Evidence map›Paper›PMID 37564118›Full record

ReviewPreventive medicine reports2023

Social determinants of health and vaccine uptake during the first wave of the COVID-19 pandemic: A systematic review.

Constantine Vardavas, Katerina Nikitara, Katerina Aslanoglou, Ioanna Lagou, Valia Marou, Revati Phalkey, Jo Leonardi-Bee, Esteve Fernandez, Victoria Vivilaki, Apostolos Kamekis and 5 more

Abstract readReview
In one paragraph

Review in Preventive medicine reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Individual and Environmental Correlations with Vaccination Status in Canada: The COHESION study.Journal of urban health : bulletin of the New York Academy of Medicine · 2026
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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

15 authors.

Constantine VardavasSchool of Medicine, University of Crete, Heraklion, Crete, Greece.
Katerina NikitaraSchool of Medicine, University of Crete, Heraklion, Crete, Greece.
Katerina AslanoglouSchool of Medicine, University of Crete, Heraklion, Crete, Greece.
Ioanna LagouSchool of Medicine, University of Crete, Heraklion, Crete, Greece.
Valia MarouSchool of Medicine, University of Crete, Heraklion, Crete, Greece.
Revati PhalkeyHealth Centre for Evidence Based Healthcare, School of Medicine, University of Nottingham, Nottingham, UK.
Jo Leonardi-BeeHealth Centre for Evidence Based Healthcare, School of Medicine, University of Nottingham, Nottingham, UK.
Esteve FernandezTobacco Control Unit, WHO Collaborating Centre for Tobacco Control, Institut Català d'Oncologia-ICO, L'Hospitalet de Llobregat (Barcelona), Spain.
Victoria VivilakiDepartment of Midwifery, University of West Attica, Athens, Greece.
Apostolos KamekisSchool of Medicine, University of Crete, Heraklion, Crete, Greece.
Emmanouil SymvoulakisSchool of Medicine, University of Crete, Heraklion, Crete, Greece.
Teymur NooriEmergency Preparedness and Response Support, European Centre for Disease Prevention and Control, Solna, Sweden.
Andrea WuerzEmergency Preparedness and Response Support, European Centre for Disease Prevention and Control, Solna, Sweden.
Jonathan E SukEmergency Preparedness and Response Support, European Centre for Disease Prevention and Control, Solna, Sweden.
Charlotte DeoganEmergency Preparedness and Response Support, European Centre for Disease Prevention and Control, Solna, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Social determinants of health significantly impact population health status. The aim of this systematic review was to examine which social vulnerability factors or determinants of health at the individual or county level affected vaccine uptake within the first phase of the vaccination program. We performed a systematic review of peer-reviewed literature published from January 2020 until September 2021 in Medline and Embase (Bagaria et al., 2022) and complemented the review with an assessment of pre-print literature within the same period. We restricted our criteria to studies performed in the EU/UK/EEA/US that report vaccine uptake in the general population as the primary outcome and included various social determinants of health as explanatory variables. This review provides evidence of significant associations between the early phases of vaccination uptake for SARS-CoV-2 and multiple socioeconomic factors including income, poverty, deprivation, race/ethnicity, education and health insurance. The identified associations should be taken into account to increase vaccine uptake in socially vulnerable groups, and to reduce disparities in uptake, in particular within the context of public health preparedness for future pandemics. While further corroboration is needed to explore the generalizability of these findings across the European setting, these results confirm the need to consider vulnerable groups and social determinants of health in the planning and roll-out of SARS-CoV-2 vaccination programs and within the context of future respiratory pandemics.

Indexed as

COVID-19DisparitiesHealth determinantsPandemicPublic healthVaccination

Identifiers

PMID37564118
PMCPMC10410576

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.