COVID-19 Vaccine Uptake among People with Spinal Cord Injury and Dysfunction in Ontario, Canada: A Population-Based Retrospective Cohort Study-Reference-Cited by-同舟云学术

COVID-19 Vaccine Uptake among People with Spinal Cord Injury and Dysfunction in Ontario, Canada: A Population-Based Retrospective Cohort Study

Published:2024-09-09 Issue:17 Volume:12 Page:1799
ISSN:2227-9032
Container-title:Healthcare
language:en
Short-container-title:Healthcare

Author:

Mei Angela¹,Senthinathan Arrani²^ORCID,Hussain Swaleh²³,Tadrous Mina²³⁴,Noonan Vanessa K.⁵⁶^ORCID,Jaglal Susan B.³⁷⁸⁹,Moineddin Rahim³¹⁰^ORCID,Craven B. Catharine⁷¹¹¹²¹³^ORCID,McKay Sandra¹⁴^ORCID,Cadel Lauren²^ORCID,Shepherd John⁹¹¹^ORCID,Tu Karen¹⁰¹⁵¹⁶^ORCID,Guilcher Sara J. T.²³⁷⁸⁹^ORCID

Affiliation:

1. Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5S 1A1, Canada

2. Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON M5S 3M2, Canada

3. ICES, Toronto, ON M5T 3M6, Canada

4. Women’s College Hospital Institute for Health Systems Solutions and Virtual Care, Women’s College Hospital, Toronto, ON M5S 1B2, Canada

5. International Collaboration on Repair Discoveries, Vancouver, BC V5Z 1M9, Canada

6. Praxis Spinal Cord Institute, Vancouver, BC V5Z 1M9, Canada

7. Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON M5T 3M6, Canada

8. Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada

9. Rehabilitation Science Institute, University of Toronto, Toronto, ON M5G 1V7, Canada

10. Department of Family and Community Medicine, University of Toronto, Toronto, ON M5G 1V7, Canada

11. KITE (Knowledge Innovation Talent Everywhere), Toronto Rehabilitation Institute, University Health Network, Toronto, ON M4G 3V9, Canada

12. Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada

13. Spinal Cord Rehabilitation Program, Toronto Rehabilitation Institute, University Health Network, Toronto, ON M4G 3V9, Canada

14. VHA Home HealthCare, Toronto, ON M4S 1V6, Canada

15. North York General Hospital, Toronto, ON M2K 1E1, Canada

16. Toronto Western Family Health Team, University Health Network, Toronto, ON M4G 3V9, Canada

Abstract

Persons with disabilities experience numerous barriers to healthcare access including vaccine accessibility. The purpose of this study was to determine COVID-19 vaccine uptake in the spinal cord injury and disease (SCI/D) population of Ontario and identify potential factors influencing C OVID-19 vaccine uptake. This was a retrospective closed-cohort study using administrative health data on individuals with SCI/D of traumatic and non-traumatic causes to examine the monthly number of COVID-19 vaccine doses received between December 2020 and December 2023. Logistic regression analysis was used to examine the potential association between socio-demographic, clinical, and neighbourhood characteristics with initial COVID-19 vaccine receipt and booster dose uptake. By the end of the observation period in December 2023, 82.9% received the full two-dose coverage and 65.6% received at least one additional booster dose in a cohort of 3574 individuals with SCI/D. SCI/D individuals showed a comparable COVID-19 vaccine uptake percentage to the general population. Sociodemographic, clinical, and neighbourhood characteristics were associated with COVID-19 vaccine uptake in the SCI/D population, including age, type of injury, number of comorbidities, mental health history, and neighbourhood characteristics such as income. Further investigation is necessary to determine the causation effects of these relationships with vaccine uptake to address health equity concerns.

Funder

CIHR

Publisher

MDPI AG

Link

https://www.mdpi.com/2227-9032/12/17/1799/pdf

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