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Emerging Socioeconomic Disparities in COVID-19 Vaccine Second-Dose Completion Rates in the United States

Although COVID-19 vaccination plans acknowledge a need for equity, disparities in two-dose vaccine initiation have been observed in the United States. We aim to assess if disparity patterns are emerging in COVID-19 vaccination completion. We gathered (n = 843,985) responses between February and Nove...

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Autores principales: Gertz, Autumn, Rader, Benjamin, Sewalk, Kara, Brownstein, John S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8780621/
https://www.ncbi.nlm.nih.gov/pubmed/35062782
http://dx.doi.org/10.3390/vaccines10010121
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author Gertz, Autumn
Rader, Benjamin
Sewalk, Kara
Brownstein, John S.
author_facet Gertz, Autumn
Rader, Benjamin
Sewalk, Kara
Brownstein, John S.
author_sort Gertz, Autumn
collection PubMed
description Although COVID-19 vaccination plans acknowledge a need for equity, disparities in two-dose vaccine initiation have been observed in the United States. We aim to assess if disparity patterns are emerging in COVID-19 vaccination completion. We gathered (n = 843,985) responses between February and November 2021 from a web survey. Individuals self-reported demographics and COVID-19 vaccination status. Dose initiation and completion rates were calculated incorporating survey weights. A multi-variate logistic regression assessed the association between income and completing vaccination, accounting for other demographics. Overall, 57.4% initiated COVID-19 vaccination, with 84.5% completing vaccination. Initiation varied by income, and we observed disparities in completion by occupation, race, age, and insurance. Accounting for demographics, higher incomes are more likely to complete vaccination than lower incomes. We observe disparities in completion across annual income. Differences in COVID-19 vaccination completion may lead to two tiers of protection in the population, with certain sub-groups being better protected from future infection.
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spelling pubmed-87806212022-01-22 Emerging Socioeconomic Disparities in COVID-19 Vaccine Second-Dose Completion Rates in the United States Gertz, Autumn Rader, Benjamin Sewalk, Kara Brownstein, John S. Vaccines (Basel) Communication Although COVID-19 vaccination plans acknowledge a need for equity, disparities in two-dose vaccine initiation have been observed in the United States. We aim to assess if disparity patterns are emerging in COVID-19 vaccination completion. We gathered (n = 843,985) responses between February and November 2021 from a web survey. Individuals self-reported demographics and COVID-19 vaccination status. Dose initiation and completion rates were calculated incorporating survey weights. A multi-variate logistic regression assessed the association between income and completing vaccination, accounting for other demographics. Overall, 57.4% initiated COVID-19 vaccination, with 84.5% completing vaccination. Initiation varied by income, and we observed disparities in completion by occupation, race, age, and insurance. Accounting for demographics, higher incomes are more likely to complete vaccination than lower incomes. We observe disparities in completion across annual income. Differences in COVID-19 vaccination completion may lead to two tiers of protection in the population, with certain sub-groups being better protected from future infection. MDPI 2022-01-14 /pmc/articles/PMC8780621/ /pubmed/35062782 http://dx.doi.org/10.3390/vaccines10010121 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Communication
Gertz, Autumn
Rader, Benjamin
Sewalk, Kara
Brownstein, John S.
Emerging Socioeconomic Disparities in COVID-19 Vaccine Second-Dose Completion Rates in the United States
title Emerging Socioeconomic Disparities in COVID-19 Vaccine Second-Dose Completion Rates in the United States
title_full Emerging Socioeconomic Disparities in COVID-19 Vaccine Second-Dose Completion Rates in the United States
title_fullStr Emerging Socioeconomic Disparities in COVID-19 Vaccine Second-Dose Completion Rates in the United States
title_full_unstemmed Emerging Socioeconomic Disparities in COVID-19 Vaccine Second-Dose Completion Rates in the United States
title_short Emerging Socioeconomic Disparities in COVID-19 Vaccine Second-Dose Completion Rates in the United States
title_sort emerging socioeconomic disparities in covid-19 vaccine second-dose completion rates in the united states
topic Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8780621/
https://www.ncbi.nlm.nih.gov/pubmed/35062782
http://dx.doi.org/10.3390/vaccines10010121
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