Within-Country Inequality in COVID-19 Vaccination Coverage: A Scoping Review of Academic Literature

Since December 2020, COVID-19 vaccines have become increasingly available to populations around the globe. A growing body of research has characterised inequalities in COVID-19 vaccination coverage. This scoping review aims to locate, select and assess research articles that report on within-country...

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Main Authors: Nicole Bergen, Nicole E. Johns, Diana Chang Blanc, Ahmad Reza Hosseinpoor
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/11/3/517
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author Nicole Bergen
Nicole E. Johns
Diana Chang Blanc
Ahmad Reza Hosseinpoor
author_facet Nicole Bergen
Nicole E. Johns
Diana Chang Blanc
Ahmad Reza Hosseinpoor
author_sort Nicole Bergen
collection DOAJ
description Since December 2020, COVID-19 vaccines have become increasingly available to populations around the globe. A growing body of research has characterised inequalities in COVID-19 vaccination coverage. This scoping review aims to locate, select and assess research articles that report on within-country inequalities in COVID-19 vaccination coverage, and to provide a preliminary overview of inequality trends for selected dimensions of inequality. We applied a systematic search strategy across electronic databases with no language or date restrictions. Our inclusion criteria specified research articles or reports that analysed inequality in COVID-19 vaccination coverage according to one or more socioeconomic, demographic or geographic dimension of inequality. We developed a data extraction template to compile findings. The scoping review was carried out using the PRISMA-ScR checklist. A total of 167 articles met our inclusion criteria, of which half (<i>n</i> = 83) were conducted in the United States. Articles focused on vaccine initiation, full vaccination and/or receipt of booster. Diverse dimensions of inequality were explored, most frequently relating to age (<i>n</i> = 127 articles), race/ethnicity (<i>n</i> = 117 articles) and sex/gender (<i>n</i> = 103 articles). Preliminary assessments of inequality trends showed higher coverage among older population groups, with mixed findings for sex/gender. Global research efforts should be expanded across settings to understand patterns of inequality and strengthen equity in vaccine policies, planning and implementation.
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spelling doaj.art-17b5e25c198d4c359e36dc8f137b63412023-11-17T14:17:10ZengMDPI AGVaccines2076-393X2023-02-0111351710.3390/vaccines11030517Within-Country Inequality in COVID-19 Vaccination Coverage: A Scoping Review of Academic LiteratureNicole Bergen0Nicole E. Johns1Diana Chang Blanc2Ahmad Reza Hosseinpoor3Department of Data and Analytics, World Health Organization, 20 Avenue Appia, 1211 Geneva, SwitzerlandDepartment of Data and Analytics, World Health Organization, 20 Avenue Appia, 1211 Geneva, SwitzerlandDepartment of Immunization, Vaccines and Biologicals, World Health Organization, 20 Avenue Appia, 1211 Geneva, SwitzerlandDepartment of Data and Analytics, World Health Organization, 20 Avenue Appia, 1211 Geneva, SwitzerlandSince December 2020, COVID-19 vaccines have become increasingly available to populations around the globe. A growing body of research has characterised inequalities in COVID-19 vaccination coverage. This scoping review aims to locate, select and assess research articles that report on within-country inequalities in COVID-19 vaccination coverage, and to provide a preliminary overview of inequality trends for selected dimensions of inequality. We applied a systematic search strategy across electronic databases with no language or date restrictions. Our inclusion criteria specified research articles or reports that analysed inequality in COVID-19 vaccination coverage according to one or more socioeconomic, demographic or geographic dimension of inequality. We developed a data extraction template to compile findings. The scoping review was carried out using the PRISMA-ScR checklist. A total of 167 articles met our inclusion criteria, of which half (<i>n</i> = 83) were conducted in the United States. Articles focused on vaccine initiation, full vaccination and/or receipt of booster. Diverse dimensions of inequality were explored, most frequently relating to age (<i>n</i> = 127 articles), race/ethnicity (<i>n</i> = 117 articles) and sex/gender (<i>n</i> = 103 articles). Preliminary assessments of inequality trends showed higher coverage among older population groups, with mixed findings for sex/gender. Global research efforts should be expanded across settings to understand patterns of inequality and strengthen equity in vaccine policies, planning and implementation.https://www.mdpi.com/2076-393X/11/3/517COVID-19dimension of inequalitydisparityhealth equityimmunisationinequality
spellingShingle Nicole Bergen
Nicole E. Johns
Diana Chang Blanc
Ahmad Reza Hosseinpoor
Within-Country Inequality in COVID-19 Vaccination Coverage: A Scoping Review of Academic Literature
Vaccines
COVID-19
dimension of inequality
disparity
health equity
immunisation
inequality
title Within-Country Inequality in COVID-19 Vaccination Coverage: A Scoping Review of Academic Literature
title_full Within-Country Inequality in COVID-19 Vaccination Coverage: A Scoping Review of Academic Literature
title_fullStr Within-Country Inequality in COVID-19 Vaccination Coverage: A Scoping Review of Academic Literature
title_full_unstemmed Within-Country Inequality in COVID-19 Vaccination Coverage: A Scoping Review of Academic Literature
title_short Within-Country Inequality in COVID-19 Vaccination Coverage: A Scoping Review of Academic Literature
title_sort within country inequality in covid 19 vaccination coverage a scoping review of academic literature
topic COVID-19
dimension of inequality
disparity
health equity
immunisation
inequality
url https://www.mdpi.com/2076-393X/11/3/517
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