未经评估:描述加利福尼亚州邻里水平因素的疫苗和加强剂吸收。
UNASSIGNED:我们使用加州公共卫生部的数据研究了截至2021年9月21日的COVID-19疫苗接种趋势,以及截至2022年3月29日的疫苗接种趋势。使用准泊松回归对邻域水平因素与邮政编码之间的完全接种和增强之间的关联进行建模。在10个人口普查地区之间比较了关于助推器率的子分析。
UNASSIGNED:在最小调整模型中,黑人居民比例较高与疫苗接种率较低相关(HR=0.97;95CI:0.96-0.98).然而,在一个完全调整的模型中,黑色的比例,西班牙裔/拉丁裔,亚洲居民的疫苗接种率较高(HR=1.02;95CI:1.01-1.03)。低疫苗覆盖率的最强预测因子是残疾(HR=0.89;95CI:0.86-0.91)。加强剂量的趋势相似。与助推器覆盖率相关的因素因地区而异。
未经评估:检查与COVID-19疫苗接种和加强率相关的邻里水平因素发现,在加利福尼亚州这个地理和人口统计学上不同的州内,存在显著差异。基于公平的疫苗接种方法必须确保对健康的多种社会决定因素进行强有力的考虑。
UNASSIGNED: To describe vaccine and booster uptake by neighborhood-level factors in California.
UNASSIGNED: We examined trends in COVID-19 vaccination up to September 21, 2021, and boosters up to March 29, 2022 using data from the California Department of Public Health. Quasi-Poisson regression was used to model the association between neighborhood-level factors and fully vaccinated and boosted among ZIP codes. Sub-analyses on booster rates were compared among the 10 census regions.
UNASSIGNED: In a minimally adjusted model, a higher proportion of Black residents was associated with lower vaccination (HR = 0.97; 95%CI: 0.96-0.98). However, in a fully adjusted model, proportion of Black, Hispanic/Latinx, and Asian residents were associated with higher vaccination rates (HR = 1.02; 95%CI: 1.01-1.03 for all). The strongest predictor of low vaccine coverage was disability (HR = 0.89; 95%CI: 0.86-0.91). Similar trends persisted for booster doses. Factors associated with booster coverage varied by region.
UNASSIGNED: Examining neighborhood-level factors associated with COVID-19 vaccination and booster rates uncovered significant variation within the large and geographically and demographically diverse state of California. Equity-based approaches to vaccination must ensure a robust consideration of multiple social determinants of health.