Evidence map›Paper›PMID 35301211›Full record

ArticleBMJ open2022

COVID-19 vaccine hesitancy among undocumented migrants during the early phase of the vaccination campaign: a multicentric cross-sectional study.

Kathleen R Page, Eleonora Genovese, Matteo Franchi, Silvano Cella, Gianfrancesco Fiorini, Rim Tlili, Sebastian Salazar, Aline Duvoisin, Johann Cailhol, Yves Jackson

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
5.8field-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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 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 5 countries.

Kathleen R PageMedicine, Johns Hopkins University, Baltimore, Maryland, USA.
Eleonora GenoveseLaboratory of Healthcare Research and Pharmacoepidemiology, Department of Statistics and Quantitative Methods, University of Milan-Bicocca, Milan, Italy.ORCID 0000-0001-5215-5280
Matteo FranchiMedical Statistics and Quantitative Methods, University of Milan-Bicocca, Milan, Italy.
Silvano CellaLaboratory of Clinical Pharmacology and Pharmacoepidemiology, Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Gianfrancesco FioriniZucchi Clinical Institutes, Milan, Italy.
Rim TliliInfectious and Tropical Diseases Department, Hôpital Avicenne, Bobigny, France.
Sebastian SalazarSchool of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Aline DuvoisinCenter for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, Geneva, Switzerland.
Johann CailholInfectious and Tropical Diseases Department, Hôpital Avicenne, Bobigny, France.ORCID 0000-0002-8367-9957
Yves JacksonDepartment of community health and medicine, University of Geneva, Geneva, Switzerland yves.jackson@hcuge.ch.ORCID 0000-0001-5619-333X
Johns Hopkins University · USUniversity of Geneva · CHUniversity of Milano-Bicocca · ITHôpital Avicenne · FRUniversité Sorbonne Paris Nord · FRUniversity of Milan · IT

Funding

Juntos (Together): A community led approach to enhance to Covid-19 testing among vulnerable LatinosR01DA045556 · NIDA · JOHNS HOPKINS UNIVERSITY · PI LUCAS, GREGORY M, PAGE, KATHLEEN R · 2017 to 2022
$6.8M
NIDA NIH HHS R01 DA045556
6 · The paper itself

Abstract

STUDY

objectivesThe marginalisation of undocumented migrants raises concerns about equitable access to COVID-19 vaccination. This study aims to describe migrants' hesitancy about the COVID-19 vaccination during the early phase of the vaccination campaign.

settingThis multicentric cross-sectional survey was conducted in health facilities providing care to undocumented migrants in the USA, Switzerland, Italy and France in February-May 2021.

participantsEligibility criteria included age >16 years, being of foreign origin and living without valid residency permit in the country of recruitment. A convenience sample of minimum 100 patients per study site was targeted. PRIMARY AND SECONDARY OUTCOME MEASURES: Data were collected using an anonymous structured questionnaire. The main outcomes were perceived access to the local COVID-19 vaccination programme and demand for vaccination.

resultsAltogether, 812 undocumented migrants participated (54.3% Geneva, 17.5% Baltimore, 15.5% Milano and 12.7% Paris). Most (60.9%) were women. The median age was 39 years (interquartile range 1). Participants originated from the Americas (55.9%), Africa (12.7%), Western Pacific (11.2%) Eastern Mediterranean (7.9%), Europe (7.6%) and South-East Asia (4.7%). Overall, 14.1% and 26.2% of participants, respectively, reported prior COVID-19 infection and fear of developing severe COVID-19 infection. Risk factors for severe infection were frequently reported (29.5%). Self-perceived accessibility of COVID-19 vaccination was high (86.4%), yet demand was low (41.1%) correlating with age, comorbidity and views on vaccination which were better for vaccination in general (77.3%) than vaccination against COVID-19 (56.5%). Participants mainly searched for information about vaccination in the traditional and social media.

conclusionsWe found a mismatch between perceived accessibility and demand for the COVID-19 vaccination. Public health interventions using different communication modes should build on trust about vaccination in general to tackle undocumented migrants' hesitancy for COVID-19 vaccination with a specific attention to men, younger migrants and those at low clinical risk of severe infection.

Indexed as

COVID-19Transients and MigrantsAdolescentAdultCOVID-19 VaccinesCross-Sectional StudiesFemaleHumansImmunization ProgramsMaleVaccination HesitancyCOVID-19 VaccinesCOVID-19GENERAL MEDICINE (see Internal Medicine)Health policy

Identifiers

PMID35301211
PMCPMC8931801
OpenAlexW4220848521

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.