PDF(Pubmed)
Abstract：
We aimed to use the digital platform maintained by the local health service providers in Southeast Sweden for integrated monitoring of disparities in vaccination and morbidity during the COVID-19 pandemic. The monitoring was performed in the adult population of two counties (n = 657,926) between 1 February 2020 and 15 February 2022. The disparities monitored were relocated (internationally displaced), substance users, and suffering from a psychotic disorder. The outcomes monitored were COVID-19 vaccination, SARS-CoV-2 test results, and hospitalization with COVID-19. Relocated residents displayed an increased likelihood of remaining unvaccinated and a decreased likelihood of testing as well as increased risks of primary SARS-CoV-2 infection and hospitalization compared with the general population. Suffering from a major psychiatric disease was associated with an increased risk of remaining unvaccinated and an increased risk of hospitalization but a decreased risk of SARS-CoV-2 infection. From the digital monitoring, we concluded that the relocated minority received insufficient protection during the pandemic, suggesting the necessity for comprehensive promotion of overall social integration. Persons with major psychiatric diseases underused vaccination, while they benefitted from proactively provided testing, implying a need for active encouragement of vaccination. Further research is warranted on legal and ethical frameworks for digital monitoring in vaccination programs.
摘要：
我们的目标是利用瑞典东南部当地卫生服务提供商维护的数字平台，综合监测COVID-19大流行期间疫苗接种和发病率的差异。这项监测是在2020年2月1日至2022年2月15日期间对两个县（n=657,926）的成年人口进行的。被监测的差距被重新安置(国际流离失所者)，物质使用者，患有精神病.监测的结果是COVID-19疫苗接种，SARS-CoV-2测试结果,和COVID-19住院。与普通人群相比，搬迁居民未接种疫苗的可能性增加，检测的可能性降低，原发性SARS-CoV-2感染和住院的风险增加。患有重大精神疾病与未接种疫苗的风险增加和住院风险增加有关，但SARS-CoV-2感染的风险降低。从数字监控，我们得出的结论是，在大流行期间，搬迁的少数民族得到的保护不足，提出了全面推进社会整体融合的必要性。患有重大精神疾病的人未充分接种疫苗，虽然他们从主动提供的测试中受益，这意味着需要积极鼓励接种疫苗。需要进一步研究疫苗接种计划中数字监控的法律和道德框架。
