Racial-Ethnic Residential Clustering and Early COVID-19 Vaccine Allocations in Five Urban Texas Counties
Racial-Ethnic Residential Clustering and Early COVID-19 Vaccine Allocations in Five Urban Texas Counties
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DOI：
10.1177/00221465221074915
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发表时间：
2022-02-14
影响因子：
5
通讯作者：
Ray-Warren, Darra
中科院分区：
文献类型：
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作者：
Anderson, Kathryn Freeman;Ray-Warren, Darra
先前的研究表明，少数族裔社区缺乏各种与健康相关的组织。我们研究了这与早期 COVID-19 疫苗的推出有何关系。在一系列空间误差和线性增长模型中，我们分析了德克萨斯州五个最大城市县的种族居住隔离与邮政编码中疫苗地点和疫苗剂量的分布之间的关系。我们发现，黑人和拉丁裔聚集的邮政编码不太可能有疫苗分发地点，这种差异的部分原因是这些地区缺乏医院和医生办公室。此外，黑人聚集也与分配的疫苗剂量数量呈负相关，这在很大程度上是由医疗保健资源分配不均造成的。这些结果表明，服务提供方面的现有差异是理解像 COVID-19 大流行这样的严重危机中种族不平等的关键。
Previous research has indicated that racial-ethnic minority communities lack a wide variety of health-related organizations. We examine how this relates to the early COVID-19 vaccine rollout. In a series of spatial error and linear growth models, we analyze how racial-ethnic residential segregation is associated with the distribution of vaccine sites and vaccine doses across ZIP codes in the five largest urban counties in Texas. We find that Black and Latino clustered ZIP codes are less likely to have vaccine distribution sites and that this disparity is partially explained by the lack of hospitals and physicians' offices in these areas. Moreover, Black clustering is also negatively related to the number of allocated vaccine doses, and again, this is largely explained by the unequal distribution of health care resources. These results suggest that extant disparities in service provision are key to understanding racial-ethnic inequality in an acute crisis like the COVID-19 pandemic.