Vaccine uptake in the Irish Travelling community: an audit of general practice records

Dixon, Kathryn Charlotte; Mullis, Ricky; Blumenfeld, Thomas J.

doi:10.1093/pubmed/fdw088

Cited by 6 publications

(8 citation statements)

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“…However, uptake reduced with subsequent does; for instance, among the Irish travelling community in the UK, coverage of MMR1 and MMR2 was 54.0% and 46.7%, respectively. This reduction was also reflected in the comparison non-traveller group; however, their uptake was higher (MMR1: 95.5%, MMR2: 89.3%) [ 43 ].…”

Section: Resultsmentioning

confidence: 97%

“…However, specific coverage was identified as being low, especially among refugees in camp settings, as shown in Greece, where high rates of no Hib dose were identified in some camps, with camps with fewer children having lower coverage (no dose = 69.7% for camp size 1–99 children, 56.2% for camp size ≥ 100 children) [ 48 ]. Pneumonia vaccines were less commonly reported, and wide gaps identified populations, e.g., uptake in the Irish traveller community compared to non-travellers in the UK was 47.4% vs. 89.2% [ 43 ]. Additionally, the meningococcal vaccine was reported only in a few countries, and uptake varied widely; for instance, a VCR of 0% was reported among teenage Irish travellers compared to the national average of 58.8%.…”

Section: Resultsmentioning

confidence: 99%

“…Additionally, the meningococcal vaccine was reported only in a few countries, and uptake varied widely; for instance, a VCR of 0% was reported among teenage Irish travellers compared to the national average of 58.8%. However, high coverage was reported when the onsite MCV vaccine was provided to asylum seekers in Italy (86% of children vaccinated) [ 43 , 50 ]. The only study reporting on whooping cough did not provide disaggregated data for the specific vaccine.…”

Section: Resultsmentioning

confidence: 99%

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Access to Vaccination among Disadvantaged, Isolated and Difficult-to-Reach Communities in the WHO European Region: A Systematic Review

et al. 2022

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Vaccination has a significant impact on morbidity and mortality. High vaccination coverage rates are required to achieve herd protection against vaccine-preventable diseases. However, limited vaccine access and hesitancy among specific communities represent significant obstacles to this goal. This review provides an overview of critical factors associated with vaccination among disadvantaged groups in World Health Organisation European countries. Initial searches yielded 18,109 publications from four databases, and 104 studies from 19 out of 53 countries reporting 22 vaccine-preventable diseases were included. Nine groups representing the populations of interest were identified, and most of the studies focused on asylum seekers, refugees, migrants and deprived communities. Recall of previous vaccinations received was poor, and serology was conducted in some cases to confirm protection for those who received prior vaccinations. Vaccination coverage was lower among study populations compared to the general population or national average. Factors that influenced uptake, which presented differently at different population levels, included health service accessibility, language and vaccine literacy, including risk perception, disease severity and vaccination benefits. Strategies that could be implemented in vaccination policy and programs were also identified. Overall, interventions specific to target communities are vital to improving uptake. More innovative strategies need to be deployed to improve vaccination coverage among disadvantaged groups.

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Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Access to Vaccination among Disadvantaged, Isolated and Difficult-to-Reach Communities in the WHO European Region: A Systematic Review

et al. 2022

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“…GRT communities are already disadvantaged and have poorer health outcomes than the general population, driven in part by structural factors such as inadequate access to housing, work, and education [3] . Traveller communities in England appear to have lower recorded rates of childhood vaccination [4] , although accurate figures on immunisation uptake are not available because Gypsy, Roma or Traveller identity is often not captured in official records [3] .…”

Section: Introductionmentioning

confidence: 99%

COVID-19 vaccination decisions among Gypsy, Roma, and Traveller communities: A qualitative study moving beyond “vaccine hesitancy”

Kühlbrandt¹,

McGowan²,

Stuart³

et al. 2023

Vaccine

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“…This is based on data demonstrating low uptake of preventive health services [ 1 – 4 ], the findings of a small number of local studies assessing immunisation take up using self-report or National Health Service (NHS) records (e.g. [ 5 , 6 ]), and publicised outbreaks of measles and whooping cough [ 6 , 7 ]. Disease outbreaks amongst clusters of people pose a threat to wider community health even in countries where national and regional coverage is high [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Identifying interventions with Gypsies, Roma and Travellers to promote immunisation uptake: methodological approach and findings

et al. 2020

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Background In the UK, Gypsy, Roma and Traveller (GRT) communities are generally considered to be at risk of low or variable immunisation uptake. Many strategies to increase uptake for the general population are relevant for GRT communities, however additional approaches may also be required, and importantly one cannot assume that “one size fits all”. Robust methods are needed to identify content and methods of delivery that are likely to be acceptable, feasible, effective and cost effective. In this paper, we describe the approach taken to identify potential interventions to increase uptake of immunisations in six GRT communities in four UK cities; and present the list of prioritised interventions that emerged. Methods This work was conducted in three stages: (1) a modified intervention mapping process to identify ideas for potential interventions; (2) a two-step prioritisation activity at workshops with 51 GRTs and 25 Service Providers to agree a prioritised list of potentially feasible and acceptable interventions for each community; (3) cross-community synthesis to produce a final list of interventions. The theoretical framework underpinning the study was the Social Ecological Model. Results Five priority interventions were agreed across communities and Service Providers to improve the uptake of immunisation amongst GRTs who are housed or settled on an authorised site. These interventions are all at the Institutional (e.g. cultural competence training) and Policy (e.g. protected funding) levels of the Social Ecological Model. Conclusions The “upstream” nature of the five interventions reinforces the key role of GP practices, frontline workers and wider NHS systems on improving immunisation uptake. All five interventions have potentially broader applicability than GRTs. We believe that their impact would be enhanced if delivered as a combined package. The robust intervention development and co-production methods described could usefully be applied to other communities where poor uptake of immunisation is a concern. Study registration Current Controlled Trials ISRCTN20019630, Date of registration 01-08-2013, Prospectively registered.

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Vaccine uptake in the Irish Travelling community: an audit of general practice records

Abstract: Traveller communities have significantly lower uptake of vaccinations, and therefore Travellers' children should be targeted by general practitioners for catch-up vaccination to improve outcomes for individuals and local herd immunity.

Cited by 6 publications

References 6 publications

Access to Vaccination among Disadvantaged, Isolated and Difficult-to-Reach Communities in the WHO European Region: A Systematic Review

Access to Vaccination among Disadvantaged, Isolated and Difficult-to-Reach Communities in the WHO European Region: A Systematic Review

COVID-19 vaccination decisions among Gypsy, Roma, and Traveller communities: A qualitative study moving beyond “vaccine hesitancy”

Identifying interventions with Gypsies, Roma and Travellers to promote immunisation uptake: methodological approach and findings

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