Locations of COVID-19 vaccination provision: Urban-rural differences.
Locations of COVID-19 vaccination provision: Urban-rural differences.
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COVID-19 疫苗接种地点：城乡差异。
DOI：
10.1111/jrh.12811
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Askelson,NatoshiaM
中科院分区：
文献类型：
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作者：
Ryan,GraceW;Kahl,AmandaR;Callaghan,Don;Kintigh,Bethany;Askelson,NatoshiaM
目的我们的目标是比较在城市和农村社区的COVID-19疫苗供应在大流行的过程中的位置。方法我们使用了爱荷华州免疫登记信息系统（IRIS），以确定提供COVID-19疫苗的组织（例如，药房，公共卫生部门和医疗提供者）。生成了按组织类型和基于患者普查的统计区域划分的首剂疫苗比例。我们计算了卡方检验，以评估大都市、小都市和非核心社区之间的差异。FindingsIRIS数据显示，64%（n = 2，043，251）的爱荷华州人在2020年12月14日至2022年12月31日期间接种了首次COVID-19疫苗。对于居住在大都市的个人，大多数第一次剂量是在药店（53%），在小都市（49%）和非核心（42%）个人中观察到类似的趋势。大都市个人第二常见的地点是医疗实践（17%）;公共卫生诊所和部门是小都市（26%）和非核心（33%）个人的第二常见提供者。这些趋势随着时间的推移而改变。在2020年12月，医院是最常见的疫苗提供者为大家，但到2022年12月，医疗服务提供者是最常见的来源，为大都市的个人，药店是最常见的micropolitan和noncore individuals.ConclusionsTrends在类型的疫苗提供者区分大都市居民从micropolitan和noncore居民。对于后者，当地公共卫生部门发挥了更重要的作用。在所有群体中，药剂师都成为关键的疫苗提供者。我们的研究结果可用于规划季节性疫苗接种活动以及未来潜在的大规模疫苗接种活动。
PurposeOur goal was to compare locations of COVID‐19 vaccine provision in urban and rural communities over the course of the pandemic.MethodsWe used the Iowa Immunization Registry Information System (IRIS) to identify the organizations providing COVID‐19 vaccines (eg, pharmacies, public health departments, and medical providers). Proportions of first‐dose vaccines by organization type and patient census‐based statistical area were generated. We calculated Chi‐square tests to assess differences among metropolitan, micropolitan, and noncore communities.FindingsIRIS data revealed that 64% (n = 2,043,251) of Iowans received their first COVID‐19 vaccine between December 14, 2020, and December 31, 2022. For metropolitan‐dwelling individuals, most first doses were administered at pharmacies (53%), with similar trends observed for micropolitan (49%) and noncore (42%) individuals. The second most common location for metropolitan individuals was medical practices (17%); public health clinics and departments were the second most common provider for micropolitan (26%) and noncore (33%) individuals. These trends shifted over time. In December 2020, hospitals were the most common vaccine provider for everyone, but by December 2022, medical providers were the most common source for metropolitan individuals, and pharmacies were most common for micropolitan and noncore individuals.ConclusionsTrends in the type of vaccine provider differentiated metropolitan residents from micropolitan and noncore residents. For the latter groups, local public health departments played a more significant role. Across all groups, pharmacists emerged as a critical vaccine provider. Our findings can be used to plan for seasonal vaccine campaigns as well as potential future mass vaccination campaigns.