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10.15585/mmwr.mm7020e3

http://scihub22266oqcxt.onion/10.15585/mmwr.mm7020e3
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34014911!8136424!34014911
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suck abstract from ncbi


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pmid34014911      MMWR+Morb+Mortal+Wkly+Rep 2021 ; 70 (20): 759-764
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  • Disparities in COVID-19 Vaccination Coverage Between Urban and Rural Counties - United States, December 14, 2020-April 10, 2021 #MMPMID34014911
  • Murthy BP; Sterrett N; Weller D; Zell E; Reynolds L; Toblin RL; Murthy N; Kriss J; Rose C; Cadwell B; Wang A; Ritchey MD; Gibbs-Scharf L; Qualters JR; Shaw L; Brookmeyer KA; Clayton H; Eke P; Adams L; Zajac J; Patel A; Fox K; Williams C; Stokley S; Flores S; Barbour KE; Harris LQ
  • MMWR Morb Mortal Wkly Rep 2021[May]; 70 (20): 759-764 PMID34014911show ga
  • Approximately 60 million persons in the United States live in rural counties, representing almost one fifth (19.3%) of the population.* In September 2020, COVID-19 incidence (cases per 100,000 population) in rural counties surpassed that in urban counties (1). Rural communities often have a higher proportion of residents who lack health insurance, live with comorbidities or disabilities, are aged >/=65 years, and have limited access to health care facilities with intensive care capabilities, which places these residents at increased risk for COVID-19-associated morbidity and mortality (2,3). To better understand COVID-19 vaccination disparities across the urban-rural continuum, CDC analyzed county-level vaccine administration data among adults aged >/=18 years who received their first dose of either the Pfizer-BioNTech or Moderna COVID-19 vaccine, or a single dose of the Janssen COVID-19 vaccine (Johnson & Johnson) during December 14, 2020-April 10, 2021 in 50 U.S. jurisdictions (49 states and the District of Columbia [DC]). Adult COVID-19 vaccination coverage was lower in rural counties (38.9%) than in urban counties (45.7%) overall and among adults aged 18-64 years (29.1% rural, 37.7% urban), those aged >/=65 years (67.6% rural, 76.1% urban), women (41.7% rural, 48.4% urban), and men (35.3% rural, 41.9% urban). Vaccination coverage varied among jurisdictions: 36 jurisdictions had higher coverage in urban counties, five had higher coverage in rural counties, and five had similar coverage (i.e., within 1%) in urban and rural counties; in four jurisdictions with no rural counties, the urban-rural comparison could not be assessed. A larger proportion of persons in the most rural counties (14.6%) traveled for vaccination to nonadjacent counties (i.e., farther from their county of residence) compared with persons in the most urban counties (10.3%). As availability of COVID-19 vaccines expands, public health practitioners should continue collaborating with health care providers, pharmacies, employers, faith leaders, and other community partners to identify and address barriers to COVID-19 vaccination in rural areas (2).
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |COVID-19 Vaccines/*administration & dosage[MESH]
  • |COVID-19/epidemiology/prevention & control[MESH]
  • |Female[MESH]
  • |Healthcare Disparities/*statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Rural Population/*statistics & numerical data[MESH]
  • |United States/epidemiology[MESH]
  • |Urban Population/*statistics & numerical data[MESH]
  • |Vaccination Coverage/*statistics & numerical data[MESH]


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