Rural-Urban Differences in Vaccination and Hesitancy Rates and Trust: US COVID-19 Trends and Impact Survey on a Social Media Platform, May 2021-April 2022.

Autor: Soorapanth S; Sada Soorapanth and Rex Cheung are with the Department of Decision Sciences, Lam Family College of Business, San Francisco State University, San Francisco, CA. Xinzhi Zhang and George A. Mensah are with the Center for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD. Ali H. Mokdad is with the Institute for Health Metrics and Evaluation and the Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle., Cheung R; Sada Soorapanth and Rex Cheung are with the Department of Decision Sciences, Lam Family College of Business, San Francisco State University, San Francisco, CA. Xinzhi Zhang and George A. Mensah are with the Center for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD. Ali H. Mokdad is with the Institute for Health Metrics and Evaluation and the Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle., Zhang X; Sada Soorapanth and Rex Cheung are with the Department of Decision Sciences, Lam Family College of Business, San Francisco State University, San Francisco, CA. Xinzhi Zhang and George A. Mensah are with the Center for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD. Ali H. Mokdad is with the Institute for Health Metrics and Evaluation and the Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle., Mokdad AH; Sada Soorapanth and Rex Cheung are with the Department of Decision Sciences, Lam Family College of Business, San Francisco State University, San Francisco, CA. Xinzhi Zhang and George A. Mensah are with the Center for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD. Ali H. Mokdad is with the Institute for Health Metrics and Evaluation and the Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle., Mensah GA; Sada Soorapanth and Rex Cheung are with the Department of Decision Sciences, Lam Family College of Business, San Francisco State University, San Francisco, CA. Xinzhi Zhang and George A. Mensah are with the Center for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD. Ali H. Mokdad is with the Institute for Health Metrics and Evaluation and the Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle.
Jazyk: angličtina
Zdroj: American journal of public health [Am J Public Health] 2023 Jun; Vol. 113 (6), pp. 680-688. Date of Electronic Publication: 2023 Apr 13.
DOI: 10.2105/AJPH.2023.307274
Abstrakt: Objectives. To analyze rural-urban differences in COVID-19 vaccination uptake, hesitancy, and trust in information sources in the United States. Methods. We used data from a large survey of Facebook users. We computed the vaccination, hesitancy, and decline rates and the trust proportions among individuals hesitant toward COVID-19 information sources for rural and urban regions in each state from May 2021 to April 2022. Results. In 48 states with adequate data, on average, two thirds of states showed statistically significant differences in monthly vaccination rates between rural and urban regions, with rural regions having a lower vaccination rate at all times. Far fewer states showed statistically significant differences when comparing monthly hesitancy and decline rates for urban versus rural regions. Doctors and health professionals received the highest level of trust. Friends and family were also among the most trusted sources in rural areas where the vaccination uptake was low. Conclusions. Rural-urban difference in hesitancy rates among those still unvaccinated was much smaller than the rural-urban difference in vaccination rates, suggesting that access to vaccines may be another contributor to the lower vaccination rates in rural areas. ( Am J Public Health. 2023;113(6):680-688. https://doi.org/10.2105/AJPH.2023.307274).
Databáze: MEDLINE
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