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Measuring inequalities in COVID-19 vaccination uptake and intent: results from the Canadian Community Health Survey 2021

BACKGROUND: By July 2021, Canada had received enough COVID-19 vaccines to fully vaccinate every eligible Canadian. However, despite the availability of vaccines, some eligible individuals remain unvaccinated. Differences in vaccination uptake can be driven by health inequalities which have been exac...

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Autores principales: Guay, Mireille, Maquiling, Aubrey, Chen, Ruoke, Lavergne, Valérie, Baysac, Donalyne-Joy, Racine, Audrey, Dubé, Eve, MacDonald, Shannon E., Gilbert, Nicolas L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9454405/
https://www.ncbi.nlm.nih.gov/pubmed/36076208
http://dx.doi.org/10.1186/s12889-022-14090-z
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author Guay, Mireille
Maquiling, Aubrey
Chen, Ruoke
Lavergne, Valérie
Baysac, Donalyne-Joy
Racine, Audrey
Dubé, Eve
MacDonald, Shannon E.
Gilbert, Nicolas L.
author_facet Guay, Mireille
Maquiling, Aubrey
Chen, Ruoke
Lavergne, Valérie
Baysac, Donalyne-Joy
Racine, Audrey
Dubé, Eve
MacDonald, Shannon E.
Gilbert, Nicolas L.
author_sort Guay, Mireille
collection PubMed
description BACKGROUND: By July 2021, Canada had received enough COVID-19 vaccines to fully vaccinate every eligible Canadian. However, despite the availability of vaccines, some eligible individuals remain unvaccinated. Differences in vaccination uptake can be driven by health inequalities which have been exacerbated and amplified by the pandemic. This study aims to assess inequalities in COVID-19 vaccination uptake and intent in adults 18 years or older across Canada by identifying sociodemographic factors associated with non-vaccination and low vaccination intent using data drawn from the June to August 2021 Canadian Community Health Survey (CCHS). METHODS: The CCHS is an annual cross-sectional and nationally representative survey conducted by Statistics Canada, which collects health-related information. Since September 2020, questions about the COVID-19 pandemic are asked. Adjusted logistic regression models were fitted to examine associations between vaccination uptake or intent and sociodemographic and health related variables. Region, age, gender, level of education, Indigenous status, visible minority status, perceived health status, and having a regular healthcare provider were considered as predictors, among other factors. RESULTS: The analysis included 9,509 respondents. The proportion of unvaccinated was 11%. Non-vaccination was associated with less than university education (aOR up to 3.5, 95% CI 2.1–6.1), living with children under 12 years old (aOR 1.6, 95% CI 1.1–2.4), not having a regular healthcare provider (aOR 1.6, 95% CI 1.1–2.2), and poor self-perceived health (aOR 1.8, 95% CI 1.3–2.4). Only 5% of the population had low intention to get vaccinated. Being unlikely to get vaccinated was associated with the Prairies region (aOR 2.2, 95% CI 1.2–4.1), younger age groups (aOR up to 4.0, 95% CI 1.3–12.3), less than university education (aOR up to 3.8, 95% CI 1.9–7.6), not being part of a visible minority group (aOR 3.0, 95% CI 1.4–6.4), living with children under 12 years old (aOR 1.8, 95% CI 1.1–2.9), unattached individuals (aOR 2.6, 95% CI 1.1–6.1), and poor self-perceived health (aOR 2.0, 95% CI 1.3–2.9). CONCLUSIONS: Disparities were observed in vaccination uptake and intent among various sociodemographic groups. Awareness of inequalities in COVID-19 vaccination uptake and intent is needed to determine the vaccination barriers to address in vaccination promotion strategies.
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spelling pubmed-94544052022-09-09 Measuring inequalities in COVID-19 vaccination uptake and intent: results from the Canadian Community Health Survey 2021 Guay, Mireille Maquiling, Aubrey Chen, Ruoke Lavergne, Valérie Baysac, Donalyne-Joy Racine, Audrey Dubé, Eve MacDonald, Shannon E. Gilbert, Nicolas L. BMC Public Health Research BACKGROUND: By July 2021, Canada had received enough COVID-19 vaccines to fully vaccinate every eligible Canadian. However, despite the availability of vaccines, some eligible individuals remain unvaccinated. Differences in vaccination uptake can be driven by health inequalities which have been exacerbated and amplified by the pandemic. This study aims to assess inequalities in COVID-19 vaccination uptake and intent in adults 18 years or older across Canada by identifying sociodemographic factors associated with non-vaccination and low vaccination intent using data drawn from the June to August 2021 Canadian Community Health Survey (CCHS). METHODS: The CCHS is an annual cross-sectional and nationally representative survey conducted by Statistics Canada, which collects health-related information. Since September 2020, questions about the COVID-19 pandemic are asked. Adjusted logistic regression models were fitted to examine associations between vaccination uptake or intent and sociodemographic and health related variables. Region, age, gender, level of education, Indigenous status, visible minority status, perceived health status, and having a regular healthcare provider were considered as predictors, among other factors. RESULTS: The analysis included 9,509 respondents. The proportion of unvaccinated was 11%. Non-vaccination was associated with less than university education (aOR up to 3.5, 95% CI 2.1–6.1), living with children under 12 years old (aOR 1.6, 95% CI 1.1–2.4), not having a regular healthcare provider (aOR 1.6, 95% CI 1.1–2.2), and poor self-perceived health (aOR 1.8, 95% CI 1.3–2.4). Only 5% of the population had low intention to get vaccinated. Being unlikely to get vaccinated was associated with the Prairies region (aOR 2.2, 95% CI 1.2–4.1), younger age groups (aOR up to 4.0, 95% CI 1.3–12.3), less than university education (aOR up to 3.8, 95% CI 1.9–7.6), not being part of a visible minority group (aOR 3.0, 95% CI 1.4–6.4), living with children under 12 years old (aOR 1.8, 95% CI 1.1–2.9), unattached individuals (aOR 2.6, 95% CI 1.1–6.1), and poor self-perceived health (aOR 2.0, 95% CI 1.3–2.9). CONCLUSIONS: Disparities were observed in vaccination uptake and intent among various sociodemographic groups. Awareness of inequalities in COVID-19 vaccination uptake and intent is needed to determine the vaccination barriers to address in vaccination promotion strategies. BioMed Central 2022-09-08 /pmc/articles/PMC9454405/ /pubmed/36076208 http://dx.doi.org/10.1186/s12889-022-14090-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Guay, Mireille
Maquiling, Aubrey
Chen, Ruoke
Lavergne, Valérie
Baysac, Donalyne-Joy
Racine, Audrey
Dubé, Eve
MacDonald, Shannon E.
Gilbert, Nicolas L.
Measuring inequalities in COVID-19 vaccination uptake and intent: results from the Canadian Community Health Survey 2021
title Measuring inequalities in COVID-19 vaccination uptake and intent: results from the Canadian Community Health Survey 2021
title_full Measuring inequalities in COVID-19 vaccination uptake and intent: results from the Canadian Community Health Survey 2021
title_fullStr Measuring inequalities in COVID-19 vaccination uptake and intent: results from the Canadian Community Health Survey 2021
title_full_unstemmed Measuring inequalities in COVID-19 vaccination uptake and intent: results from the Canadian Community Health Survey 2021
title_short Measuring inequalities in COVID-19 vaccination uptake and intent: results from the Canadian Community Health Survey 2021
title_sort measuring inequalities in covid-19 vaccination uptake and intent: results from the canadian community health survey 2021
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9454405/
https://www.ncbi.nlm.nih.gov/pubmed/36076208
http://dx.doi.org/10.1186/s12889-022-14090-z
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