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. 2023 Sep 20:15:100393.
doi: 10.1016/j.jvacx.2023.100393. eCollection 2023 Dec.

Vaccination against COVID-19 and socioeconomic inequalities: A cross-sectional study in Ecuador

Eulalia C Torres  1   2 , Maribel Moreno  1   3 , María F Rivadeneira  1
Affiliations

Vaccination against COVID-19 and socioeconomic inequalities: A cross-sectional study in Ecuador

Eulalia C Torres et al. Vaccine X. .

Abstract

Background: Equity in vaccination against COVID-19 is a public health concern. The objective of this study was to analyze socioeconomic inequalities related to vaccination for the first and second doses from primary series against COVID-19 in Ecuador.

Methods: Secondary database study in 12,743,507 respondents from 15 years and over. The COVID-19 section of the National Survey of Employment, Unemployment and Underemployment (ENEMDU) was analyzed. Socioeconomic characteristics and vaccination against COVID-19 were associated with the at least one dose and second dose. Poisson regressions for complex samples were obtained.

Results: As of the date of the survey, 87.3% of the sample (95% CI 86.7%-87.8%) had received at least one vaccine against COVID-19. A lower probability of having received at least one vaccine against COVID-19 was found in rural areas (PR 0.82, 95% CI 0.74-0.91), indigenous population (PR 0.43, 95% CI 0.29-0.64), no level of education (PR 0.25, 95% CI 0.14-0.43), and the lowest economic income (PR 0.42, 95% CI 0.35-0.52). A significantly lower probability of vaccination with two or more doses was found in rural vs urban area (PR 0.88, 95% CI 0.80-0.96), women vs men (PR 0.85, 95% CI 0.77-0.91), indigenous population vs white (PR 0.44, 95% CI 0.33-0.59) and individuals in the lowest income quartile vs highest income quartile (PR 0.48, 95% CI 0.42-0.55). Underemployment, population economically inactive (PR 0.77, 95% CI 0.67-0.88 and PR 0.71, 95% CI 0.61-0.83) and individuals with no level of education (PR 0.39, 95% CI 0.27-0.58) also were less likely to complete the primary phase of vaccination compared with individuals in the highest income quartile, employment and postgraduate level of education.

Conclusions: There were socioeconomic inequalities with the primary series of vaccine against COVID-19, with a greater disadvantage for rural residents, women, indigenous populations, lower economic income and lower levels of education.

Keywords: COVID 19; Cross-sectional study; Health inequalities; Socioeconomic factors; Vaccination.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

References

    1. Padhan R., Prabheesh K.P. The economics of COVID-19 pandemic: a survey. Econ Anal Policy. 2021;70:220–237. doi: 10.1016/j.eap.2021.02.012. - DOI - PMC - PubMed
    1. Bong CL, Brasher C, Chikumba E, McDougall R, Mellin-Olsen J, Enright A. The COVID-19 pandemic: effects on low- and middle-income countries. Anesth Analg 2020;131:86-92. https://doi.org/10.1213/ANE.0000000000004846. - PMC - PubMed
    1. Lima EEC, Vilela EA, Peralta, A. et al. Investigating regional excess mortality during 2020 COVID-19 pandemic in selected Latin American countries. Genus 2021;70:30. https://doi.org/10.1186/s41118-021-00139-1. - PMC - PubMed
    1. Alava J.J., Guevara A. A critical narrative of Ecuador’s preparedness and response to the COVID-19 pandemic. Public Health in Practice. 2021;2 doi: 10.1016/j.puhip.2021.100127. - DOI - PMC - PubMed
    1. Analytica O. COVID-19 will have devastating impact on Ecuador. Emerald Expert Brief. 2020 doi: 10.1108/OXAN-DB251834. - DOI