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Effectiveness of Covid-19 Vaccination on Disease Severity: A Case-Control Study in Southeast Iran Publisher



Mohammadi M ; Golpayegani A ; Mohammadi FD ; Majidpour F ; Hesari E ; Dargahpour M ; Jalali P
Authors

Source: Journal of Occupational Health and Epidemiology Published:2025


Abstract

Background: Given the importance of the effectiveness of vaccination in terms of mitigating the severity of COVID-19 and mortality, knowledge of the effect of the vaccine on the severity of COVID-19 in communities is essential. Thus, the purpose of this study was to ascertain the effect of COVID-19 vaccine on the severity of the COVID-19 in southeastern Iran. Materials and Methods: A case–control study of a total of 1520 adults aged >18 years was conducted in Bam County to assess the association between hospitalizations due to COVID-19 and previous vaccination with existing vaccines (including Sinopharm, AstraZeneca, and CovIran Barkat) in the country. Multinomial logistic regression was employed, and odds ratios (OR) and 95% confidence intervals (CIs) were calculated. Results: After controlling for potential confounders, multinomial logistic regression indicated that COVID-19 vaccination lowered the likelihood of hospitalization for men and women in temporary wards (ORmen=0.22 vs ORwomen=0.34), general wards (ORmen=0.25 vs ORwomen=0.31), and intensive care units (ORmen=0.47 vs ORwomen=0.77) (P<0.001). The odds ratio of hospitalization in all wards diminished for men and women who had received Sinopharm or AstraZeneca and for women who had received the Barkat vaccine, while only a significant difference was detected in the reduction among patients who had received the Sinopharm vaccine (P<0.001). Conclusion: The results revealed that vaccination is related to diminished severity of the disease in the hospital. Thus, efforts to increase the vaccinated population can reduce the severity of COVID-19 and might decreasae the need for intensive care in hospitals. © 2025 The Author(s); Published by Rafsanjan University of Medical Sciences.
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