| Titre : | A Survival Analysis of Rural-Urban Disparities in COVID-19 Vaccination Uptake in the United States (2025) |
| Auteurs : | Biplab Kumar Datta, Auteur ; Jennifer E. Jaremski, Auteur ; Benjamin E. Ansa, Auteur ; Lorriane Odhiambo, Auteur |
| Type de document : | Article : texte imprimé |
| Dans : | American Journal of Health Promotion (vol. 39, n° 3, Mars 2025) |
| Article en page(s) : | pp. 405–416 |
| Langues : | Anglais |
| Catégories : | |
| Résumé : |
"Purpose
Though urban-rural disparities in COVID-19 vaccination coverage was documented at a point of time, little is known on the evolution of vaccination uptake over time. This study, using individual level time-to-event data, intend to assess the differences in monthly progression of vaccination uptake among U.S. adults by urban/rural residence. Design Survival analysis. Setting Urban and rural areas in 29 U.S. states. Subjects 135,969 adults aged 18+ years. Measures Time (in months) to receive the first dose of COVID-19 vaccine since the U.S. Food and Drug Administration (FDA) Emergency Use Authorization of Pfizer-BioNTech- and Moderna- COVID-19 Vaccine in December 2020. Analysis Kaplan-Meier survivor functions and stratified Cox proportional hazard models were estimated for the event of being vaccinated by urban/rural residence for 25 months starting from December 2020. Monthly survival probabilities for urban- and rural- adults were further assessed within certain demographic and socioeconomic groups. Results We found a gradual divergence of COVID-19 vaccination uptake in favor of urban adults, which was robust across sex, age groups, race and ethnicity, education, and income levels. In April 2021, after vaccine eligibility was expanded, 42.2% adults in urban and 53.3% adults in rural areas were unvaccinated. While only 19.3% urban adults remained unvaccinated in December 2022, this rate was 32.5% among rural adults. Compared to their urban counterparts, rural adults were 0.77 (95% CI: 0.76 - 0.79) times as likely to receive the first dose of COVID-19 vaccine. Conclusions Time-to-event analysis of vaccination against COVID-19 indicated a lower uptake among rural adults, which was persistent across different demographic and socioeconomic groups." |
| Catalogueur : | RESOdoc |
Exemplaires (1)
| Cote | Code-barres | Support | Localisation | Disponibilité |
|---|---|---|---|---|
| RESO A.19 | RE65682720 | Bulletin | RESOdoc | Consultation sur place Disponible |
