METHODS: A systematic search of Medline, Embase, Scopus, APA PsycInfo and Cumulative Index of Nursing and Allied Health Literature (CINAHL) was conducted up to 31 January 2023 to identify the relevant English peer-reviewed observational studies. Two independent reviewers screened abstracts, selected studies, and extracted data.
RESULTS: We identified 34 cross-sectional studies, primarily conducted in high income countries (76%). Lower vaccine acceptance was associated with mistrust in the host countries\' government and healthcare system, concerns about the safety and effectiveness of COVID-19 vaccines, limited knowledge of COVID-19 infection and vaccines, lower COVID-19 risk perception, and lower integration level in the host country. Female gender, younger age, lower education level, and being single were associated with lower vaccine acceptance in most studies. Additionally, sources of information about COVID-19 and vaccines and previous history of COVID-19 infection, also influence vaccine acceptance. Vaccine acceptability towards COVID-19 booster doses and various vaccine brands were not adequately studied.
CONCLUSIONS: Vaccine hesitancy and a lack of trust in COVID-19 vaccines have become significant public health concerns within migrant populations. These findings may help in providing information for current and future vaccine outreach strategies among migrant populations.
方法:对Medline的系统搜索,Embase,Scopus,APAPsycInfo和护理和相关健康文献累积指数(CINAHL)于2023年1月31日进行,以确定相关的英语同行评审观察性研究。两名独立审稿人筛选了摘要,选定的研究,并提取数据。
结果:我们确定了34项横断面研究,主要在高收入国家进行(76%)。疫苗接受度较低与东道国政府和医疗保健系统的不信任有关,关注COVID-19疫苗的安全性和有效性,对COVID-19感染和疫苗的了解有限,较低的COVID-19风险感知,东道国的一体化水平较低。女性性别,年龄较小,教育水平较低,在大多数研究中,单身与疫苗接受度较低相关.此外,有关COVID-19和疫苗的信息来源以及以前的COVID-19感染史,也会影响疫苗的接受度。疫苗对COVID-19加强剂量和各种疫苗品牌的可接受性没有得到充分研究。
结论:疫苗犹豫和对COVID-19疫苗缺乏信任已成为移民人群的重大公共卫生问题。这些发现可能有助于为移民人群中当前和未来的疫苗推广策略提供信息。