Access to Vaccination among Disadvantaged, Isolated and Difficult-to-Reach Communities in the WHO European Region: A Systematic Review

被引：40

作者：

Ekezie, Winifred ^{[1
,2
,3
,4
]}

Awwad, Samy ^{[1
,4
,5
]}

Krauchenberg, Arja ^{[4
,6
]}

Karara, Nora ^{[7
,8
]}

Dembinski, Lukasz ^{[9
,10
]}

Grossman, Zachi ^{[9
,11
]}

del Torso, Stefano ^{[9
]}

Dornbusch, Hans Juergen ^{[9
]}

Neves, Ana ^{[9
]}

Copley, Sian ^{[9
]}

Mazur, Artur ^{[9
]}

Hadjipanayis, Adamos ^{[9
]}

Grechukha, Yevgenii ^{[9
]}

Nohynek, Hanna ^{[12
]}

Damnjanovic, Kaja ^{[13
]}

Lazic, Milica ^{[14
]}

Papaevangelou, Vana ^{[9
]}

Lapii, Fedir ^{[9
]}

Stein-Zamir, Chen ^{[15
]}

Rath, Barbara ^{[1
,2
,4
]}

机构：

[1] Vienna Vaccine Safety Initiat eV, D-10437 Berlin, Germany

[2] Univ Nottingham, Dept Epidemiol & Publ Hlth, Nottingham NG5 1PB, England

[3] Univ Leicester, Coll Life Sci, Leicester LE5 4PW, Leics, England

[4] Coordinating Ent Vienna Vaccine Safety Initiat eV, ImmuHubs Consortium, D-10437 Berlin, Germany

[5] Stanford Univ, Palo Alto, CA 94305 USA

[6] European Parents Assoc, B-1000 Brussels, Belgium

[7] Young European Acad Paediat, B-1000 Brussels, Belgium

[8] Evangel Hosp Queen Elisabeth Herzberge, D-10365 Berlin, Germany

[9] European Acad Paediat, B-1000 Brussels, Belgium

[10] Med Univ Warsaw, Dept Pediat Gastroenterol & Nutr, PL-02091 Warsaw, Poland

[11] Ariel Univ, Adelson Sch Med, IL-40700 Ariel, Israel

[12] Finnish Inst Hlth & Welf, FI-00271 Helsinki, Finland

[13] Univ Belgrade, Fac Philosophy, Belgrade 11000, Serbia

[14] Univ Novi Sad, Fac Philosophy, Novi Sad 21000, Serbia

[15] Jerusalem Dist Hlth Off, IL-94341 Jerusalem, Israel

来源：

VACCINES | 2022年 / 10卷 / 07期

关键词：

Europe; disadvantaged groups; health services; immunisation programs; inequalities; migration; vaccination; NEWLY ARRIVED MIGRANTS; ASYLUM SEEKERS; HEALTH-CARE; COVID-19; VACCINE; HEPATITIS-A; COVERAGE; REFUGEES; MEASLES; IMMUNIZATION; CHILDREN;

D O I：

10.3390/vaccines10071038

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Vaccination has a significant impact on morbidity and mortality. High vaccination coverage rates are required to achieve herd protection against vaccine-preventable diseases. However, limited vaccine access and hesitancy among specific communities represent significant obstacles to this goal. This review provides an overview of critical factors associated with vaccination among disadvantaged groups in World Health Organisation European countries. Initial searches yielded 18,109 publications from four databases, and 104 studies from 19 out of 53 countries reporting 22 vaccine-preventable diseases were included. Nine groups representing the populations of interest were identified, and most of the studies focused on asylum seekers, refugees, migrants and deprived communities. Recall of previous vaccinations received was poor, and serology was conducted in some cases to confirm protection for those who received prior vaccinations. Vaccination coverage was lower among study populations compared to the general population or national average. Factors that influenced uptake, which presented differently at different population levels, included health service accessibility, language and vaccine literacy, including risk perception, disease severity and vaccination benefits. Strategies that could be implemented in vaccination policy and programs were also identified. Overall, interventions specific to target communities are vital to improving uptake. More innovative strategies need to be deployed to improve vaccination coverage among disadvantaged groups.

引用

页数：24

共 138 条

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