Evidence map›Paper›PMID 35891201›Full record

ReviewVaccines2022

Access to Vaccination among Disadvantaged, Isolated and Difficult-to-Reach Communities in the WHO European Region: A Systematic Review.

Winifred Ekezie, Samy Awwad, Arja Krauchenberg, Nora Karara, Łukasz Dembiński, Zachi Grossman, Stefano Del Torso, Hans Juergen Dornbusch, Ana Neves, Sian Copley and 11 more

Open access · goldAbstract 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 72 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 2 pooled it
14.9field-weighted citation impact, top 1% 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

72 citing papers in PubMed, 2 syntheses or guidelines pooled it, 101 citations in OpenAlex.

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12 more citing papers are in PubMed but not listed here.

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

21 authors at 8 institutions in 8 countries.

Winifred EkezieVienna Vaccine Safety Initiative e.V., 10437 Berlin, Germany.ORCID 0000-0001-6622-0784
Samy AwwadVienna Vaccine Safety Initiative e.V., 10437 Berlin, Germany.ORCID 0000-0002-5417-6779
Arja KrauchenbergImmuHubs Consortium, Coordinating Entity: Vienna Vaccine Safety Initiative e.V., 10437 Berlin, Germany.
Nora KararaYoung European Academy of Paediatrics, 1000 Brussels, Belgium.
Łukasz DembińskiEuropean Academy of Paediatrics, 1000 Brussels, Belgium.ORCID 0000-0001-8299-9337
Zachi GrossmanEuropean Academy of Paediatrics, 1000 Brussels, Belgium.
Stefano Del TorsoEuropean Academy of Paediatrics, 1000 Brussels, Belgium.
Hans Juergen DornbuschEuropean Academy of Paediatrics, 1000 Brussels, Belgium.
Ana NevesEuropean Academy of Paediatrics, 1000 Brussels, Belgium.
Sian CopleyEuropean Academy of Paediatrics, 1000 Brussels, Belgium.
Artur MazurEuropean Academy of Paediatrics, 1000 Brussels, Belgium.ORCID 0000-0001-5393-3515
Adamos HadjipanayisEuropean Academy of Paediatrics, 1000 Brussels, Belgium.
Yevgenii GrechukhaEuropean Academy of Paediatrics, 1000 Brussels, Belgium.
Hanna NohynekFinnish Institute for Health and Welfare, FI-00271 Helsinki, Finland.ORCID 0000-0001-8220-3669
Kaja DamnjanovićFaculty of Philosophy, University of Belgrade, 11000 Beograd, Serbia.ORCID 0000-0002-9254-1263
Milica LazićFaculty of Philosophy, University of Novi Sad, 21000 Novi Sad, Serbia.ORCID 0000-0001-6640-9851
Vana PapaevangelouEuropean Academy of Paediatrics, 1000 Brussels, Belgium.
Fedir LapiiEuropean Academy of Paediatrics, 1000 Brussels, Belgium.
Chen Stein-ZamirJerusalem District Health Office, Jerusalem 94341, Israel.
Barbara RathVienna Vaccine Safety Initiative e.V., 10437 Berlin, Germany.ORCID 0000-0001-5181-8417
For The ImmuHubs Consortium
The European Academy of Gynaecological Surgery · BEUniversity of Nottingham · GBFinnish Institute for Health and Welfare · FIMedical University of Warsaw · PLPalo Alto University · USUniversity of Belgrade · RSUniversity of Novi Sad · RSVienna Vaccine Safety Initiative · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vaccination has a significant impact on morbidity and mortality. High vaccination coverage rates are required to achieve herd protection against vaccine-preventable diseases. However, limited vaccine access and hesitancy among specific communities represent significant obstacles to this goal. This review provides an overview of critical factors associated with vaccination among disadvantaged groups in World Health Organisation European countries. Initial searches yielded 18,109 publications from four databases, and 104 studies from 19 out of 53 countries reporting 22 vaccine-preventable diseases were included. Nine groups representing the populations of interest were identified, and most of the studies focused on asylum seekers, refugees, migrants and deprived communities. Recall of previous vaccinations received was poor, and serology was conducted in some cases to confirm protection for those who received prior vaccinations. Vaccination coverage was lower among study populations compared to the general population or national average. Factors that influenced uptake, which presented differently at different population levels, included health service accessibility, language and vaccine literacy, including risk perception, disease severity and vaccination benefits. Strategies that could be implemented in vaccination policy and programs were also identified. Overall, interventions specific to target communities are vital to improving uptake. More innovative strategies need to be deployed to improve vaccination coverage among disadvantaged groups.

Indexed as

disadvantaged groupsEuropehealth servicesimmunisation programsinequalitiesmigrationvaccination

Identifiers

PMID35891201
PMCPMC9324407
OpenAlexW4283830958

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.