2022
DOI: 10.1080/21645515.2022.2127290
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Drivers of and barriers to routine adult vaccination: A systematic literature review

Abstract: We performed a systematic literature review in PubMed and Embase (2016–2021) to investigate the drivers of and barriers to routine vaccination in adults aged 50 and older globally. A thematic assessment identified three categories across 61 publications: sociodemographic, health-related, and attitudinal. The most common sociodemographic determinants (factors identified in studies; n = 47) associated with vaccination uptake were economic status, age, education, and household composition, which had mixed effects… Show more

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Cited by 29 publications
(10 citation statements)
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“…Because of these reasons, the findings on the deprivation index should be considered with caution. Finally, in respect to underlying chronic conditions/disability, the results of our study were expected in respect to the available literature that already showed the association between the presence of comorbidities and the vaccine uptake [ 39 ], even though the presence of chronic conditions could have been underestimated in our study because of the choice of relying on administrative exception. This finding is also consistent with how the vaccination campaign has been structured, with prioritization and particular attention to frail people.…”
Section: Discussionmentioning
confidence: 60%
“…Because of these reasons, the findings on the deprivation index should be considered with caution. Finally, in respect to underlying chronic conditions/disability, the results of our study were expected in respect to the available literature that already showed the association between the presence of comorbidities and the vaccine uptake [ 39 ], even though the presence of chronic conditions could have been underestimated in our study because of the choice of relying on administrative exception. This finding is also consistent with how the vaccination campaign has been structured, with prioritization and particular attention to frail people.…”
Section: Discussionmentioning
confidence: 60%
“…Additionally, vaccinations generally represent primary prevention tools devoted to healthy people, which at times may require an assumption of responsibility and decisions on behalf of others (e.g., parents with respect to their children), thus representing a peculiar and specific issue. Moreover, studies have reported that predictors of vaccination uptake or acceptance (e.g., educational levels and socioeconomic status) may differ from those of other health behaviours, thus suggesting that the personal reasons to get vaccinated may be different from reasons that determine people’s decision to adopt (or not) other preventive behaviours [ 83 ].…”
Section: Discussionmentioning
confidence: 99%
“…Divergent perceptions of vaccine safety, ease of access to healthcare services, and awareness of being among the target population, compounded by differing regional healthcare system organisations, contribute to this uneven landscape. Furthermore, sociodemographic factors like male gender, lower educational level, and financial challenges, emerged as significant elements influencing vaccine acceptance, as underscored in the existing literature concerning vaccine confidence [ 16 , 17 ].…”
Section: Discussionmentioning
confidence: 99%