Inequalities in initiation of COVID19 vaccination by age and population group in Israel- December 2020-July 2021

Summary: Background: COVID19 vaccination coverage in Israel varies among population groups. Comparing crude coverage between groups is misleading because of different age structures and socio-economic differences. To describe inequalities in COVID19 vaccine initiation in Israel we analysed the inte...

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Autores principales:	Yanay Gorelik, Emilia Anis, Michael Edelstein
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/80af0161576c4560bf1e1fa12d093c4b
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spelling	oai:doaj.org-article:80af0161576c4560bf1e1fa12d093c4b2021-12-02T05:04:19ZInequalities in initiation of COVID19 vaccination by age and population group in Israel- December 2020-July 20212666-776210.1016/j.lanepe.2021.100234https://doaj.org/article/80af0161576c4560bf1e1fa12d093c4b2022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666776221002209https://doaj.org/toc/2666-7762Summary: Background: COVID19 vaccination coverage in Israel varies among population groups. Comparing crude coverage between groups is misleading because of different age structures and socio-economic differences. To describe inequalities in COVID19 vaccine initiation in Israel we analysed the interaction of age and population groups in terms of dose 1 vaccine coverage Methods: We calculated cumulative age-specific first COVID19 vaccine coverage by population group (Ultra-Orthodox Jewish, Arab, General Jewish). We calculated the relative differences in vaccine coverage between population groups within each age group, and between age groups within each population, using ANOVA and binomial regression after adjusting for socio-economic status Findings: 8,507,723 individuals in 268 cities were included. Compared with the general Jewish population, coverage was lowest in the Ultra-Orthodox population in all age groups (range -12% among 60+ to -52.8% among 10-19 years olds, p<0.001). In all groups, the proportion of vaccinated individuals in younger age groups relative to those aged 60+ decreased with decreasing age and were smallest in the Ultra-Orthodox groups. For example, within the general Jewish population, people aged 20-29 were 14% less likely to be vaccinated than those aged 60+ while within the Ultra-Orthodox population it was 34.5% Interpretation: In all age groups, the Ultra-Orthodox population had the lowest vaccine coverage. Differences persisted after adjusting for socio-economic status. The younger the age group, the more Ultra-Orthodox Jews were diverging from age peers in terms of initiating COVID19 vaccination, suggesting a generational effect. Tailored approaches are urgently required to encourage vaccination among under-immunized groups in Israel Funding: No specific funding was receivedYanay GorelikEmilia AnisMichael EdelsteinElsevierarticlePublic aspects of medicineRA1-1270ENThe Lancet Regional Health. Europe, Vol 12, Iss , Pp 100234- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Public aspects of medicine RA1-1270
spellingShingle	Public aspects of medicine RA1-1270 Yanay Gorelik Emilia Anis Michael Edelstein Inequalities in initiation of COVID19 vaccination by age and population group in Israel- December 2020-July 2021
description	Summary: Background: COVID19 vaccination coverage in Israel varies among population groups. Comparing crude coverage between groups is misleading because of different age structures and socio-economic differences. To describe inequalities in COVID19 vaccine initiation in Israel we analysed the interaction of age and population groups in terms of dose 1 vaccine coverage Methods: We calculated cumulative age-specific first COVID19 vaccine coverage by population group (Ultra-Orthodox Jewish, Arab, General Jewish). We calculated the relative differences in vaccine coverage between population groups within each age group, and between age groups within each population, using ANOVA and binomial regression after adjusting for socio-economic status Findings: 8,507,723 individuals in 268 cities were included. Compared with the general Jewish population, coverage was lowest in the Ultra-Orthodox population in all age groups (range -12% among 60+ to -52.8% among 10-19 years olds, p<0.001). In all groups, the proportion of vaccinated individuals in younger age groups relative to those aged 60+ decreased with decreasing age and were smallest in the Ultra-Orthodox groups. For example, within the general Jewish population, people aged 20-29 were 14% less likely to be vaccinated than those aged 60+ while within the Ultra-Orthodox population it was 34.5% Interpretation: In all age groups, the Ultra-Orthodox population had the lowest vaccine coverage. Differences persisted after adjusting for socio-economic status. The younger the age group, the more Ultra-Orthodox Jews were diverging from age peers in terms of initiating COVID19 vaccination, suggesting a generational effect. Tailored approaches are urgently required to encourage vaccination among under-immunized groups in Israel Funding: No specific funding was received
format	article
author	Yanay Gorelik Emilia Anis Michael Edelstein
author_facet	Yanay Gorelik Emilia Anis Michael Edelstein
author_sort	Yanay Gorelik
title	Inequalities in initiation of COVID19 vaccination by age and population group in Israel- December 2020-July 2021
title_short	Inequalities in initiation of COVID19 vaccination by age and population group in Israel- December 2020-July 2021
title_full	Inequalities in initiation of COVID19 vaccination by age and population group in Israel- December 2020-July 2021
title_fullStr	Inequalities in initiation of COVID19 vaccination by age and population group in Israel- December 2020-July 2021
title_full_unstemmed	Inequalities in initiation of COVID19 vaccination by age and population group in Israel- December 2020-July 2021
title_sort	inequalities in initiation of covid19 vaccination by age and population group in israel- december 2020-july 2021
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/80af0161576c4560bf1e1fa12d093c4b
work_keys_str_mv	AT yanaygorelik inequalitiesininitiationofcovid19vaccinationbyageandpopulationgroupinisraeldecember2020july2021 AT emiliaanis inequalitiesininitiationofcovid19vaccinationbyageandpopulationgroupinisraeldecember2020july2021 AT michaeledelstein inequalitiesininitiationofcovid19vaccinationbyageandpopulationgroupinisraeldecember2020july2021
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Inequalities in initiation of COVID19 vaccination by age and population group in Israel- December 2020-July 2021

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