Imperial College London
Alternate

PROFESSOR AZEEM MAJEED

Faculty of Medicine, School of Public Health

Chair - Primary Care and Public Health & Head of Department
 
 
 
//

Contact

 

+44 (0)20 7594 3368a.majeed Website

 
 
//

Assistant

 

Ms Dorothea Cockerell +44 (0)20 7594 3368

 
//

Location

 

Reynolds BuildingCharing Cross Campus

//

Summary

 

Publications

Citation

BibTex format

@article{Crawshaw:2022:10.1016/S1473-3099(22)00066-4,
author = {Crawshaw, AF and Farah, Y and Deal, A and Rustage, K and Hayward, SE and Carter, J and Knights, F and Goldsmith, LP and Campos-Matos, I and Wurie, F and Majeed, A and Bedford, H and Forster, AS and Hargreaves, S},
doi = {10.1016/S1473-3099(22)00066-4},
journal = {Lancet Infectious Diseases},
pages = {e254--e266},
title = {Defining the determinants of vaccine uptake and undervaccination in migrant populations in Europe to improve routine and COVID-19 vaccine uptake: a systematic review.},
url = {http://dx.doi.org/10.1016/S1473-3099(22)00066-4},
volume = {22},
year = {2022}
}
Download

RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Understanding why some migrants in Europe are at risk of underimmunisation and show lower vaccination uptake for routine and COVID-19 vaccines is critical if we are to address vaccination inequities and meet the goals of WHO's new Immunisation Agenda 2030. We did a systematic review (PROSPERO: CRD42020219214) exploring barriers and facilitators of vaccine uptake (categorised using the 5As taxonomy: access, awareness, affordability, acceptance, activation) and sociodemographic determinants of undervaccination among migrants in the EU and European Economic Area, the UK, and Switzerland. We searched MEDLINE, CINAHL, and PsycINFO from 2000 to 2021 for primary research, with no restrictions on language. 5259 data sources were screened, with 67 studies included from 16 countries, representing 366 529 migrants. We identified multiple access barriers-including language, literacy, and communication barriers, practical and legal barriers to accessing and delivering vaccination services, and service barriers such as lack of specific guidelines and knowledge of health-care professionals-for key vaccines including measles-mumps-rubella, diphtheria-pertussis-tetanus, human papillomavirus, influenza, polio, and COVID-19 vaccines. Acceptance barriers were mostly reported in eastern European and Muslim migrants for human papillomavirus, measles, and influenza vaccines. We identified 23 significant determinants of undervaccination in migrants (p<0·05), including African origin, recent migration, and being a refugee or asylum seeker. We did not identify a strong overall association with gender or age. Tailored vaccination messaging, community outreach, and behavioural nudges facilitated uptake. Migrants' barriers to accessing health care are already well documented, and this Review confirms their role in limiting vaccine uptake. These findings hold immediate relevance to strengthening vaccination programmes in high-income countries, including for COVID-19, and suggest
AU  - Crawshaw,AF
AU  - Farah,Y
AU  - Deal,A
AU  - Rustage,K
AU  - Hayward,SE
AU  - Carter,J
AU  - Knights,F
AU  - Goldsmith,LP
AU  - Campos-Matos,I
AU  - Wurie,F
AU  - Majeed,A
AU  - Bedford,H
AU  - Forster,AS
AU  - Hargreaves,S
DO  - 10.1016/S1473-3099(22)00066-4
EP  - 266
PY  - 2022///
SN  - 1473-3099
SP  - 254
TI  - Defining the determinants of vaccine uptake and undervaccination in migrant populations in Europe to improve routine and COVID-19 vaccine uptake: a systematic review.
T2  - Lancet Infectious Diseases
UR  - http://dx.doi.org/10.1016/S1473-3099(22)00066-4
UR  - https://www.ncbi.nlm.nih.gov/pubmed/35429463
UR  - https://www.sciencedirect.com/science/article/pii/S1473309922000664?via%3Dihub
UR  - http://hdl.handle.net/10044/1/96397
VL  - 22
ER  -
Download