Interplay of Digital Proximity App Use and SARS-CoV-2 Vaccine Uptake in Switzerland: Analysis of Two Population-Based Cohort Studies

Objectives: Our study aims to evaluate developments in vaccine uptake and digital proximity tracing app use in a localized context of the SARS-CoV-2 pandemic.Methods: We report findings from two population-based longitudinal cohorts in Switzerland from January to December 2021. Failure time analyses...

Full description

Bibliographic Details
Main Authors: Paola Daniore, André Moser, Marc Höglinger, Nicole Probst Hensch, Medea Imboden, Thomas Vermes, Dirk Keidel, Murielle Bochud, Natalia Ortega Herrero, Stéphanie Baggio, Patricia Chocano-Bedoya, Nicolas Rodondi, Stefano Tancredi, Cornelia Wagner, Stéphane Cullati, Silvia Stringhini, Semira Gonseth Nusslé, Caroline Veys-Takeuchi, Claire Zuppinger, Erika Harju, Gisela Michel, Irène Frank, Christian R. Kahlert, Emiliano Albanese, Luca Crivelli, Sara Levati, Rebecca Amati, Marco Kaufmann, Marco Geigges, Tala Ballouz, Anja Frei, Jan Fehr, Viktor von Wyl
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-09-01
Series:International Journal of Public Health
Subjects:
Online Access:https://www.ssph-journal.org/articles/10.3389/ijph.2023.1605812/full
_version_ 1797679798670065664
author Paola Daniore
Paola Daniore
André Moser
Marc Höglinger
Nicole Probst Hensch
Nicole Probst Hensch
Medea Imboden
Medea Imboden
Thomas Vermes
Thomas Vermes
Dirk Keidel
Dirk Keidel
Murielle Bochud
Natalia Ortega Herrero
Natalia Ortega Herrero
Stéphanie Baggio
Stéphanie Baggio
Patricia Chocano-Bedoya
Patricia Chocano-Bedoya
Nicolas Rodondi
Nicolas Rodondi
Stefano Tancredi
Cornelia Wagner
Stéphane Cullati
Stéphane Cullati
Silvia Stringhini
Silvia Stringhini
Semira Gonseth Nusslé
Caroline Veys-Takeuchi
Claire Zuppinger
Erika Harju
Erika Harju
Erika Harju
Gisela Michel
Irène Frank
Christian R. Kahlert
Christian R. Kahlert
Emiliano Albanese
Luca Crivelli
Luca Crivelli
Sara Levati
Rebecca Amati
Marco Kaufmann
Marco Geigges
Tala Ballouz
Anja Frei
Jan Fehr
Jan Fehr
Viktor von Wyl
Viktor von Wyl
Viktor von Wyl
author_facet Paola Daniore
Paola Daniore
André Moser
Marc Höglinger
Nicole Probst Hensch
Nicole Probst Hensch
Medea Imboden
Medea Imboden
Thomas Vermes
Thomas Vermes
Dirk Keidel
Dirk Keidel
Murielle Bochud
Natalia Ortega Herrero
Natalia Ortega Herrero
Stéphanie Baggio
Stéphanie Baggio
Patricia Chocano-Bedoya
Patricia Chocano-Bedoya
Nicolas Rodondi
Nicolas Rodondi
Stefano Tancredi
Cornelia Wagner
Stéphane Cullati
Stéphane Cullati
Silvia Stringhini
Silvia Stringhini
Semira Gonseth Nusslé
Caroline Veys-Takeuchi
Claire Zuppinger
Erika Harju
Erika Harju
Erika Harju
Gisela Michel
Irène Frank
Christian R. Kahlert
Christian R. Kahlert
Emiliano Albanese
Luca Crivelli
Luca Crivelli
Sara Levati
Rebecca Amati
Marco Kaufmann
Marco Geigges
Tala Ballouz
Anja Frei
Jan Fehr
Jan Fehr
Viktor von Wyl
Viktor von Wyl
Viktor von Wyl
author_sort Paola Daniore
collection DOAJ
description Objectives: Our study aims to evaluate developments in vaccine uptake and digital proximity tracing app use in a localized context of the SARS-CoV-2 pandemic.Methods: We report findings from two population-based longitudinal cohorts in Switzerland from January to December 2021. Failure time analyses and Cox proportional hazards regression models were conducted to assess vaccine uptake and digital proximity tracing app (SwissCovid) uninstalling outcomes.Results: We observed a dichotomy of individuals who did not use the SwissCovid app and did not get vaccinated, and who used the SwissCovid app and got vaccinated during the study period. Increased vaccine uptake was observed with SwissCovid app use (aHR, 1.51; 95% CI: 1.40–1.62 [CI-DFU]; aHR, 1.79; 95% CI: 1.62–1.99 [CSM]) compared to SwissCovid app non-use. Decreased SwissCovid uninstallation risk was observed for participants who got vaccinated (aHR, 0.55; 95% CI: 0.38–0.81 [CI-DFU]; aHR, 0.45; 95% CI: 0.27–0.78 [CSM]) compared to participants who did not get vaccinated.Conclusion: In evolving epidemic contexts, these findings underscore the need for communication strategies as well as flexible digital proximity tracing app adjustments that accommodate different preventive measures and their anticipated interactions.
first_indexed 2024-03-11T23:20:08Z
format Article
id doaj.art-01a313c38c7d494695bae8ffb70dbadf
institution Directory Open Access Journal
issn 1661-8564
language English
last_indexed 2024-03-11T23:20:08Z
publishDate 2023-09-01
publisher Frontiers Media S.A.
record_format Article
series International Journal of Public Health
spelling doaj.art-01a313c38c7d494695bae8ffb70dbadf2023-09-20T15:01:42ZengFrontiers Media S.A.International Journal of Public Health1661-85642023-09-016810.3389/ijph.2023.16058121605812Interplay of Digital Proximity App Use and SARS-CoV-2 Vaccine Uptake in Switzerland: Analysis of Two Population-Based Cohort StudiesPaola Daniore0Paola Daniore1André Moser2Marc Höglinger3Nicole Probst Hensch4Nicole Probst Hensch5Medea Imboden6Medea Imboden7Thomas Vermes8Thomas Vermes9Dirk Keidel10Dirk Keidel11Murielle Bochud12Natalia Ortega Herrero13Natalia Ortega Herrero14Stéphanie Baggio15Stéphanie Baggio16Patricia Chocano-Bedoya17Patricia Chocano-Bedoya18Nicolas Rodondi19Nicolas Rodondi20Stefano Tancredi21Cornelia Wagner22Stéphane Cullati23Stéphane Cullati24Silvia Stringhini25Silvia Stringhini26Semira Gonseth Nusslé27Caroline Veys-Takeuchi28Claire Zuppinger29Erika Harju30Erika Harju31Erika Harju32Gisela Michel33Irène Frank34Christian R. Kahlert35Christian R. Kahlert36Emiliano Albanese37Luca Crivelli38Luca Crivelli39Sara Levati40Rebecca Amati41Marco Kaufmann42Marco Geigges43Tala Ballouz44Anja Frei45Jan Fehr46Jan Fehr47Viktor von Wyl48Viktor von Wyl49Viktor von Wyl50Institute for Implementation Science in Health Care, University of Zurich, Zurich, SwitzerlandDigital Society Initiative, University of Zurich, Zurich, SwitzerlandClinical Trials Unit Bern, University of Bern, Bern, SwitzerlandWinterthur Institute of Health Economics, Zurich University of Applied Sciences, Winterthur, SwitzerlandSwiss Tropical and Public Health Institute, Allschwil, SwitzerlandUniversity of Basel, Basel, SwitzerlandSwiss Tropical and Public Health Institute, Allschwil, SwitzerlandUniversity of Basel, Basel, SwitzerlandSwiss Tropical and Public Health Institute, Allschwil, SwitzerlandUniversity of Basel, Basel, SwitzerlandSwiss Tropical and Public Health Institute, Allschwil, SwitzerlandUniversity of Basel, Basel, SwitzerlandUnisanté, University Center for Primary Care and Public Health, Lausanne, SwitzerlandInstitute of Primary Health Care (BIHAM), University of Bern, Bern, SwitzerlandPopulation Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, SwitzerlandInstitute of Primary Health Care (BIHAM), University of Bern, Bern, SwitzerlandPopulation Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, SwitzerlandInstitute of Primary Health Care (BIHAM), University of Bern, Bern, SwitzerlandPopulation Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, SwitzerlandInstitute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland0Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandPopulation Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, SwitzerlandPopulation Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, SwitzerlandPopulation Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland1Department of Readaptation and Geriatrics, University of Geneva, Geneva, Switzerland2Department of Health and Community Medicine, Faculty of Medicine, University of Geneva, Geneva, Switzerland3Unit of Population Epidemiology, Division of Primary Care Medicine, Geneva University Hospitals, Geneva, SwitzerlandUnisanté, University Center for Primary Care and Public Health, Lausanne, SwitzerlandUnisanté, University Center for Primary Care and Public Health, Lausanne, SwitzerlandUnisanté, University Center for Primary Care and Public Health, Lausanne, Switzerland4Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland5Clinical Trial Unit, Lucerne Cantonal Hospital, Lucerne, Switzerland6School of Health Sciences, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland4Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland5Clinical Trial Unit, Lucerne Cantonal Hospital, Lucerne, Switzerland7Department of Infectious Diseases and Hospital Epidemiology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland8Infectious Diseases and Hospital Epidemiology, Children’s Hospital of Eastern Switzerland, St. Gallen, Switzerland9Institute of Public Health, Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland9Institute of Public Health, Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland0Department Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland0Department Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland9Institute of Public Health, Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland1Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland1Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland1Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland1Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland1Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland2Division of Infectious Disease and Hospital Epidemiology, University Hospital Zurich, Zurich, SwitzerlandInstitute for Implementation Science in Health Care, University of Zurich, Zurich, SwitzerlandDigital Society Initiative, University of Zurich, Zurich, Switzerland2Division of Infectious Disease and Hospital Epidemiology, University Hospital Zurich, Zurich, SwitzerlandObjectives: Our study aims to evaluate developments in vaccine uptake and digital proximity tracing app use in a localized context of the SARS-CoV-2 pandemic.Methods: We report findings from two population-based longitudinal cohorts in Switzerland from January to December 2021. Failure time analyses and Cox proportional hazards regression models were conducted to assess vaccine uptake and digital proximity tracing app (SwissCovid) uninstalling outcomes.Results: We observed a dichotomy of individuals who did not use the SwissCovid app and did not get vaccinated, and who used the SwissCovid app and got vaccinated during the study period. Increased vaccine uptake was observed with SwissCovid app use (aHR, 1.51; 95% CI: 1.40–1.62 [CI-DFU]; aHR, 1.79; 95% CI: 1.62–1.99 [CSM]) compared to SwissCovid app non-use. Decreased SwissCovid uninstallation risk was observed for participants who got vaccinated (aHR, 0.55; 95% CI: 0.38–0.81 [CI-DFU]; aHR, 0.45; 95% CI: 0.27–0.78 [CSM]) compared to participants who did not get vaccinated.Conclusion: In evolving epidemic contexts, these findings underscore the need for communication strategies as well as flexible digital proximity tracing app adjustments that accommodate different preventive measures and their anticipated interactions.https://www.ssph-journal.org/articles/10.3389/ijph.2023.1605812/fullpublic healthCOVID-19digital proximity tracingvaccinationpublic health measures
spellingShingle Paola Daniore
Paola Daniore
André Moser
Marc Höglinger
Nicole Probst Hensch
Nicole Probst Hensch
Medea Imboden
Medea Imboden
Thomas Vermes
Thomas Vermes
Dirk Keidel
Dirk Keidel
Murielle Bochud
Natalia Ortega Herrero
Natalia Ortega Herrero
Stéphanie Baggio
Stéphanie Baggio
Patricia Chocano-Bedoya
Patricia Chocano-Bedoya
Nicolas Rodondi
Nicolas Rodondi
Stefano Tancredi
Cornelia Wagner
Stéphane Cullati
Stéphane Cullati
Silvia Stringhini
Silvia Stringhini
Semira Gonseth Nusslé
Caroline Veys-Takeuchi
Claire Zuppinger
Erika Harju
Erika Harju
Erika Harju
Gisela Michel
Irène Frank
Christian R. Kahlert
Christian R. Kahlert
Emiliano Albanese
Luca Crivelli
Luca Crivelli
Sara Levati
Rebecca Amati
Marco Kaufmann
Marco Geigges
Tala Ballouz
Anja Frei
Jan Fehr
Jan Fehr
Viktor von Wyl
Viktor von Wyl
Viktor von Wyl
Interplay of Digital Proximity App Use and SARS-CoV-2 Vaccine Uptake in Switzerland: Analysis of Two Population-Based Cohort Studies
International Journal of Public Health
public health
COVID-19
digital proximity tracing
vaccination
public health measures
title Interplay of Digital Proximity App Use and SARS-CoV-2 Vaccine Uptake in Switzerland: Analysis of Two Population-Based Cohort Studies
title_full Interplay of Digital Proximity App Use and SARS-CoV-2 Vaccine Uptake in Switzerland: Analysis of Two Population-Based Cohort Studies
title_fullStr Interplay of Digital Proximity App Use and SARS-CoV-2 Vaccine Uptake in Switzerland: Analysis of Two Population-Based Cohort Studies
title_full_unstemmed Interplay of Digital Proximity App Use and SARS-CoV-2 Vaccine Uptake in Switzerland: Analysis of Two Population-Based Cohort Studies
title_short Interplay of Digital Proximity App Use and SARS-CoV-2 Vaccine Uptake in Switzerland: Analysis of Two Population-Based Cohort Studies
title_sort interplay of digital proximity app use and sars cov 2 vaccine uptake in switzerland analysis of two population based cohort studies
topic public health
COVID-19
digital proximity tracing
vaccination
public health measures
url https://www.ssph-journal.org/articles/10.3389/ijph.2023.1605812/full
work_keys_str_mv AT paoladaniore interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT paoladaniore interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT andremoser interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT marchoglinger interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT nicoleprobsthensch interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT nicoleprobsthensch interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT medeaimboden interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT medeaimboden interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT thomasvermes interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT thomasvermes interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT dirkkeidel interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT dirkkeidel interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT muriellebochud interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT nataliaortegaherrero interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT nataliaortegaherrero interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT stephaniebaggio interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT stephaniebaggio interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT patriciachocanobedoya interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT patriciachocanobedoya interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT nicolasrodondi interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT nicolasrodondi interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT stefanotancredi interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT corneliawagner interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT stephanecullati interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT stephanecullati interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT silviastringhini interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT silviastringhini interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT semiragonsethnussle interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT carolineveystakeuchi interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT clairezuppinger interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT erikaharju interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT erikaharju interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT erikaharju interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT giselamichel interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT irenefrank interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT christianrkahlert interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT christianrkahlert interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT emilianoalbanese interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT lucacrivelli interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT lucacrivelli interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT saralevati interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT rebeccaamati interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT marcokaufmann interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT marcogeigges interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT talaballouz interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT anjafrei interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT janfehr interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT janfehr interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT viktorvonwyl interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT viktorvonwyl interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies
AT viktorvonwyl interplayofdigitalproximityappuseandsarscov2vaccineuptakeinswitzerlandanalysisoftwopopulationbasedcohortstudies