Evidence map›Paper›PMID 36076208›Full record

ArticleBMC public health2022

Measuring inequalities in COVID-19 vaccination uptake and intent: results from the Canadian Community Health Survey 2021.

Mireille Guay, Aubrey Maquiling, Ruoke Chen, Valérie Lavergne, Donalyne-Joy Baysac, Audrey Racine, Eve Dubé, Shannon E MacDonald, Nicolas L Gilbert

Abstract read
In one paragraph

Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–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.

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  10. Delay discounting predicts COVID-19 vaccine booster willingness.Cognitive research: principles and implications · 2025
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  13. Predictors of Change in Vaccination Decisions Among the Vaccine Hesitant: Examining the Roles of Age and Intolerance of Uncertainty.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2024
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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

9 authors.

Mireille GuayVaccine Rollout Task Force, Public Health Agency of Canada, Ottawa, ON, Canada. mireille.guay@phac-aspc.gc.ca.
Aubrey MaquilingVaccine Rollout Task Force, Public Health Agency of Canada, Ottawa, ON, Canada.
Ruoke ChenVaccine Rollout Task Force, Public Health Agency of Canada, Ottawa, ON, Canada.
Valérie LavergneVaccine Rollout Task Force, Public Health Agency of Canada, Ottawa, ON, Canada.
Donalyne-Joy BaysacVaccine Rollout Task Force, Public Health Agency of Canada, Ottawa, ON, Canada.
Audrey RacineCentre for Population Health Data, Statistics Canada, Ottawa, ON, Canada.
Eve DubéInstitut National de Santé Publique du Québec, Québec, QC, Canada.
Shannon E MacDonaldFaculty of Nursing, University of Alberta, Alberta, Canada.
Nicolas L GilbertVaccine Rollout Task Force, Public Health Agency of Canada, Ottawa, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBy July 2021, Canada had received enough COVID-19 vaccines to fully vaccinate every eligible Canadian. However, despite the availability of vaccines, some eligible individuals remain unvaccinated. Differences in vaccination uptake can be driven by health inequalities which have been exacerbated and amplified by the pandemic. This study aims to assess inequalities in COVID-19 vaccination uptake and intent in adults 18 years or older across Canada by identifying sociodemographic factors associated with non-vaccination and low vaccination intent using data drawn from the June to August 2021 Canadian Community Health Survey (CCHS).

methodsThe CCHS is an annual cross-sectional and nationally representative survey conducted by Statistics Canada, which collects health-related information. Since September 2020, questions about the COVID-19 pandemic are asked. Adjusted logistic regression models were fitted to examine associations between vaccination uptake or intent and sociodemographic and health related variables. Region, age, gender, level of education, Indigenous status, visible minority status, perceived health status, and having a regular healthcare provider were considered as predictors, among other factors.

resultsThe analysis included 9,509 respondents. The proportion of unvaccinated was 11%. Non-vaccination was associated with less than university education (aOR up to 3.5, 95% CI 2.1-6.1), living with children under 12 years old (aOR 1.6, 95% CI 1.1-2.4), not having a regular healthcare provider (aOR 1.6, 95% CI 1.1-2.2), and poor self-perceived health (aOR 1.8, 95% CI 1.3-2.4). Only 5% of the population had low intention to get vaccinated. Being unlikely to get vaccinated was associated with the Prairies region (aOR 2.2, 95% CI 1.2-4.1), younger age groups (aOR up to 4.0, 95% CI 1.3-12.3), less than university education (aOR up to 3.8, 95% CI 1.9-7.6), not being part of a visible minority group (aOR 3.0, 95% CI 1.4-6.4), living with children under 12 years old (aOR 1.8, 95% CI 1.1-2.9), unattached individuals (aOR 2.6, 95% CI 1.1-6.1), and poor self-perceived health (aOR 2.0, 95% CI 1.3-2.9).

conclusionsDisparities were observed in vaccination uptake and intent among various sociodemographic groups. Awareness of inequalities in COVID-19 vaccination uptake and intent is needed to determine the vaccination barriers to address in vaccination promotion strategies.

Indexed as

COVID-19COVID-19 VaccinesAdultCanadaChildCross-Sectional StudiesHumansIntentionPandemicsPublic HealthSurveys and QuestionnairesVaccinationCOVID-19 VaccinesCanadaCOVID-19Health equityIntentionVaccination CoverageVaccine

Identifiers

PMID36076208
PMCPMC9454405

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.