Disparities in COVID-19 Vaccination Coverage Between Urban and Rural Counties - United States, December 14, 2020-April 10, 2021
| Autor: | Charles E. Rose, Robin L. Toblin, La Treace Q. Harris, Bhavini Patel Murthy, Natalie Sterrett, Anita Patel, Julie Zajac, Alice Wang, Lynn Gibbs-Scharf, Stephen Flores, Matthew D. Ritchey, Charnetta Williams, Kamil E. Barbour, Paul I. Eke, Neil Murthy, Judith R. Qualters, Betsy L. Cadwell, Laura Reynolds, Lauren Shaw, Heather B. Clayton, Jennifer L. Kriss, Kathryn A. Brookmeyer, Kimberley Fox, Daniel Weller, Shannon Stokley, Elizabeth R. Zell, Laura Adams |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Rural Population medicine.medical_specialty Health (social science) COVID-19 Vaccines Vaccination Coverage Adolescent Urban Population Epidemiology Health Toxicology and Mutagenesis Population 01 natural sciences 03 medical and health sciences Young Adult 0302 clinical medicine Health Information Management Intensive care Health care medicine Humans 030212 general & internal medicine Full Report 0101 mathematics Healthcare Disparities education Aged education.field_of_study business.industry Public health Incidence (epidemiology) 010102 general mathematics COVID-19 General Medicine Middle Aged United States Vaccination Residence Female Rural area business Demography |
| Zdroj: | Morbidity and Mortality Weekly Report |
| ISSN: | 1545-861X |
| Popis: | 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). |
| Databáze: | OpenAIRE |
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