International Journal of Public Health (Sep 2023)
Interplay of Digital Proximity App Use and SARS-CoV-2 Vaccine Uptake in Switzerland: Analysis of Two Population-Based Cohort Studies
- Paola Daniore,
- Paola Daniore,
- André Moser,
- Marc Höglinger,
- Nicole Probst Hensch,
- Nicole Probst Hensch,
- Medea Imboden,
- Medea Imboden,
- Thomas Vermes,
- Thomas Vermes,
- Dirk Keidel,
- Dirk Keidel,
- Murielle Bochud,
- Natalia Ortega Herrero,
- Natalia Ortega Herrero,
- Stéphanie Baggio,
- Stéphanie Baggio,
- Patricia Chocano-Bedoya,
- Patricia Chocano-Bedoya,
- Nicolas Rodondi,
- Nicolas Rodondi,
- Stefano Tancredi,
- Cornelia Wagner,
- Stéphane Cullati,
- Stéphane Cullati,
- Silvia Stringhini,
- Silvia Stringhini,
- Semira Gonseth Nusslé,
- Caroline Veys-Takeuchi,
- Claire Zuppinger,
- Erika Harju,
- Erika Harju,
- Erika Harju,
- Gisela Michel,
- Irène Frank,
- Christian R. Kahlert,
- Christian R. Kahlert,
- Emiliano Albanese,
- Luca Crivelli,
- Luca Crivelli,
- Sara Levati,
- Rebecca Amati,
- Marco Kaufmann,
- Marco Geigges,
- Tala Ballouz,
- Anja Frei,
- Jan Fehr,
- Jan Fehr,
- Viktor von Wyl,
- Viktor von Wyl,
- Viktor von Wyl
Affiliations
- Paola Daniore
- Institute for Implementation Science in Health Care, University of Zurich, Zurich, Switzerland
- Paola Daniore
- Digital Society Initiative, University of Zurich, Zurich, Switzerland
- André Moser
- Clinical Trials Unit Bern, University of Bern, Bern, Switzerland
- Marc Höglinger
- Winterthur Institute of Health Economics, Zurich University of Applied Sciences, Winterthur, Switzerland
- Nicole Probst Hensch
- Swiss Tropical and Public Health Institute, Allschwil, Switzerland
- Nicole Probst Hensch
- University of Basel, Basel, Switzerland
- Medea Imboden
- Swiss Tropical and Public Health Institute, Allschwil, Switzerland
- Medea Imboden
- University of Basel, Basel, Switzerland
- Thomas Vermes
- Swiss Tropical and Public Health Institute, Allschwil, Switzerland
- Thomas Vermes
- University of Basel, Basel, Switzerland
- Dirk Keidel
- Swiss Tropical and Public Health Institute, Allschwil, Switzerland
- Dirk Keidel
- University of Basel, Basel, Switzerland
- Murielle Bochud
- Unisanté, University Center for Primary Care and Public Health, Lausanne, Switzerland
- Natalia Ortega Herrero
- Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland
- Natalia Ortega Herrero
- Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland
- Stéphanie Baggio
- Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland
- Stéphanie Baggio
- Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland
- Patricia Chocano-Bedoya
- Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland
- Patricia Chocano-Bedoya
- Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland
- Nicolas Rodondi
- Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland
- Nicolas Rodondi
- 0Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
- Stefano Tancredi
- Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland
- Cornelia Wagner
- Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland
- Stéphane Cullati
- Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland
- Stéphane Cullati
- 1Department of Readaptation and Geriatrics, University of Geneva, Geneva, Switzerland
- Silvia Stringhini
- 2Department of Health and Community Medicine, Faculty of Medicine, University of Geneva, Geneva, Switzerland
- Silvia Stringhini
- 3Unit of Population Epidemiology, Division of Primary Care Medicine, Geneva University Hospitals, Geneva, Switzerland
- Semira Gonseth Nusslé
- Unisanté, University Center for Primary Care and Public Health, Lausanne, Switzerland
- Caroline Veys-Takeuchi
- Unisanté, University Center for Primary Care and Public Health, Lausanne, Switzerland
- Claire Zuppinger
- Unisanté, University Center for Primary Care and Public Health, Lausanne, Switzerland
- Erika Harju
- 4Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland
- Erika Harju
- 5Clinical Trial Unit, Lucerne Cantonal Hospital, Lucerne, Switzerland
- Erika Harju
- 6School of Health Sciences, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland
- Gisela Michel
- 4Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland
- Irène Frank
- 5Clinical Trial Unit, Lucerne Cantonal Hospital, Lucerne, Switzerland
- Christian R. Kahlert
- 7Department of Infectious Diseases and Hospital Epidemiology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland
- Christian R. Kahlert
- 8Infectious Diseases and Hospital Epidemiology, Children’s Hospital of Eastern Switzerland, St. Gallen, Switzerland
- Emiliano Albanese
- 9Institute of Public Health, Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
- Luca Crivelli
- 9Institute of Public Health, Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
- Luca Crivelli
- 0Department Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland
- Sara Levati
- 0Department Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland
- Rebecca Amati
- 9Institute of Public Health, Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
- Marco Kaufmann
- 1Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
- Marco Geigges
- 1Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
- Tala Ballouz
- 1Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
- Anja Frei
- 1Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
- Jan Fehr
- 1Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
- Jan Fehr
- 2Division of Infectious Disease and Hospital Epidemiology, University Hospital Zurich, Zurich, Switzerland
- Viktor von Wyl
- Institute for Implementation Science in Health Care, University of Zurich, Zurich, Switzerland
- Viktor von Wyl
- Digital Society Initiative, University of Zurich, Zurich, Switzerland
- Viktor von Wyl
- 2Division of Infectious Disease and Hospital Epidemiology, University Hospital Zurich, Zurich, Switzerland
- DOI
- https://doi.org/10.3389/ijph.2023.1605812
- Journal volume & issue
-
Vol. 68
Abstract
Objectives: Our study aims to evaluate developments in vaccine uptake and digital proximity tracing app use in a localized context of the SARS-CoV-2 pandemic.Methods: We report findings from two population-based longitudinal cohorts in Switzerland from January to December 2021. Failure time analyses and Cox proportional hazards regression models were conducted to assess vaccine uptake and digital proximity tracing app (SwissCovid) uninstalling outcomes.Results: We observed a dichotomy of individuals who did not use the SwissCovid app and did not get vaccinated, and who used the SwissCovid app and got vaccinated during the study period. Increased vaccine uptake was observed with SwissCovid app use (aHR, 1.51; 95% CI: 1.40–1.62 [CI-DFU]; aHR, 1.79; 95% CI: 1.62–1.99 [CSM]) compared to SwissCovid app non-use. Decreased SwissCovid uninstallation risk was observed for participants who got vaccinated (aHR, 0.55; 95% CI: 0.38–0.81 [CI-DFU]; aHR, 0.45; 95% CI: 0.27–0.78 [CSM]) compared to participants who did not get vaccinated.Conclusion: In evolving epidemic contexts, these findings underscore the need for communication strategies as well as flexible digital proximity tracing app adjustments that accommodate different preventive measures and their anticipated interactions.
Keywords