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Spatial Patterns of COVID-19 Vaccination Coverage by Social Vulnerability Index and Designated COVID-19 Vaccine Sites in Texas.
Mofleh, Dania; Almohamad, Maha; Osaghae, Ikponmwosa; Bempah, Sandra; Zhang, Qianzi; Tortolero, Guillermo; Ebeidat, Ahmad; Ramphul, Ryan; Sharma, Shreela V.
  • Mofleh D; Department of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health, University of Texas Health Science Center at Houston (UTHealth), Houston, TX 77030, USA.
  • Almohamad M; Department of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health, University of Texas Health Science Center at Houston (UTHealth), Houston, TX 77030, USA.
  • Osaghae I; Department of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health, University of Texas Health Science Center at Houston (UTHealth), Houston, TX 77030, USA.
  • Bempah S; Geography Department, Kent State University, Kent, OH 44240, USA.
  • Zhang Q; Department of Management, Policy & Community Health, School of Public Health, University of Texas Health Science Center at Houston (UTHealth), Houston, TX 77030, USA.
  • Tortolero G; Department of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health, University of Texas Health Science Center at Houston (UTHealth), Houston, TX 77030, USA.
  • Ebeidat A; Department of Economics, Kellstadt Graduate School of Business, DePaul University, Chicago, IL 60604, USA.
  • Ramphul R; Department of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health, University of Texas Health Science Center at Houston (UTHealth), Houston, TX 77030, USA.
  • Sharma SV; Department of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health, University of Texas Health Science Center at Houston (UTHealth), Houston, TX 77030, USA.
Vaccines (Basel) ; 10(4)2022 Apr 08.
Article in English | MEDLINE | ID: covidwho-1786090
ABSTRACT
Equitable access to the COVID-19 vaccine remains a public health priority. This study explores the association between ZIP Code-Tabulation Area level Social Vulnerability Indices (SVI) and COVID-19 vaccine coverage in Texas. A mixed-effects, multivariable, random-intercept negative binomial model was used to explore the association between ZIP Code-Tabulation Area level SVI and COVID-19 vaccination coverage stratified by the availability of a designated vaccine access site. Lower COVID-19 vaccine coverage was observed in ZIP codes with the highest overall SVIs (adjusted mean difference (aMD) = -13, 95% CI, -23.8 to -2.1, p < 0.01), socioeconomic characteristics theme (aMD = -16.6, 95% CI, -27.3 to -5.7, p = 0.01) and housing and transportation theme (aMD = -18.3, 95% CI, -29.6 to -7.1, p < 0.01) compared with the ZIP codes with the lowest SVI scores. The vaccine coverage was lower in ZIP Code-Tabulation Areas with higher median percentages of Hispanics (aMD = -3.3, 95% CI, -6.5 to -0.1, p = 0.04) and Blacks (aMD = -3.7, 95% CI, -6.4 to -1, p = 0.01). SVI negatively impacted COVID-19 vaccine coverage in Texas. Access to vaccine sites did not address disparities related to vaccine coverage among minority populations. These findings are relevant to guide the distribution of COVID-19 vaccines in regions with similar demographic and geospatial characteristics.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study / Randomized controlled trials Topics: Vaccines Language: English Year: 2022 Document Type: Article Affiliation country: Vaccines10040574

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study / Randomized controlled trials Topics: Vaccines Language: English Year: 2022 Document Type: Article Affiliation country: Vaccines10040574