@article{fdi:010089472,
  title = {{COVID}-19 vaccination at a hospital in {P}aris : spatial analyses and inverse equity hypothesis},
  author = {{R}idde, {V}al{\'e}ry and {A}ndr{\'e}, {G}. and {B}ouchaud, {O}. and {B}onnet, {E}mmanuel},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {V}accination against {SARS}-{C}o{V}-2 has been deployed in {F}rance since {J}anuary 2021. {W}ithout specific action for different population subgroups, the inverse equity hypothesis postulates that people in the most deprived neighbourhoods will be the last to benefit. {T}he article aims to study whether the inverse care law has been verified in the context of vaccination against {SARS}-{C}o{V}-2 from a vaccination centre of a hospital in the {P}aris region.{M}ethods: {W}e performed a spatial analysis using primary data from the vaccination centre of the {A}vicenne {H}ospital in {B}obigny from {J}anuary 8th to {S}eptember 30th, 2021. {P}rimary data variables include the vaccinated person's date, age, and postal address. {S}econdary data calculates access times between residential neighbourhoods and the vaccination centre and social deprivation index. {W}e performed flow analysis, k-means aggregation, and mapping.{R}esults: 32,712 people were vaccinated at the study centre. {V}accination flow to the hospital shows that people living in the most disadvantaged areas were the last to be vaccinated. {T}he number of people immunized according to the level of social deprivation then scales out with slightly more access to the vaccination centre for the most advantaged. {T}he furthest have travelled more than 100 km, and more than 1h45 of transport time to get to this vaccination centre.{C}onclusion: {T}he study confirms the inverse equity hypothesis and shows that vaccination preparedness strategies must consider equity issues. {P}ublic health interventions should be implemented according to proportionate universalism and use community health, health mediation, and outreach activities for more equity.},
  keywords = {{V}accination ; {COVID}-19 ; {S}patial analysis ; {E}quity ; {M}ediation ; {F}rance ; {FRANCE} ; {PARIS}},
  booktitle = {},
  journal = {{P}ublic {H}ealth in {P}ractice},
  volume = {7},
  numero = {},
  pages = {100459 [6 p.]},
  ISSN = {2666-5352},
  year = {2024},
  DOI = {10.1016/j.puhip.2023.100459},
  URL = {https://www.documentation.ird.fr/hor/fdi:010089472},
}