| Autor: |
Ethan L. Bernstein, MD, Eric C. DeRycke, MPH, Ling Han, MD, PhD, Melissa M. Farmer, PhD, Lori A. Bastian, MD, Bevanne Bean-Mayberry, MD, Brett Bade, MD, Cynthia Brandt, MD, MPH, Kristina Crothers, MD, Melissa Skanderson, MSW, Christopher Ruser, MD, Juliette Spelman, MD, Isabel S. Bazan, MD, Amy C. Justice, MD, PhD, Christopher T. Rentsch, PhD, Kathleen M. Akgün, MD, MS |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
AJPM Focus, Vol 2, Iss 3, Pp 100094- (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2773-0654 |
| DOI: |
10.1016/j.focus.2023.100094 |
| Popis: |
Introduction: Race-, ethnicity-, and rurality-related disparities in COVID-19 vaccine uptake have been documented in the U.S. We determined whether these disparities existed among patients at the Department of Veterans Affairs, the largest healthcare system in the U.S. Methods: Using Department of Veterans Affairs Corporate Data Warehouse data, we included 5,871,438 patients (9.4% women) with at least 1 primary care visit in 2019 in a retrospective cohort study. Each patient was assigned a single race and ethnicity, which were mutually exclusive, self-reported categories. Rurality was based on the 2019 home address at the ZIP code level. Our primary outcome was time to first COVID-19 vaccination between December 15, 2020 and June 15, 2021. Additional covariates included age (in years), sex, geographic region (North Atlantic, Midwest, Southeast, Pacific, continental), smoking status (current, former, never), Charlson Comorbidity Index (based on ≥1 inpatient or 1 outpatient International Classification of Diseases codes), service connection (any/none, using standardized Department of Veterans Affairs cut offs for disability compensation), and influenza vaccination in 2019–2020 (yes/no). Results: Compared with unvaccinated patients, those vaccinated (n=3,238,532; 55.2%) were older (mean age in years vaccinated=66.3 [SD=14.4] vs unvaccinated=57.7 [18.0], p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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