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COVID-19 vaccination rates vary by community vulnerability: A county-level analysis.
Vaccine. 2021 07 13; 39(31):4245-4249.V

Abstract

We used the COVID-19 Community Vulnerability Index and 7 theme scores to assess associations between vulnerability and county-level COVID-19 vaccination (n = 2415 counties) through May 25th, 2021. When comparing vaccination rates among quintiles of CCVI scores, Theme 3 (housing type, transportation, household composition, and disability) was associated with the largest disparity, with the least vulnerable counties (Q1) having 33% higher rates of vaccination among individuals aged 18+ (53.5% vs 40.2%) compared to counties with the highest vulnerability (Q5). Using generalized linear models with binomial distributions and log links, we found that a 10-point increase in the CCVI index, socioeconomic vulnerability, housing type and composition, and epidemiological factors were associated with at least a 1.0 percentage point decline in county-level vaccination. The association between community vulnerability and lower vaccination rates suggests the need for continued efforts for equitable COVID-19 vaccination across marginalized communities.

Authors+Show Affiliations

Department of Health Policy and Management, University of Arkansas for Medical Sciences, Fay W Boozman College of Public Health, 4301 West Markham Slot #820, Little Rock, AR 72205, United States. Electronic address: cbrown3@uams.edu.Department of Environmental and Occupational Health, University of Arkansas for Medical Sciences, Fay W Boozman College of Public Health, 4301 West Markham Slot #820, Little Rock, AR 72205, United States. Electronic address: SGYoung@uams.edu.Department of Health Behavior and Health Education, University of Arkansas for Medical Sciences, Fay W Boozman College of Public Health, 4301 West Markham Slot #820, Little Rock, AR 72205, United States. Electronic address: GCPro@uams.edu.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

34167838

Citation

Brown, Clare C., et al. "COVID-19 Vaccination Rates Vary By Community Vulnerability: a County-level Analysis." Vaccine, vol. 39, no. 31, 2021, pp. 4245-4249.
Brown CC, Young SG, Pro GC. COVID-19 vaccination rates vary by community vulnerability: A county-level analysis. Vaccine. 2021;39(31):4245-4249.
Brown, C. C., Young, S. G., & Pro, G. C. (2021). COVID-19 vaccination rates vary by community vulnerability: A county-level analysis. Vaccine, 39(31), 4245-4249. https://doi.org/10.1016/j.vaccine.2021.06.038
Brown CC, Young SG, Pro GC. COVID-19 Vaccination Rates Vary By Community Vulnerability: a County-level Analysis. Vaccine. 2021 07 13;39(31):4245-4249. PubMed PMID: 34167838.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - COVID-19 vaccination rates vary by community vulnerability: A county-level analysis. AU - Brown,Clare C, AU - Young,Sean G, AU - Pro,George C, Y1 - 2021/06/17/ PY - 2021/03/11/received PY - 2021/05/27/revised PY - 2021/06/14/accepted PY - 2021/6/26/pubmed PY - 2021/7/10/medline PY - 2021/6/25/entrez KW - COVID-19 KW - Equity KW - SARS-CoV-2 KW - Vaccination KW - Vulnerability SP - 4245 EP - 4249 JF - Vaccine JO - Vaccine VL - 39 IS - 31 N2 - We used the COVID-19 Community Vulnerability Index and 7 theme scores to assess associations between vulnerability and county-level COVID-19 vaccination (n = 2415 counties) through May 25th, 2021. When comparing vaccination rates among quintiles of CCVI scores, Theme 3 (housing type, transportation, household composition, and disability) was associated with the largest disparity, with the least vulnerable counties (Q1) having 33% higher rates of vaccination among individuals aged 18+ (53.5% vs 40.2%) compared to counties with the highest vulnerability (Q5). Using generalized linear models with binomial distributions and log links, we found that a 10-point increase in the CCVI index, socioeconomic vulnerability, housing type and composition, and epidemiological factors were associated with at least a 1.0 percentage point decline in county-level vaccination. The association between community vulnerability and lower vaccination rates suggests the need for continued efforts for equitable COVID-19 vaccination across marginalized communities. SN - 1873-2518 UR - https://www.unboundmedicine.com/medline/citation/34167838/COVID_19_vaccination_rates_vary_by_community_vulnerability:_A_county_level_analysis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0264-410X(21)00774-X DB - PRIME DP - Unbound Medicine ER -