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The disparate impact of age-based COVID-19 vaccine prioritization by race/ethnicity in Denver, Colorado.
Aiona, Kaylynn; Bacon, Emily; Podewils, Laura J; Haas, Michelle K.
  • Aiona K; Denver Health and Hospital Authority, Denver, CO, USA.
  • Bacon E; Colorado School of Public Health, University of Colorado, Aurora, CO, USA.
  • Podewils LJ; Denver Health and Hospital Authority, Denver, CO, USA.
  • Haas MK; Denver Health and Hospital Authority, Denver, CO, USA.
Health Policy Open ; 3: 100074, 2022 Dec.
Article in English | MEDLINE | ID: covidwho-1956157
ABSTRACT
COVID-19 vaccines are an effective tool in preventing severe disease. Most states used an age-based prioritization for vaccine rollout. We examined the impact of a primarily age-based prioritization policy on reductions of severe disease in different racial and ethnic groups. We calculated age-specific rates of COVID-19 hospitalization and death by race/ethnicity in Denver, Colorado. To assess potentially averted hospitalizations and deaths by race/ethnicity, we then applied the first three phases of Colorado's primarily age-based vaccine rollout criteria to historical 2020 COVID-19 hospitalizations and deaths in Denver, Colorado. In the first 3 phases, 40% (1403/3473) of hospitalizations and 83% (503/604) of deaths occurred among those meeting age and long-term care facility criteria and could have been averted. Impacts varied by race/ethnicity with only 28% (440/1587) of hospitalizations and 74% (131/178) of deaths averted among Hispanic or Latino residents, compared to 57% (619/1094) of hospitalizations and 92% (252/274) of deaths among non-Hispanic White residents. We demonstrate using local data and policy that early age-based prioritization decisions disproportionately promoted reductions in severe disease among non-Hispanic White residents irrespective of COVID-19 risk in Denver, Colorado. These findings suggest that more equitable future vaccine prioritization policies, which lead with a goal of reducing health disparities through prioritizing susceptibility to adverse health outcomes rather than overall population-based cutoffs, are necessary. Our results have implications for future vaccination rollouts in limited vaccine resource conditions.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Prognostic study / Randomized controlled trials Topics: Vaccines Language: English Journal: Health Policy Open Year: 2022 Document Type: Article Affiliation country: J.hpopen.2022.100074

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Prognostic study / Randomized controlled trials Topics: Vaccines Language: English Journal: Health Policy Open Year: 2022 Document Type: Article Affiliation country: J.hpopen.2022.100074