Evidence map›Paper›PMID 36992188›Full record

ArticleVaccines2023

Household Composition and Inequalities in COVID-19 Vaccination in Wales, UK.

Alex Lench, Malorie Perry, Rhodri D Johnson, Richard Fry, Gill Richardson, Ronan A Lyons, Ashley Akbari, Adrian Edwards, Brendan Collins, Natalie Joseph-Williams and 2 more

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.5field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. 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

12 authors at 4 institutions in 1 country.

Alex LenchVaccine Preventable Disease Programme and Communicable Disease Surveillance Centre, Public Health Wales, 2 Capital Quarter, Tyndall Street, Cardiff CF10 4BZ, UK.
Malorie PerryVaccine Preventable Disease Programme and Communicable Disease Surveillance Centre, Public Health Wales, 2 Capital Quarter, Tyndall Street, Cardiff CF10 4BZ, UK.ORCID 0000-0003-1397-5934
Rhodri D JohnsonPopulation Data Science, Health Data Research UK, Swansea University Medical School, Swansea SA2 8PP, UK.
Richard FryPopulation Data Science, Health Data Research UK, Swansea University Medical School, Swansea SA2 8PP, UK.ORCID 0000-0002-7968-6679
Gill RichardsonPolicy, Research and International Development, Public Health Wales, 2 Capital Quarter, Tyndall Street, Cardiff CF10 4BZ, UK.
Ronan A LyonsPopulation Data Science, Health Data Research UK, Swansea University Medical School, Swansea SA2 8PP, UK.ORCID 0000-0001-5225-000X
Ashley AkbariPopulation Data Science, Health Data Research UK, Swansea University Medical School, Swansea SA2 8PP, UK.
Adrian EdwardsWales COVID-19 Evidence Centre, PRIME Centre Wales, Division of Population Medicine, School of Medicine, Cardiff University, 8th floor, Neuadd Meirionnydd, Heath Park, Cardiff CF14 4XN, UK.ORCID 0000-0002-6228-4446
Brendan CollinsHealth and Social Services Group, Finance Directorate, Welsh Government, Cardiff CF10 3NQ, UK.ORCID 0000-0002-3023-8189
Natalie Joseph-WilliamsWales COVID-19 Evidence Centre, PRIME Centre Wales, Division of Population Medicine, School of Medicine, Cardiff University, 8th floor, Neuadd Meirionnydd, Heath Park, Cardiff CF14 4XN, UK.
Alison CooperWales COVID-19 Evidence Centre, PRIME Centre Wales, Division of Population Medicine, School of Medicine, Cardiff University, 8th floor, Neuadd Meirionnydd, Heath Park, Cardiff CF14 4XN, UK.
Simon CottrellVaccine Preventable Disease Programme and Communicable Disease Surveillance Centre, Public Health Wales, 2 Capital Quarter, Tyndall Street, Cardiff CF10 4BZ, UK.
Swansea University · GBCardiff University · GBPublic Health Wales · GBWelsh Government · GB

Funding

Medical Research Council MR/V028367/1Wellcome Trust
6 · The paper itself

Abstract

The uptake of COVID-19 vaccination in Wales is high at a population level but many inequalities exist. Household composition may be an important factor in COVID-19 vaccination uptake due to the practical, social, and psychological implications associated with different living arrangements. In this study, the role of household composition in the uptake of COVID-19 vaccination in Wales was examined with the aim of identifying areas for intervention to address inequalities. Records within the Wales Immunisation System (WIS) COVID-19 vaccination register were linked to the Welsh Demographic Service Dataset (WDSD; a population register for Wales) held within the Secure Anonymised Information Linkage (SAIL) databank. Eight household types were defined based on household size, the presence or absence of children, and the presence of single or multiple generations. Uptake of the second dose of any COVID-19 vaccine was analysed using logistic regression. Gender, age group, health board, rural/urban residential classification, ethnic group, and deprivation quintile were included as covariates for multivariable regression. Compared to two-adult households, all other household types were associated with lower uptake. The most significantly reduced uptake was observed for large, multigenerational, adult group households (aOR 0.45, 95%CI 0.43-0.46). Comparing multivariable regression with and without incorporation of household composition as a variable produced significant differences in odds of vaccination for health board, age group, and ethnic group categories. These results indicate that household composition is an important factor for the uptake of COVID-19 vaccination and consideration of differences in household composition is necessary to mitigate vaccination inequalities.

Indexed as

COVID-19household compositionhouseholdsimmunisationinequalitiesinequitiesvaccinationvaccines

Identifiers

PMID36992188
PMCPMC10055803
OpenAlexW4323361749

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.