期刊
VACCINES
卷 10, 期 8, 页码 -出版社
MDPI
DOI: 10.3390/vaccines10081245
关键词
COVID-19 vaccines; homelessness; public health; Toronto; Canada
资金
- Canadian Institutes of Health Research (CIHR) [FDN VR5-173211]
- Public Health Agency of Canada as part of the COVID-19 Immunity Task Force (CITF)
COVID-19 vaccine coverage is high among people experiencing homelessness in Toronto. Age and influenza vaccination are positively associated with vaccination, while female gender, Black racial self-identification, and low frequencies of masking in public places are negatively associated.
People experiencing homelessness were prioritized for COVID-19 vaccination in Toronto, Canada, due to the high risk of infection and associated complications relative to the general population. We aimed to ascertain COVID-19 vaccine coverage in this population and explore factors associated with the receipt of at least one dose. We collected survey and blood sample data from individuals ages 16+ recruited by random selection at 62 shelters, hotels and encampment sites between 16 June 2021 and 9 September 2021. We report vaccine coverage by dose number and explored sociodemographic, behavioral, health and housing factors associated with vaccination using multivariable modified Poisson regression. In total, 80.4% (95% CI 77.3-83.1%) received at least one vaccine dose, and 63.6% (CI 60.0-67.0%) received two or more doses. Vaccination was positively associated with age (every 10 years adjusted rate ratio (aRR) 1.05 [95% CI 1.03-1.08]), and receipt of influenza vaccination (aRR 1.19 [95% CI 1.11-1.27]). Factors negatively associated with vaccination included female gender (aRR 0.92 [95% CI 0.85-1.0]), Black racial self-identification (aRR 0.89 [95% CI 0.80-0.99]) and low frequencies of masking in public places (aRR 0.83 [95% CI 0.72-0.95]). COVID-19 vaccine coverage is very high among people experiencing homelessness in Toronto, suggesting advocacy and outreach efforts may have been effective.
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