484042 http://dx.doi.org/10.1016/j.vaccine.2022.04.022 Text en © 2022 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Review McCosker, Laura K. El-Heneidy, Asmaa Seale, Holly Ware, Robert S. Downes, Martin J. Strategies to improve vaccination rates in people who are homeless: A systematic review |
title | Strategies to improve vaccination rates in people who are homeless: A systematic review |
title_full | Strategies to improve vaccination rates in people who are homeless: A systematic review |
title_fullStr | Strategies to improve vaccination rates in people who are homeless: A systematic review |
title_full_unstemmed | Strategies to improve vaccination rates in people who are homeless: A systematic review |
title_short | Strategies to improve vaccination rates in people who are homeless: A systematic review |
title_sort | strategies to improve vaccination rates in people who are homeless: a systematic review |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9040475/ https://www.ncbi.nlm.nih.gov/pubmed/35484042 http://dx.doi.org/10.1016/j.vaccine.2022.04.022 |
work_keys_str_mv | AT mccoskerlaurak strategiestoimprovevaccinationratesinpeoplewhoarehomelessasystematicreview AT elheneidyasmaa strategiestoimprovevaccinationratesinpeoplewhoarehomelessasystematicreview AT sealeholly strategiestoimprovevaccinationratesinpeoplewhoarehomelessasystematicreview AT wareroberts strategiestoimprovevaccinationratesinpeoplewhoarehomelessasystematicreview AT downesmartinj strategiestoimprovevaccinationratesinpeoplewhoarehomelessasystematicreview |