Socioeconomic Inequalities in COVID-19 Vaccination and Infection in Adults, Catalonia, Spain

Evidence on the impact of the COVID-19 vaccine rollout on socioeconomic COVID-19-related inequalities is scarce. We analyzed associations between socioeconomic deprivation index (SDI) and COVID-19 vaccination, infection, and hospitalization before and after vaccine rollout in Catalonia, Spain. We conducted a population-based cohort study during September 2020-June 2021 that comprised 2,297,146 adults >40 years of age. We estimated odds ratio of nonvaccination and hazard ratios (HRs) of infection and hospitalization by SDI quintile relative to the least deprived quintile, Q1. Six months after rollout, vaccination coverage differed by SDI quintile in working-age (40-64 years) persons: 81% for Q1, 71% for Q5. Before rollout, we found a pattern of increased HR of infection and hospitalization with deprivation among working-age and retirement-age (>65 years) persons. After rollout, infection inequalities decreased in both age groups, whereas hospitalization inequalities decreased among retirement-age persons. Our findings suggest that mass vaccination reduced socioeconomic COVID-19-related inequalities.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:28

Enthalten in:

Emerging infectious diseases - 28(2022), 11 vom: 17. Nov., Seite 2243-2252

Sprache:

Englisch

Beteiligte Personen:

Roel, Elena [VerfasserIn]
Raventós, Berta [VerfasserIn]
Burn, Edward [VerfasserIn]
Pistillo, Andrea [VerfasserIn]
Prieto-Alhambra, Daniel [VerfasserIn]
Duarte-Salles, Talita [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
COVID-19 Vaccines
COVID-19 vaccines
Coronavirus disease
Electronic health records
Health inequities
Journal Article
Research Support, Non-U.S. Gov't
Respiratory infections
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2
Social class
Socioeconomic factors
Spain
Viruses
Zoonoses

Anmerkungen:

Date Completed 27.10.2022

Date Revised 15.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.3201/eid2811.220614

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM347353207