关键词: Asthma control SARS-CoV-2 allergic disease birth cohort comorbidity population based severity vaccination

来  源:   DOI:10.1016/j.jacig.2024.100231   PDF(Pubmed)

Abstract:
UNASSIGNED: Asthma was initially described as a risk factor for severe coronavirus disease 2019 (COVID-19), but the uptake of COVID-19 vaccine among young adults with asthma is not well studied.
UNASSIGNED: The aims were to assess COVID-19 vaccine uptake among young adults in general and to explore potential determinants including sociodemographic factors and asthma.
UNASSIGNED: Participants from the population-based birth cohort BAMSE (Barn/Child, Allergy, Milieu, Stockholm, Epidemiology) were included: 4,064 in the study population, 3,064 in a follow-up at age 24 years, and 2,049 in a COVID-19 follow-up (mean age, 26.5 years). Asthma and asthma-associated characteristics were assessed through questionnaires and clinical data. Data on all COVID-19 vaccines registered between January 1, 2021, and February 15, 2023, were extracted from the National Vaccination Register.
UNASSIGNED: In the study population (n = 4,064), 53.9% had ≥3 COVID-19 vaccine doses registered. In the 24-year follow-up population (n = 3,064), vaccine uptake differed in relation to education (P < .001). Among the participants with university/college education, 65.7% had an uptake of ≥3 doses of vaccine, compared to 54.1% among the participants with elementary school/high school education. Participants with asthma had decreased odds of receiving ≥3 doses (adjusted odds ratio = 0.62; 95% confidence interval, 0.41-0.92) and ≥2 compared to peers without asthma. Those with uncontrolled disease also had decreased odds of receiving ≥3 doses (adjusted odds ratio = 0.30; 95% confidence interval, 0.13-0.66) and ≥2 compared to participants with controlled asthma.
UNASSIGNED: COVID-19 vaccine uptake among young adults is lower in individuals from households with lower socioeconomic status and among those with asthma, including uncontrolled asthma.
摘要:
哮喘最初被描述为2019年严重冠状病毒病(COVID-19)的危险因素,但COVID-19疫苗在患有哮喘的年轻成年人中的摄取情况还没有得到很好的研究。
目的是评估一般年轻人对COVID-19疫苗的吸收,并探索潜在的决定因素,包括社会人口统计学因素和哮喘。
来自基于人口的出生队列BAMSE(谷仓/儿童,过敏,Milieu,斯德哥尔摩,流行病学)包括:研究人群中的4,064,3,064在24岁的随访中,和COVID-19随访中的2,049人(平均年龄,26.5年)。通过问卷调查和临床数据评估哮喘和哮喘相关特征。2021年1月1日至2023年2月15日之间注册的所有COVID-19疫苗的数据均来自国家疫苗接种登记册。
在研究人群中(n=4,064),53.9%的人登记了≥3次COVID-19疫苗剂量。在24年随访人群中(n=3,064),疫苗接种与教育有关(P<.001)。在大学/学院教育的参与者中,65.7%的人接种了≥3剂疫苗,相比之下,接受小学/高中教育的参与者为54.1%。哮喘患者接受≥3次剂量的几率降低(调整后的比值比=0.62;95%置信区间,与无哮喘的同龄人相比,0.41-0.92)和≥2。那些疾病不受控制的患者接受≥3次剂量的几率也降低(调整后的优势比=0.30;95%置信区间,与哮喘控制的参与者相比,0.13-0.66)和≥2。
社会经济地位较低的家庭和哮喘患者的年轻人对COVID-19疫苗的吸收较低,包括不受控制的哮喘。
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