Covid-19 vaccination among migrants in Rome, Italy

Abstract Migrants may be susceptible to vaccine barriers and hesitancy. We evaluated the association between migrant status, as measured by the citizenship from a High Migratory Pressure Country (HMPC), and COVID-19 vaccination uptake in the resident population in Rome, Italy. We also investigated s...

Full description

Bibliographic Details
Main Authors: Laura Cacciani, Giulia Cesaroni, Enrico Calandrini, Marina Davoli, Nera Agabiti
Format: Article
Language:English
Published: Nature Portfolio 2023-11-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-48273-4
_version_ 1797415427410755584
author Laura Cacciani
Giulia Cesaroni
Enrico Calandrini
Marina Davoli
Nera Agabiti
author_facet Laura Cacciani
Giulia Cesaroni
Enrico Calandrini
Marina Davoli
Nera Agabiti
author_sort Laura Cacciani
collection DOAJ
description Abstract Migrants may be susceptible to vaccine barriers and hesitancy. We evaluated the association between migrant status, as measured by the citizenship from a High Migratory Pressure Country (HMPC), and COVID-19 vaccination uptake in the resident population in Rome, Italy. We also investigated sex differences. We followed participants for vaccination against COVID-19 in 2021. We calculated crude- and adjusted-vaccination rates and Cox hazard ratios of vaccination for migrants compared to Italians. Among migrants from HMPCs, we estimated HRs for females compared to males, stratifying by geographical area of origin. Models were adjusted for age and deprivation index and stratified by infection history. In 2021, among 1,731,832 18–64-year-olds, migrants were 55% less likely to uptake at least one COVID-19 vaccine dose than their Italian counterpart. Past SARS-CoV-2 infection reduced the difference between migrants and Italians to 27%. Among migrants from HMPCs, we observed a slight excess of vaccination uptake among females compared to males. Focusing on geographical areas, we observed that only females from central-western Asia were 9% less likely to uptake vaccination than males. Health communication strategies oriented to migrants and considering their different languages, cultures, and health literacy should be adopted for prevention before emergencies.
first_indexed 2024-03-09T05:47:31Z
format Article
id doaj.art-ca7be3b6f1a64d4995ee206e16cef46a
institution Directory Open Access Journal
issn 2045-2322
language English
last_indexed 2024-03-09T05:47:31Z
publishDate 2023-11-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj.art-ca7be3b6f1a64d4995ee206e16cef46a2023-12-03T12:20:03ZengNature PortfolioScientific Reports2045-23222023-11-011311910.1038/s41598-023-48273-4Covid-19 vaccination among migrants in Rome, ItalyLaura Cacciani0Giulia Cesaroni1Enrico Calandrini2Marina Davoli3Nera Agabiti4Department of Epidemiology of the Regional Health Service of LazioDepartment of Epidemiology of the Regional Health Service of LazioDepartment of Epidemiology of the Regional Health Service of LazioDepartment of Epidemiology of the Regional Health Service of LazioDepartment of Epidemiology of the Regional Health Service of LazioAbstract Migrants may be susceptible to vaccine barriers and hesitancy. We evaluated the association between migrant status, as measured by the citizenship from a High Migratory Pressure Country (HMPC), and COVID-19 vaccination uptake in the resident population in Rome, Italy. We also investigated sex differences. We followed participants for vaccination against COVID-19 in 2021. We calculated crude- and adjusted-vaccination rates and Cox hazard ratios of vaccination for migrants compared to Italians. Among migrants from HMPCs, we estimated HRs for females compared to males, stratifying by geographical area of origin. Models were adjusted for age and deprivation index and stratified by infection history. In 2021, among 1,731,832 18–64-year-olds, migrants were 55% less likely to uptake at least one COVID-19 vaccine dose than their Italian counterpart. Past SARS-CoV-2 infection reduced the difference between migrants and Italians to 27%. Among migrants from HMPCs, we observed a slight excess of vaccination uptake among females compared to males. Focusing on geographical areas, we observed that only females from central-western Asia were 9% less likely to uptake vaccination than males. Health communication strategies oriented to migrants and considering their different languages, cultures, and health literacy should be adopted for prevention before emergencies.https://doi.org/10.1038/s41598-023-48273-4
spellingShingle Laura Cacciani
Giulia Cesaroni
Enrico Calandrini
Marina Davoli
Nera Agabiti
Covid-19 vaccination among migrants in Rome, Italy
Scientific Reports
title Covid-19 vaccination among migrants in Rome, Italy
title_full Covid-19 vaccination among migrants in Rome, Italy
title_fullStr Covid-19 vaccination among migrants in Rome, Italy
title_full_unstemmed Covid-19 vaccination among migrants in Rome, Italy
title_short Covid-19 vaccination among migrants in Rome, Italy
title_sort covid 19 vaccination among migrants in rome italy
url https://doi.org/10.1038/s41598-023-48273-4
work_keys_str_mv AT lauracacciani covid19vaccinationamongmigrantsinromeitaly
AT giuliacesaroni covid19vaccinationamongmigrantsinromeitaly
AT enricocalandrini covid19vaccinationamongmigrantsinromeitaly
AT marinadavoli covid19vaccinationamongmigrantsinromeitaly
AT neraagabiti covid19vaccinationamongmigrantsinromeitaly