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    Inequities in COVID-19 vaccination rates among adolescents in Massachusetts: a cross-sectional study

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    Authors
    Gao, David X.
    Fisher, Lloyd D.
    Miller, Donald R.
    Geller, Alan C.
    UMass Chan Affiliations
    Department of Pediatrics
    Document Type
    Accepted Manuscript
    Publication Date
    2022-02-13
    Keywords
    COVID-19
    Massachusetts
    adolescents
    health disparities
    Community Health and Preventive Medicine
    Infectious Disease
    Pediatrics
    Race and Ethnicity
    Therapeutics
    Virus Diseases
    
    Metadata
    Show full item record
    Abstract
    BACKGROUND: The COVID-19 pandemic has disproportionately affected more socioeconomically disadvantaged persons and areas. We sought to determine how certain sociodemographic factors were correlated to adolescents' COVID-19 vaccination rates in towns and cities ("communities") in the Commonwealth of Massachusetts. METHODS: Data on COVID-19 vaccination rates were obtained over a 20-week period from March 30, 2021 to August 10, 2021. Communities' adolescent (ages 12-19) vaccination rates were compared across quintiles of community-level income, COVID-19 case rate, and proportion of non-Hispanic Black or Hispanic individuals. Other variables included population density and earlier COVID-19 vaccination rates of adolescents and adults, averaged from March 30 to May 11 to determine their effects on vaccination rates on August 10. Linear and logistic regression was used to estimate individual effects of variables on adolescent vaccination rates. RESULTS: Higher median household income, lower proportion of Black or Hispanic individuals, higher early adolescent COVID-19 vaccination rates, and higher early adult COVID-19 vaccination rates were associated with higher later adolescent COVID-19 vaccination rates. Income per $10,000 (adjusted odds ratio=1.01 [95% confidence interval=1.01-1.02]), proportion of Hispanic individuals (1.33 [1.13-1.56]), early adolescent COVID-19 vaccination rates (5.28 [4.67-5.96]), and early adult COVID-19 vaccination rates (2.31 [2.02-2.64]) were associated with higher adolescent COVID-19 vaccination on August 10, while proportion of Black individuals approached significance (1.26 [0.98-1.61]). CONCLUSIONS: Vaccination efforts for adolescents in Massachusetts should focus on boosting vaccination rates early in communities with the lowest incomes and greatest proportion of Hispanic individuals and consider targeting communities with a greater proportion of Black individuals.
    Source

    Gao DX, Fisher LD, Miller DR, Geller AC. Inequities in COVID-19 vaccination rates among adolescents in Massachusetts: a cross-sectional study. Clin Infect Dis. 2022 Feb 13:ciac123. doi: 10.1093/cid/ciac123. Epub ahead of print. PMID: 35152282; PMCID: PMC8903391. Link to article on publisher's site

    DOI
    10.1093/cid/ciac123
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/27551
    PubMed ID
    35152282
    Related Resources

    Link to Article in PubMed

    Rights
    This is a pre-copyedited, author-produced version of an article accepted for publication in Clinical Infectious Diseases following peer review. It is posted with a 12-month embargo as allowed by the publisher's policy at https://academic.oup.com/journals/pages/access_purchase/rights_and_permissions/author_self_archiving_policy. The version of record is available online at https://doi.org/10.1093/cid/ciac123.
    ae974a485f413a2113503eed53cd6c53
    10.1093/cid/ciac123
    Scopus Count
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    COVID-19 Publications by UMass Chan Authors

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