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Sci Rep . COVID-19 vaccination lowers SARS-CoV-2 infection risk independent of diabetes, cancer and smoking in SHIP-COVID cohort, Northern Germany

tetano

Editor, Senior Moderator
Sci Rep


. 2025 Oct 7;15(1):35032.
doi: 10.1038/s41598-025-22334-2. COVID-19 vaccination lowers SARS-CoV-2 infection risk independent of diabetes, cancer and smoking in SHIP-COVID cohort, Northern Germany

Muhammad Nasir Khan Khattak[SUP] #[/SUP][SUP] 1 [/SUP], Josefin Pauline Haß[SUP] #[/SUP][SUP] 2 [/SUP], Till Ittermann[SUP] 3 [/SUP], Marcus Dörr[SUP] 3 [/SUP], Ola Sidahmed[SUP] 3 [/SUP], Niels Ole Kristiansen[SUP] 3 4 [/SUP], Lena Ulm[SUP] 5 [/SUP], Kathrin Lehmann[SUP] 5 [/SUP], Karsten Becker[SUP] 5 [/SUP], Tillman Görig[SUP] 2 [/SUP], Nils-Olaf Hübner[SUP] 2 [/SUP], Henry Völzke[SUP] 3 [/SUP]



Affiliations
Abstract

This study (n = 668) investigated the effect of vaccination on SARS-CoV-2 infection among individuals with type 2 diabetes mellitus (T2DM), cancer, and smoking in a prospective cohort study in Northern Germany. Participants from the SHIP-COVID cohort were followed from October 2020 to October 2022 using repeated questionnaires and serological tests. Infection was defined by anti-nucleocapsid (anti-NCP) antibodies' detection, self-reported Real Time Polymerase Chain Reaction (RT-PCR) or rapid antigen test. Vaccine efficacy was evaluated using risk differences (RD), risk ratios (RR), p-values, and 95% confidence intervals. Infection risk decreased with more vaccine doses; the 3rd (RR = 0.68) and 4th (RR = 0.29) doses offered significant protection. Both sexes showed protection with 3rd and 4th doses (RR = 0.67 and 0.20 in women and 0.68 and 0.39 in men, respectively). Logistic regression showed higher infection odds in individuals with T2DM (14%) and cancer (68% in SHIP-START-3 dataset and 45% in SHIP-START-4 dataset), while current smokers had 47% and 45% lower odds than non-smokers in SHIP-START-3 and SHIP-START-4 datasets respectively. No significant interactions were found between vaccination and T2DM, cancer, or smoking.

Keywords: COVID-19; Cancer; Diabetes; SARS-CoV-2; Smoking; Vaccination.

 
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