Socioeconomic privilege and political ideology are associated with racial disparity in COVID-19 vaccination.

Socioeconomic privilege and political ideology are associated with racial disparity in COVID-19 vaccination.
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DOI:
10.1073/pnas.2107873118
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发表时间:
2021-08-17
影响因子:
11.1
通讯作者:
Gao GG
Gao GG
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Agarwal R;Dugas M;Ramaprasad J;Luo J;Li G;Gao GG

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疫苗接种对于减轻COVID-19在美国的影响至关重要,但结构性不平等对进展构成严重威胁。尽管疫苗供应增加,但接种疫苗方面的种族差异依然存在。我们要问的是,哪些因素与这种差异有关。我们结合来自州、联邦和其他来源的联合收割机数据,估计健康的社会决定因素与县级COVID-19疫苗接种的种族差异之间的关系。分析自2021年4月19日(当时近一半的美国成年人口至少部分接种了疫苗)以来的疫苗接种数据,我们发现COVID-19疫苗接种的种族差异与收入中位数(负)、高中教育差异(正)以及共和党在2020年总统选举中的投票份额(负)之间存在关联,而疫苗犹豫与差异无关。我们研究了与流感疫苗相比,COVID-19疫苗接种相关性的差异。主要差异包括社会经济特权因素和政治意识形态的作用被放大,反映了这一流行病出现的独特社会背景。
Vaccine uptake is critical for mitigating the impact of COVID-19 in the United States, but structural inequities pose a serious threat to progress. Racial disparities in vaccination persist despite the increased availability of vaccines. We ask what factors are associated with such disparities. We combine data from state, federal, and other sources to estimate the relationship between social determinants of health and racial disparities in COVID-19 vaccinations at the county level. Analyzing vaccination data from 19 April 2021, when nearly half of the US adult population was at least partially vaccinated, we find associations between racial disparities in COVID-19 vaccination and median income (negative), disparity in high school education (positive), and vote share for the Republican party in the 2020 presidential election (negative), while vaccine hesitancy is not related to disparities. We examine differences in associations for COVID-19 vaccine uptake as compared with influenza vaccine. Key differences include an amplified role for socioeconomic privilege factors and political ideology, reflective of the unique societal context in which the pandemic has unfolded.
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