Disparities in COVID-19 Vaccination Among Older Adults in Sweden

Recent research conducted in Sweden reveals a notable decline in COVID-19 vaccination rates among older adults, highlighting significant regional and socioeconomic disparities. Initially, when vaccinations began in December 2020, approximately 95% of individuals aged 65 and above received their vaccines uniformly across the country. However, this trend has shifted, leading to uneven vaccination rates in subsequent years.

The ongoing vaccination program, which is currently in its final stages, has focused on providing free booster doses to vulnerable populations, particularly the elderly. Despite these efforts, recent findings indicate a worrying drop in vaccine uptake, particularly in metropolitan areas such as Skåne, Stockholm, and Västra Götaland. Among those aged 65 to 80, the percentage of individuals receiving the latest booster doses has fallen below 60% in these regions.

In addition to geographical factors, the study highlights other determinants influencing vaccination rates. It was found that men, individuals born outside Sweden, and those with lower income and education levels exhibited significantly lower vaccination rates. This trend underscores the persistent inequalities affecting vaccination efforts, even amidst attempts to address these challenges.

The researchers, affiliated with the University of Gothenburg, Karolinska Institutet, and the Public Health Agency of Sweden, stress the need for targeted interventions to bridge these gaps. They point out that regional disparities may stem from insufficient national coordination and prioritization of vaccination efforts. Addressing these inequalities is crucial, as lower vaccination rates among older adults increase their vulnerability to severe illness and long-term health complications related to COVID-19.

According to the study's authors, enhancing vaccination uptake among socioeconomically disadvantaged groups should be a priority. They suggest integrating COVID-19 vaccinations with routine health interventions, such as influenza shots, to boost overall vaccination rates and reduce barriers to access.

This research, which encompasses data from over two million individuals aged 65 and older, was published in the journal Public Health. It serves as a critical reminder of the ongoing challenges in achieving uniform vaccination coverage, particularly among the most vulnerable segments of the population.