Substantial differences in vaccination rates among immigrant health care workers in Norway


Earlier research have proven that minority teams are inclined to have decrease vaccination charges in comparison with the overall inhabitants. A brand new preprint examined the coronavirus illness 2019 (COVID-19) vaccination charges amongst well being care staff (HCWs) in Norway, in response to immigrant background.

Examine: COVID-19 vaccination charges amongst well being care staff by immigrant background. A nation-wide registry research from Norway. Picture Credit score: Orpheus FX/ Shutterstock

A preprint model of the research is obtainable on the medRxiv* server whereas the article undergoes peer evaluation.


By 5 September 2021, over 90% of HCWs in Norway had taken one or two doses of a COVID-19 vaccine. Nevertheless, some minorities are inclined to have extra vaccine hesitancy than the Norwegian inhabitants general.

That is very true of those that have immigrated from Japanese Europe, Western Asia, and Africa. An early report indicated that individuals above 75 years who have been Scandinavian by beginning have been prone to be vaccinated in over 90% of circumstances, vs. 34% in these born in Somalia.

The research included over 356,000 HCWs, of which roughly 80% have been ladies. The median age was 41 years. Of those, a few sixth have been immigrants, and solely about 5,000 have been born in Norway to immigrant dad and mom

What did the research present?

The research confirmed that 92% of all HCWs had been vaccinated by 31 August 2021, however solely 85% of immigrant HCWs have been vaccinated. That is 9 share factors decrease in comparison with non-immigrant HCWs, as of 31 August 2021. The best uptake was for these from Vietnam, Thailand, Sri Lanka, Denmark, the UK, and India, at 94% and upwards.

The latter teams had the next crude vaccination charge than non-immigrants, and even after adjustment, Thai, Vietnamese, Sri Lankan, and Filipino immigrants continued to indicate this development.

These born in Norway to immigrant dad and mom had an 88% vaccine uptake charge. The vaccination charges have been lowest for Russian immigrant HCWs at 71%, rising steadily however with Serbia, Lithuania, Romania, Poland, Eritrea, and Somalia displaying charges between 72-78%.

Nevertheless, when the occupation was adjusted, it was seen that the presence of a better proportion of healthcare assistants among the many HCW immigrants from Eritrea and Somalia led to greater vaccine uptake.

General, 1 / 4 of HCWs have been well being care assistants, however two-thirds of Syrian immigrant HCWs, half of these from Eritrea or Afghanistan, and over 40% of these from Somalia.

These findings additionally underline the long-observed affiliation between greater HCW schooling advert vaccination charges till the final month. Whereas 97% of physicians and specialist nurses have been vaccinated, healthcare assistants had the bottom uptake on this occupational group at 89%. Healthcare assistants constantly had a decrease vaccination charge all through the vaccination program, indicating a decrease precedence.

Inside every group, this hyperlink remains to be extra apparent, with physicians from Lithuania displaying 92% vaccination vs. 66% for healthcare assistants, in comparison with 94% and 87% respectively for these from Pakistan.

What are the implications?

The research demonstrates marked variations in vaccine uptake charges amongst HCWs in Norway, based mostly on their immigration background. A few of this discrepancy is due to variations within the occupation, which can have led to decrease vaccine entry.

The bottom vaccination charges amongst immigrants have been amongst these from Japanese Europe. They appeared impartial of occupational subgroups, whereas in these from East Africa, the occupational particulars have been associated to the vaccine uptake.

Components associated to a decrease vaccination charge amongst sure immigrant subgroups of HCWs might embrace restricted entry, decrease precedence within the vaccine program, youthful age, threat components for extreme COVID-19, and geographical location in high-incidence areas. These have been adjusted within the present research.

Nevertheless, components like decrease entry to or competence in dealing with digital providers, language boundaries, and logistical points weren’t addressed individually. Vaccine hesitancy has been discovered to exist, particularly amongst these born in Japanese Europe, Western Asia, and Africa. Solely 40% of these born in Japanese Europe have been keen to take the vaccine.

*Essential discover

medRxiv publishes preliminary scientific experiences that aren’t peer-reviewed and, due to this fact, shouldn’t be considered conclusive, information scientific follow/health-related habits, or handled as established data.

Journal reference:

  • Kraft, Okay. et al. (2021) “COVID-19 vaccination charges amongst well being care staff by immigrant background. A nation-wide registry research from Norway”. medRxiv. doi: 10.1101/2021.09.17.21263619.


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