COVID-19 vaccine coverage and sociodemographic, behavioural and housing factors associated with vaccination among people experiencing homelessness in Toronto, Canada: a cross-sectional study
COVID-19 vaccine coverage and sociodemographic, behavioural and housing factors associated with vaccination among people experiencing homelessness in Toronto, Canada: a cross-sectional study
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Full item details
- creativework.keywords - en
- COVID-19 vaccines
- homelessness
- public health
- Toronto
- Canada
- dc.contributor.author
- Richard, Lucie
- Liu, Michael
- Jenkinson, Jesse I. R.
- Nisenbaum, Rosane
- Brown, Michael
- Pedersen, Cheryl
- Hwang, Stephen W.
- dc.date.accessioned
- 2024-01-12T18:05:28Z
- dc.date.available
- 2024-01-12T18:05:28Z
- dc.date.issued
- 2022-08-03
- dc.description.abstract - en
- People experiencing homelessness were prioritized for COVID-19 vaccination in Toronto, Canada, due to the high risk of infection and associated complications relative to the general population. We aimed to ascertain COVID-19 vaccine coverage in this population and explore factors associated with the receipt of at least one dose. We collected survey and blood sample data from individuals ages 16+ recruited by random selection at 62 shelters, hotels and encampment sites between 16 June 2021 and 9 September 2021. We report vaccine coverage by dose number and explored sociodemographic, behavioral, health and housing factors associated with vaccination using multivariable modified Poisson regression. In total, 80.4% (95% CI 77.3–83.1%) received at least one vaccine dose, and 63.6% (CI 60.0–67.0%) received two or more doses. Vaccination was positively associated with age (every 10 years adjusted rate ratio (aRR) 1.05 [95% CI 1.03–1.08]), and receipt of influenza vaccination (aRR 1.19 [95% CI 1.11–1.27]). Factors negatively associated with vaccination included female gender (aRR 0.92 [95% CI 0.85–1.0]), Black racial self-identification (aRR 0.89 [95% CI 0.80–0.99]) and low frequencies of masking in public places (aRR 0.83 [95% CI 0.72–0.95]). COVID-19 vaccine coverage is very high among people experiencing homelessness in Toronto, suggesting advocacy and outreach efforts may have been effective.
- dc.identifier.doi
- https://doi.org/10.3390/vaccines10081245
- dc.identifier.issn
- 2076-393X
- dc.identifier.pubmedID
- 36016133
- dc.identifier.uri
- https://open-science.canada.ca/handle/123456789/1756
- dc.language.iso
- en
- dc.publisher
- MDPI
- dc.rights - en
- Creative Commons Attribution 4.0 International (CC BY 4.0)
- dc.rights - fr
- Creative Commons Attribution 4.0 International (CC BY 4.0)
- dc.rights.openaccesslevel - en
- Gold
- dc.rights.openaccesslevel - fr
- Or
- dc.rights.uri - en
- https://creativecommons.org/licenses/by/4.0/
- dc.rights.uri - fr
- https://creativecommons.org/licenses/by/4.0/deed.fr
- dc.subject - en
- Health
- dc.subject - fr
- Santé
- dc.subject.en - en
- Health
- dc.subject.fr - fr
- Santé
- dc.title - en
- COVID-19 vaccine coverage and sociodemographic, behavioural and housing factors associated with vaccination among people experiencing homelessness in Toronto, Canada: a cross-sectional study
- dc.type - en
- Article
- dc.type - fr
- Article
- local.acceptedmanuscript.articlenum
- 1245
- local.article.journalissue
- 8
- local.article.journaltitle
- Vaccines
- local.article.journalvolume
- 10
- local.pagination
- 1-13
- local.peerreview - en
- Yes
- local.peerreview - fr
- Oui
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