Evidence map›Paper›PMID 30241320›Full record

SynthesisInternational journal of environmental research and public health2018

Interventions to Improve Vaccination Uptake and Cost Effectiveness of Vaccination Strategies in Newly Arrived Migrants in the EU/EEA: A Systematic Review.

Charles Hui, Jessica Dunn, Rachael Morton, Lukas P Staub, Anh Tran, Sally Hargreaves, Christina Greenaway, Beverly Ann Biggs, Robin Christensen, Kevin Pottie

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 4 countries.

Charles HuiDivision of Infectious Diseases, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON K1H 8L1, Canada. chui@cheo.on.ca.
Jessica DunnDivision of Infectious Diseases, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON K1H 8L1, Canada. jdunn@cheo.on.ca.
Rachael MortonNHMRC Clinical Trials Centre, Sydney Medical School, University of Sydney, Camperdown 1450, Australia. rachael.morton@ctc.usyd.edu.au.
Lukas P StaubNHMRC Clinical Trials Centre, Sydney Medical School, University of Sydney, Camperdown 1450, Australia. lukas.staub@ctc.usyd.edu.au.ORCID 0000-0002-2815-9107
Anh TranNHMRC Clinical Trials Centre, Sydney Medical School, University of Sydney, Camperdown 1450, Australia. anh.tran@ctc.usyd.edu.au.
Sally HargreavesInternational Health Unit, Section of Infectious Diseases and Immunity, Imperial College London; London W12 0NN, UK. s.hargreaves@imperial.ac.uk.
Christina GreenawayDivision of Infectious Diseases and Clinical Epidemiology, SMBD-Jewish General Hospital, McGill University, Montreal, QC H3T 1E2, Canada. ca.greenaway@mcgill.ca.
Beverly Ann BiggsDepartment of Medicine/RMH at the Doherty Institute, University of Melbourne, Melbourne 3000, Australia. babiggs@unimelb.edu.au.ORCID 0000-0002-2961-9793
Robin ChristensenMusculoskeletal Statistics Unit, The Parker Institute, Bispebjerg and Frederiksberg Hospital, 2000 Frederiksberg, Denmark. robin.christensen@regionh.dk.
Kevin PottieBruyere Research Institute, Ottawa, ON K1N 5C8, Canada. kpottie@uottawa.ca.
The University of Sydney · AUUniversity of Ottawa · CAFrederiksberg Hospital · DKJewish General Hospital · CASt George's, University of London · GBThe Royal Melbourne Hospital · AU

Funding

Wellcome Trust 209993/Z/17/Z
6 · The paper itself

Abstract

Newly arrived migrants to the EU/EEA (arrival within the past five years), as well as other migrant groups in the region, might be under-immunised and lack documentation of previous vaccinations, putting them at increased risk of vaccine-preventable diseases circulating in Europe. We therefore performed a systematic review conforming to PRISMA guidelines (PROSPERO CRD42016045798) to explore: (i) interventions that improve vaccine uptake among migrants; and (ii) cost-effectiveness of vaccination strategies among this population. We searched MEDLINE, Embase, CINAHL, and Cochrane Database of Systematic Reviews (CDSR) between 1 January 2006 to 18 June 2018. We included three primary intervention studies performed in the EU/EEA or high-income countries and one cost effectiveness study relevant to vaccinations in migrants. Intervention studies showed small but promising impact only on vaccine uptake with social mobilization/community outreach, planned vaccination programs and education campaigns. Targeting migrants for catch-up vaccination is cost effective for presumptive vaccination for diphtheria, tetanus, and polio, and there was no evidence of benefit of carrying out pre-vaccination serological testing. The cost-effectiveness is sensitive to the seroprevalence and adherence to vaccinations of the migrant. We conclude that scarce but direct EU/EEA data suggest social mobilization, vaccine programs, and education campaigns are promising strategies for migrants, but more research is needed. Research should also study cost effectiveness of strategies. Vaccination of migrants should continue to be a public heath priority in EU/EEA.

Indexed as

AdolescentAdultAgedAged, 80 and overChildChild, PreschoolCost-Benefit AnalysisDelivery of Health CareEuropeEuropean UnionFemaleHumansImmunization ProgramsInfantInfant, NewbornMalecost effectivenesshealth systemsimmunisation strategiesmigrantsrefugeesVPD

Identifiers

PMID30241320
PMCPMC6210200
OpenAlexW2889707717

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.