vaccination, caught between social determinants and distrust of institutions

Sociologist Nathalie Bajos does not usually oversell her work. To present the third delivery of the EpiCoV survey (“Epidemiology and living conditions”), carried out jointly by the National Institute for Health and Medical Research (Inserm) and the Department of Research, Studies, Evaluation and Statistics (DREES), and which focuses on social disparities in access to vaccination against Covid-19, the research director at Inserm therefore announces the color: “There is no scoop. The inequalities usually observed in access to prevention are found in this particular policy of vaccination. »

No one will be surprised to read that the least favored social categories, the least qualified people, those with the lowest incomes or even non-European immigrants are the least vaccinated. Nor is it surprising that trust in the government or in scientists weighs heavily in vaccination status.

A very striking painting

But the extent of these influences appears on the other hand quite astonishing, like a whole set of small details which make the survey made public, Thursday, February 24, a quite striking picture.

The first two parts of this vast project launched with the pandemic had made it possible to follow its social dynamics, to analyze exposure to risk, contamination or even the repercussions of the health crisis on the living conditions of the French. One hundred and thirty-five thousand people had responded to a first questionnaire in May 2020, 107,000 of them had continued during the second part in November 2020, this time with a close-up on a possible use of vaccines yet to come.

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For this third delivery, 85,000 faithful, over the age of 15, shared both their vaccination status and what had motivated them to accept or refuse the two doses of product. Collected in July 2021, mainly just before the implementation of the health pass, this information is simultaneously published in two articles, one published by the DREES, the other deposited on the MedRxiv site.

At the time, 72% of adults had received at least one dose, 10% intended to do so, the same proportion still hesitated while 8% said they did not wish to be vaccinated. Today, approximately 92% of the adult population is vaccinated. It seems that the time for reflection and the restrictive measures taken by the government have managed to tip the hesitant towards immunization, without however affecting the most refractory fringe.

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