Disparities in Influenza, Pneumococcal, COVID-19 Vaccine Coverage in High-Risk Adults 19-64 Years of Age in Southeastern Minnesota, 2010-2021

Chest. 2024 Feb 9:S0012-3692(24)00145-4. doi: 10.1016/j.chest.2024.01.049. Online ahead of print.ABSTRACTBACKGROUND: Despite effective vaccines against influenza, pneumococcus and COVID-19, uptake has been suboptimal.RESEARCH QUESTION: While disparities in vaccination by race and ethnicity have been observed, what is the role of other sociodemographic in US vaccine uptake?STUDY DESIGN AND METHODS: We conducted a population-based study using Rochester Epidemiology Project (REP), a comprehensive medical records linkage system, to assess effects of sociodemographic factors including race, ethnicity, individual-level socioeconomic status (SES) via HOUSES index, education, population density (urban or non-urban) and marital status with uptake of influenza, pneumococcal, and COVID-19 vaccination in high-risk adults. Adults at high-risk for invasive pneumococcal disease residing in four counties of southeastern Minnesota aged 19-64-years-old were identified. Vaccination data was obtained from Minnesota Immunization Information Connection and REP from January 1, 2010 - December 31, 2021.RESULTS: We identified 45,755 residents. A majority were White (82%), non-Hispanic (94%), married (56%), living in an urban setting (81%) with three-quarters obtaining at least some college (74%). 45.1% were up-to-date on pneumococcal vaccines while 60.1% completed their primary COVID-19 series. For influenza and COVID-19, higher SES, living in an urban setting, older age and higher education positive...
Source: Chest - Category: Respiratory Medicine Authors: Source Type: research