Uptake of COVID-19 vaccinations amongst 3,433,483 children and young people: meta-analysis of UK prospective cohorts

SARS-CoV-2 infection in children and young people (CYP) can lead to life-threatening COVID-19, transmission within households and schools, and the development of long COVID. Using linked health and administrative data, we investigated vaccine uptake among 3,433,483 CYP aged 5-17 years across all UK...

Full description

Bibliographic Details
Main Authors: Aldridge, SJ, Agrawal, U, Murphy, S, Millington, T, Akbari, A, Almaghrabi, F, Anand, SN, Bedston, S, Goudie, R, Griffiths, R, Joy, M, Lowthian, E, de Lusignan, S, Patterson, L, Robertson, C, Rudan, I, Bradley, DT, Lyons, RA, Sheikh, A, Owen, RK
Format: Journal article
Language:English
Published: Springer Nature 2024
_version_ 1826315054497136640
author Aldridge, SJ
Agrawal, U
Murphy, S
Millington, T
Akbari, A
Almaghrabi, F
Anand, SN
Bedston, S
Goudie, R
Griffiths, R
Joy, M
Lowthian, E
de Lusignan, S
Patterson, L
Robertson, C
Rudan, I
Bradley, DT
Lyons, RA
Sheikh, A
Owen, RK
author_facet Aldridge, SJ
Agrawal, U
Murphy, S
Millington, T
Akbari, A
Almaghrabi, F
Anand, SN
Bedston, S
Goudie, R
Griffiths, R
Joy, M
Lowthian, E
de Lusignan, S
Patterson, L
Robertson, C
Rudan, I
Bradley, DT
Lyons, RA
Sheikh, A
Owen, RK
author_sort Aldridge, SJ
collection OXFORD
description SARS-CoV-2 infection in children and young people (CYP) can lead to life-threatening COVID-19, transmission within households and schools, and the development of long COVID. Using linked health and administrative data, we investigated vaccine uptake among 3,433,483 CYP aged 5-17 years across all UK nations between 4th August 2021 and 31st May 2022. We constructed national cohorts and undertook multi-state modelling and meta-analysis to identify associations between demographic variables and vaccine uptake. We found that uptake of the first COVID-19 vaccine among CYP was low across all four nations compared to other age groups and diminished with subsequent doses. Age and vaccination status of adults living in the same household were identified as important risk factors associated with vaccine uptake in CYP. For example, 5-11 year-olds were less likely to receive their first vaccine compared to 16-17 year-olds (adjusted Hazard Ratio [aHR]: 0.10 (95%CI: 0.06-0.19)), and CYP in unvaccinated households were less likely to receive their first vaccine compared to CYP in partially vaccinated households (aHR: 0.19, 95%CI 0.13-0.29).
first_indexed 2024-12-09T03:18:57Z
format Journal article
id oxford-uuid:a77ab7c4-d409-4261-8819-c5e1199a422f
institution University of Oxford
language English
last_indexed 2024-12-09T03:18:57Z
publishDate 2024
publisher Springer Nature
record_format dspace
spelling oxford-uuid:a77ab7c4-d409-4261-8819-c5e1199a422f2024-10-31T13:35:56ZUptake of COVID-19 vaccinations amongst 3,433,483 children and young people: meta-analysis of UK prospective cohortsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:a77ab7c4-d409-4261-8819-c5e1199a422fEnglishSymplectic ElementsSpringer Nature2024Aldridge, SJAgrawal, UMurphy, SMillington, TAkbari, AAlmaghrabi, FAnand, SNBedston, SGoudie, RGriffiths, RJoy, MLowthian, Ede Lusignan, SPatterson, LRobertson, CRudan, IBradley, DTLyons, RASheikh, AOwen, RKSARS-CoV-2 infection in children and young people (CYP) can lead to life-threatening COVID-19, transmission within households and schools, and the development of long COVID. Using linked health and administrative data, we investigated vaccine uptake among 3,433,483 CYP aged 5-17 years across all UK nations between 4th August 2021 and 31st May 2022. We constructed national cohorts and undertook multi-state modelling and meta-analysis to identify associations between demographic variables and vaccine uptake. We found that uptake of the first COVID-19 vaccine among CYP was low across all four nations compared to other age groups and diminished with subsequent doses. Age and vaccination status of adults living in the same household were identified as important risk factors associated with vaccine uptake in CYP. For example, 5-11 year-olds were less likely to receive their first vaccine compared to 16-17 year-olds (adjusted Hazard Ratio [aHR]: 0.10 (95%CI: 0.06-0.19)), and CYP in unvaccinated households were less likely to receive their first vaccine compared to CYP in partially vaccinated households (aHR: 0.19, 95%CI 0.13-0.29).
spellingShingle Aldridge, SJ
Agrawal, U
Murphy, S
Millington, T
Akbari, A
Almaghrabi, F
Anand, SN
Bedston, S
Goudie, R
Griffiths, R
Joy, M
Lowthian, E
de Lusignan, S
Patterson, L
Robertson, C
Rudan, I
Bradley, DT
Lyons, RA
Sheikh, A
Owen, RK
Uptake of COVID-19 vaccinations amongst 3,433,483 children and young people: meta-analysis of UK prospective cohorts
title Uptake of COVID-19 vaccinations amongst 3,433,483 children and young people: meta-analysis of UK prospective cohorts
title_full Uptake of COVID-19 vaccinations amongst 3,433,483 children and young people: meta-analysis of UK prospective cohorts
title_fullStr Uptake of COVID-19 vaccinations amongst 3,433,483 children and young people: meta-analysis of UK prospective cohorts
title_full_unstemmed Uptake of COVID-19 vaccinations amongst 3,433,483 children and young people: meta-analysis of UK prospective cohorts
title_short Uptake of COVID-19 vaccinations amongst 3,433,483 children and young people: meta-analysis of UK prospective cohorts
title_sort uptake of covid 19 vaccinations amongst 3 433 483 children and young people meta analysis of uk prospective cohorts
work_keys_str_mv AT aldridgesj uptakeofcovid19vaccinationsamongst3433483childrenandyoungpeoplemetaanalysisofukprospectivecohorts
AT agrawalu uptakeofcovid19vaccinationsamongst3433483childrenandyoungpeoplemetaanalysisofukprospectivecohorts
AT murphys uptakeofcovid19vaccinationsamongst3433483childrenandyoungpeoplemetaanalysisofukprospectivecohorts
AT millingtont uptakeofcovid19vaccinationsamongst3433483childrenandyoungpeoplemetaanalysisofukprospectivecohorts
AT akbaria uptakeofcovid19vaccinationsamongst3433483childrenandyoungpeoplemetaanalysisofukprospectivecohorts
AT almaghrabif uptakeofcovid19vaccinationsamongst3433483childrenandyoungpeoplemetaanalysisofukprospectivecohorts
AT anandsn uptakeofcovid19vaccinationsamongst3433483childrenandyoungpeoplemetaanalysisofukprospectivecohorts
AT bedstons uptakeofcovid19vaccinationsamongst3433483childrenandyoungpeoplemetaanalysisofukprospectivecohorts
AT goudier uptakeofcovid19vaccinationsamongst3433483childrenandyoungpeoplemetaanalysisofukprospectivecohorts
AT griffithsr uptakeofcovid19vaccinationsamongst3433483childrenandyoungpeoplemetaanalysisofukprospectivecohorts
AT joym uptakeofcovid19vaccinationsamongst3433483childrenandyoungpeoplemetaanalysisofukprospectivecohorts
AT lowthiane uptakeofcovid19vaccinationsamongst3433483childrenandyoungpeoplemetaanalysisofukprospectivecohorts
AT delusignans uptakeofcovid19vaccinationsamongst3433483childrenandyoungpeoplemetaanalysisofukprospectivecohorts
AT pattersonl uptakeofcovid19vaccinationsamongst3433483childrenandyoungpeoplemetaanalysisofukprospectivecohorts
AT robertsonc uptakeofcovid19vaccinationsamongst3433483childrenandyoungpeoplemetaanalysisofukprospectivecohorts
AT rudani uptakeofcovid19vaccinationsamongst3433483childrenandyoungpeoplemetaanalysisofukprospectivecohorts
AT bradleydt uptakeofcovid19vaccinationsamongst3433483childrenandyoungpeoplemetaanalysisofukprospectivecohorts
AT lyonsra uptakeofcovid19vaccinationsamongst3433483childrenandyoungpeoplemetaanalysisofukprospectivecohorts
AT sheikha uptakeofcovid19vaccinationsamongst3433483childrenandyoungpeoplemetaanalysisofukprospectivecohorts
AT owenrk uptakeofcovid19vaccinationsamongst3433483childrenandyoungpeoplemetaanalysisofukprospectivecohorts