Evidence map›Paper›PMID 35891177›Full record

ReviewVaccines2022

The Impact of COVID-19 Pandemic on Inequity in Routine Childhood Vaccination Coverage: A Systematic Review.

Nicholas Spencer, Wolfgang Markham, Samantha Johnson, Emmanuelle Arpin, Rita Nathawad, Geir Gunnlaugsson, Nusrat Homaira, Maria Lucia Mesa Rubio, Catalina Jaime Trujillo

Abstract readReview
In one paragraph

Review in Vaccines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Persistence of major socio-economic inequalities in childhood measles-mumps-rubella vaccination coverage and timeliness under vaccination mandates, France, 2015 to 2024.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

9 authors.

Nicholas SpencerDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry CV4 9JD, UK.ORCID 0000-0003-2748-6349
Wolfgang MarkhamDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry CV4 9JD, UK.
Samantha JohnsonUniversity of Warwick Library, University of Warwick, Coventry CV4 7AL, UK.
Emmanuelle ArpinDalla Lana School of Public Health, University of Toronto, Toronto, ON M5T 3M7, Canada.
Rita NathawadDepartment of Pediatrics, Division of Community and Societal Pediatrics, College of Medicine-Jacksonville, University of Florida, FL 32209, USA.ORCID 0000-0001-5153-7746
Geir GunnlaugssonFaculty of Sociology, Anthropology, and Folkloristics, University of Iceland, IS-102 Reykjavik, Iceland.
Nusrat HomairaDiscipline of Paediatrics, University of New South Wales, Sydney, NSW 2031, Australia.ORCID 0000-0003-3341-7964
Maria Lucia Mesa RubioPediatric Department, School of Medicine, Los Andes University, Cra 1 Nº 18A-12, Bogota 111711, Colombia.
Catalina Jaime TrujilloPediatric Department, School of Medicine, Los Andes University, Cra 1 Nº 18A-12, Bogota 111711, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRoutine childhood vaccination coverage rates fell in many countries during the COVID-19 pandemic, but the impact of inequity on coverage is unknown.

methodsWe synthesised evidence on inequities in routine childhood vaccination coverage (PROSPERO, CRD 42021257431). Studies reporting empirical data on routine vaccination coverage in children 0-18 years old during the COVID-19 pandemic by equity stratifiers were systematically reviewed. Nine electronic databases were searched between 1 January 2020 and 18 January 2022. The risk of bias was assessed using the Newcastle-Ottawa Quality Assessment Tool for Cohort Studies. Overall, 91 of 1453 studies were selected for full paper review, and thirteen met the inclusion criteria.

resultsThe narrative synthesis found moderate evidence for inequity in reducing the vaccination coverage of children during COVID-19 lockdowns and moderately strong evidence for an increase in inequity compared with pre-pandemic months (before March 2020). Two studies reported higher rates of inequity among children aged less than one year, and one showed higher inequity rates in middle- compared with high-income countries.

conclusionsEvidence from a limited number of studies shows the effect of the pandemic on vaccine coverage inequity. Research from more countries is required to assess the global effect on inequity in coverage.

Indexed as

COVID-19inequityroutine childhood vaccination coveragesystematic review

Identifiers

PMID35891177
PMCPMC9321080

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.