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 final inhabitants. A brand new preprint examined the coronavirus illness 2019 (COVID-19) vaccination charges amongst well being care staff (HCWs) in Norway, in line with immigrant background.

Research: 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 offered 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 total.

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 had been Scandinavian by beginning had been more likely 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% had been ladies. The median age was 41 years. Of those, a few sixth had been immigrants, and solely about 5,000 had 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 had been vaccinated. That is 9 proportion 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 a better 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 had been lowest for Russian immigrant HCWs at 71%, growing progressively however with Serbia, Lithuania, Romania, Poland, Eritrea, and Somalia exhibiting 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 increased vaccine uptake.

General, 1 / 4 of HCWs had 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 increased HCW training advert vaccination charges till the final month. Whereas 97% of physicians and specialist nurses had been vaccinated, healthcare assistants had the bottom uptake on this occupational group at 89%. Healthcare assistants persistently had a decrease vaccination charge all through the vaccination program, indicating a decrease precedence.

Inside every group, this hyperlink continues to be extra apparent, with physicians from Lithuania exhibiting 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, primarily based 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 had been amongst these from Japanese Europe. They appeared impartial of occupational subgroups, whereas in these from East Africa, the occupational particulars had been associated to the vaccine uptake.

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

Nevertheless, elements like decrease entry to or competence in dealing with digital companies, 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 had been prepared to take the vaccine.

*Vital discover

medRxiv publishes preliminary scientific reviews that aren’t peer-reviewed and, subsequently, shouldn’t be thought to be conclusive, information scientific follow/health-related conduct, or handled as established info.

Journal reference:

  • Kraft, Ok. 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.