ArticleCommunications medicine2023
Estimating COVID-19 vaccine uptake and its drivers among migrants, homeless and precariously housed people in France.
Article in Communications medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- A systematic review and meta-analysis of the global prevalence and determinants of COVID-19 vaccine acceptance and uptake in people living with HIV.Nature human behaviour · 2024Pooled it
- Vaccine acceptance, determinants, and attitudes toward vaccine among people experiencing homelessness: a systematic review and meta-analysis.BMC infectious diseases · 2023Pooled it
- Equity challenges in public health responses during the COVID-19 Pandemic: mixed-methods study of Travellers' experiences in Nouvelle-Aquitaine, France.International journal for equity in health · 2026Article
- Article
- Disparities in the Uptake of COVID-19 Vaccination Between Māori and Non-Māori in Aotearoa New Zealand.Journal of the Royal Society of New Zealand · 2026Article
- Socioeconomic inequalities and the COVID-19 pandemic in France: Territorial analyzes based on epidemic wave and metropolitan area.PloS one · 2026Article
- Article
- Unequal access in a universal health system: COVID-19 vaccination and health services utilization among international migrants in Brazil.BMC public health · 2025Article
- COVID-19 vaccination intention among people who use drugs in France in 2021: results from the international community-based research program EPIC.Harm reduction journal · 2024Article
- Factors associated with the uptake of COVID-19 vaccination, testing and medical care among Myanmar migrants in Japan: a cross-sectional study.Tropical medicine and health · 2024Article
- COVID-19 vaccination at a hospital in Paris: Spatial analyses and inverse equity hypothesis.Public health in practice (Oxford, England) · 2024Article
- A conceptual framework to model social determinants of COVID-19 vaccination uptake among underserved homeless populations.Vaccine: X · 2024Article
- COVID-19 vaccination uptake and receptivity among veterans enrolled in homelessness-tailored primary health care clinics: provider trust vs. misinformation.BMC primary care · 2024Article
- A Mobile-Based Preventive Intervention for Young, Arabic-Speaking Asylum Seekers During the COVID-19 Pandemic in Germany: Design and Implementation.JMIR formative research · 2023Article
- Morbidity and mortality in a prospective cohort of people who were homeless during the COVID-19 pandemic.Frontiers in public health · 2023Observational
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMigrants, people experiencing homelessness (PEH), or precariously housed (PH) are at high risk for COVID-19 infection, hospitalization, and death from COVID-19. However, while data on COVID-19 vaccine uptake in these populations are available in the USA, Canada, and Denmark, we are lacking, to the best of our knowledge, data from France.
methodsIn late 2021, we carried out a cross-sectional survey to determine COVID-19 vaccine coverage in PEH/PH residing in Ile-de-France and Marseille, France, and to explore its drivers. Participants aged over 18 years were interviewed face-to-face where they slept the previous night, in their preferred language, and then stratified for analysis into three housing groups (Streets, Accommodated, and Precariously Housed). Standardized vaccination rates were computed and compared to the French population. Multilevel univariate and multivariable logistic regression models were built.
resultsWe find that 76.2% (95% confidence interval [CI] 74.3-78.1) of the 3690 participants received at least one COVID-19 vaccine dose while 91.1% of the French population did so. Vaccine uptake varies by stratum, with the highest uptake (85.6%; reference) in PH, followed by Accommodated (75.4%; adjusted odds-ratio = 0.79; 95% CI 0.51-1.09 vs. PH) and lowest in Streets (42.0%; AOR = 0.38; 95%CI 0.25-0.57 vs. PH). Use for vaccine certificate, age, socioeconomic factors, and vaccine hesitancy is associated with vaccination coverage.
conclusionsIn France, PEH/PH, and especially the most excluded, are less likely than the general population to receive COVID-19 vaccines. While vaccine mandate has proved an effective strategy, targeted outreach, on-site vaccinations, and sensitization activities are strategies enhancing vaccine uptake that can easily be replicated in future campaigns and other settings.
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Registered trials
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