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Disparities in COVID-19 Vaccination Coverage Between Urban and Rural Counties - United States, December 14, 2020-April 10, 2021.
MMWR Morb Mortal Wkly Rep. 2021 May 21; 70(20):759-764.MM

Abstract

Approximately 60 million persons in the United States live in rural counties, representing almost one fifth (19.3%) of the population.* In September 2020, COVID-19 incidence (cases per 100,000 population) in rural counties surpassed that in urban counties (1). Rural communities often have a higher proportion of residents who lack health insurance, live with comorbidities or disabilities, are aged ≥65 years, and have limited access to health care facilities with intensive care capabilities, which places these residents at increased risk for COVID-19-associated morbidity and mortality (2,3). To better understand COVID-19 vaccination disparities across the urban-rural continuum, CDC analyzed county-level vaccine administration data among adults aged ≥18 years who received their first dose of either the Pfizer-BioNTech or Moderna COVID-19 vaccine, or a single dose of the Janssen COVID-19 vaccine (Johnson & Johnson) during December 14, 2020-April 10, 2021 in 50 U.S. jurisdictions (49 states and the District of Columbia [DC]). Adult COVID-19 vaccination coverage was lower in rural counties (38.9%) than in urban counties (45.7%) overall and among adults aged 18-64 years (29.1% rural, 37.7% urban), those aged ≥65 years (67.6% rural, 76.1% urban), women (41.7% rural, 48.4% urban), and men (35.3% rural, 41.9% urban). Vaccination coverage varied among jurisdictions: 36 jurisdictions had higher coverage in urban counties, five had higher coverage in rural counties, and five had similar coverage (i.e., within 1%) in urban and rural counties; in four jurisdictions with no rural counties, the urban-rural comparison could not be assessed. A larger proportion of persons in the most rural counties (14.6%) traveled for vaccination to nonadjacent counties (i.e., farther from their county of residence) compared with persons in the most urban counties (10.3%). As availability of COVID-19 vaccines expands, public health practitioners should continue collaborating with health care providers, pharmacies, employers, faith leaders, and other community partners to identify and address barriers to COVID-19 vaccination in rural areas (2).

Authors

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Pub Type(s)

Journal Article

Language

eng

PubMed ID

34014911

Citation

Murthy, Bhavini Patel, et al. "Disparities in COVID-19 Vaccination Coverage Between Urban and Rural Counties - United States, December 14, 2020-April 10, 2021." MMWR. Morbidity and Mortality Weekly Report, vol. 70, no. 20, 2021, pp. 759-764.
Murthy BP, Sterrett N, Weller D, et al. Disparities in COVID-19 Vaccination Coverage Between Urban and Rural Counties - United States, December 14, 2020-April 10, 2021. MMWR Morb Mortal Wkly Rep. 2021;70(20):759-764.
Murthy, B. P., Sterrett, N., Weller, D., Zell, E., Reynolds, L., Toblin, R. L., Murthy, N., Kriss, J., Rose, C., Cadwell, B., Wang, A., Ritchey, M. D., Gibbs-Scharf, L., Qualters, J. R., Shaw, L., Brookmeyer, K. A., Clayton, H., Eke, P., Adams, L., ... Harris, L. Q. (2021). Disparities in COVID-19 Vaccination Coverage Between Urban and Rural Counties - United States, December 14, 2020-April 10, 2021. MMWR. Morbidity and Mortality Weekly Report, 70(20), 759-764. https://doi.org/10.15585/mmwr.mm7020e3
Murthy BP, et al. Disparities in COVID-19 Vaccination Coverage Between Urban and Rural Counties - United States, December 14, 2020-April 10, 2021. MMWR Morb Mortal Wkly Rep. 2021 May 21;70(20):759-764. PubMed PMID: 34014911.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Disparities in COVID-19 Vaccination Coverage Between Urban and Rural Counties - United States, December 14, 2020-April 10, 2021. AU - Murthy,Bhavini Patel, AU - Sterrett,Natalie, AU - Weller,Daniel, AU - Zell,Elizabeth, AU - Reynolds,Laura, AU - Toblin,Robin L, AU - Murthy,Neil, AU - Kriss,Jennifer, AU - Rose,Charles, AU - Cadwell,Betsy, AU - Wang,Alice, AU - Ritchey,Matthew D, AU - Gibbs-Scharf,Lynn, AU - Qualters,Judith R, AU - Shaw,Lauren, AU - Brookmeyer,Kathryn A, AU - Clayton,Heather, AU - Eke,Paul, AU - Adams,Laura, AU - Zajac,Julie, AU - Patel,Anita, AU - Fox,Kimberley, AU - Williams,Charnetta, AU - Stokley,Shannon, AU - Flores,Stephen, AU - Barbour,Kamil E, AU - Harris,LaTreace Q, Y1 - 2021/05/21/ PY - 2021/5/20/entrez PY - 2021/5/21/pubmed PY - 2021/5/22/medline SP - 759 EP - 764 JF - MMWR. Morbidity and mortality weekly report JO - MMWR Morb Mortal Wkly Rep VL - 70 IS - 20 N2 - Approximately 60 million persons in the United States live in rural counties, representing almost one fifth (19.3%) of the population.* In September 2020, COVID-19 incidence (cases per 100,000 population) in rural counties surpassed that in urban counties (1). Rural communities often have a higher proportion of residents who lack health insurance, live with comorbidities or disabilities, are aged ≥65 years, and have limited access to health care facilities with intensive care capabilities, which places these residents at increased risk for COVID-19-associated morbidity and mortality (2,3). To better understand COVID-19 vaccination disparities across the urban-rural continuum, CDC analyzed county-level vaccine administration data among adults aged ≥18 years who received their first dose of either the Pfizer-BioNTech or Moderna COVID-19 vaccine, or a single dose of the Janssen COVID-19 vaccine (Johnson & Johnson) during December 14, 2020-April 10, 2021 in 50 U.S. jurisdictions (49 states and the District of Columbia [DC]). Adult COVID-19 vaccination coverage was lower in rural counties (38.9%) than in urban counties (45.7%) overall and among adults aged 18-64 years (29.1% rural, 37.7% urban), those aged ≥65 years (67.6% rural, 76.1% urban), women (41.7% rural, 48.4% urban), and men (35.3% rural, 41.9% urban). Vaccination coverage varied among jurisdictions: 36 jurisdictions had higher coverage in urban counties, five had higher coverage in rural counties, and five had similar coverage (i.e., within 1%) in urban and rural counties; in four jurisdictions with no rural counties, the urban-rural comparison could not be assessed. A larger proportion of persons in the most rural counties (14.6%) traveled for vaccination to nonadjacent counties (i.e., farther from their county of residence) compared with persons in the most urban counties (10.3%). As availability of COVID-19 vaccines expands, public health practitioners should continue collaborating with health care providers, pharmacies, employers, faith leaders, and other community partners to identify and address barriers to COVID-19 vaccination in rural areas (2). SN - 1545-861X UR - https://www.unboundmedicine.com/medline/citation/34014911/Disparities_in_COVID_19_Vaccination_Coverage_Between_Urban_and_Rural_Counties___United_States_December_14_2020_April_10_2021_ L2 - https://doi.org/10.15585/mmwr.mm7020e3 DB - PRIME DP - Unbound Medicine ER -