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Effectiveness of inactivated COVID-19 vaccines among older adults in Shanghai: retrospective cohort study.


ABSTRACT: We conducted a matched retrospective cohort study of two cohorts to estimate inactivated vaccine effectiveness (VE) and its comparative effectiveness of booster dose among older people in Shanghai. Cohort 1 consisted of a vaccinated group (≥1 dose) and an unvaccinated group (3,317,475 pairs), and cohort 2 consisted of a booster vaccinated group and a fully vaccinated group (2,084,721 pairs). The Kaplan-Meier method and Cox regression models were used to estimate risk and hazard ratios (HRs) study outcomes. For cohort 1, the overall estimated VEs of ≥1 dose of inactivated vaccine against SARS-CoV-2 infection, severe/critical Covid-19, and Covid-19 related death were 24.7% (95%CI 23.7%-25.7%), 86.6% (83.1%-89.4%), and 93.2% (88.0%-96.1%), respectively. Subset analysis showed that the booster vaccination provided greatest protection. For cohort 2, compared with full vaccination, relative VEs of booster dose against corresponding outcome were 16.3% (14.4%-17.9%), 60.5% (37.8%-74.9%), and 81.7% (17.5%-95.9%). Here we show, although under the scenario of persistent dynamic zero-Covid policy and non-pharmaceutical interventions, promoting high uptake of the full vaccination series and booster dose among older adults is critically important. Timely vaccination with the booster dose provided effective protection against Covid-19 outcomes.

SUBMITTER: Huang Z 

PROVIDER: S-EPMC10086022 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature

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Effectiveness of inactivated COVID-19 vaccines among older adults in Shanghai: retrospective cohort study.

Huang Zhuoying Z   Xu Shuangfei S   Liu Jiechen J   Wu Linlin L   Qiu Jing J   Wang Nan N   Ren Jia J   Li Zhi Z   Guo Xiang X   Tao Fangfang F   Chen Jian J   Lu Donglei D   Wang Yuheng Y   Li Juan J   Sun Xiaodong X   Wang Weibing W  

Nature communications 20230410 1


We conducted a matched retrospective cohort study of two cohorts to estimate inactivated vaccine effectiveness (VE) and its comparative effectiveness of booster dose among older people in Shanghai. Cohort 1 consisted of a vaccinated group (≥1 dose) and an unvaccinated group (3,317,475 pairs), and cohort 2 consisted of a booster vaccinated group and a fully vaccinated group (2,084,721 pairs). The Kaplan-Meier method and Cox regression models were used to estimate risk and hazard ratios (HRs) stud  ...[more]

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