COVID-19 vaccines for children: Racial and ethnic disparities in New York City.
COVID-19 vaccines for children: Racial and ethnic disparities in New York City.
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DOI：
10.1016/j.pmedr.2023.102357
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发表时间：
2023-10
影响因子：
2.8
通讯作者：
Schwartz, Amy Ellen
中科院分区：
文献类型：
--
作者：
Elbel, Brian;Heng, Lloyd;Konty, Kevin J.;Day, Sophia E.;Rothbart, Michah W.;Abrams, Courtney;Lee, David C.;Thorpe, Lorna E.;Schwartz, Amy Ellen
关键词：
疫苗接种是减少COVID-19导致的负面结果的不可或缺的工具。尽管COVID-19对低收入群体以及黑人和西班牙裔社区的影响不成比例，但这些群体的疫苗接种率较低。使用详细的横断面数据，我们研究了纽约市学龄儿童在疫苗合格后6个月内完全接种疫苗（两剂）的种族和民族差异。我们将学校入学数据与全市免疫登记处的疫苗接种数据进行了匹配，该登记处是纽约市所有疫苗接种的普查。我们使用普通最小二乘回归模型来预测完全接种疫苗的状态，使用各种不同的控制变量（包括住宅区或学校固定效应）来预测种族和民族的关键预测因素。我们还按区和年龄分层。样本包括2021-2022学年入学的所有纽约市公立学校学生。亚裔学生最有可能接种疫苗，黑人和白色学生最不可能。控制学生的特征，特别是居住区或就读的学校，减少了一些种族和民族差异。关键的差异也存在市镇，无论是整体和种族和民族群体。总之，儿童COVID-19疫苗接种存在种族和民族差异。接种率因行政区的地理单位而异;控制邻里特征减少了种族和民族的差异。社区人口统计和资源，以及居住在那里的人的属性，文化和偏好可能会影响疫苗接种决策，并可能成为未来努力提高疫苗接种率的目标。
Vaccination is an indispensable tool to reduce negative outcomes due to COVID-19. Although COVID-19 disproportionately affected lower income and Black and Hispanic communities, these groups have had lower population-level uptake of vaccines. Using detailed cross-sectional data, we examined racial and ethnic group differences in New York City schoolchildren becoming fully vaccinated (two doses) within 6 months of vaccine eligibility. We matched school enrollment data to vaccination data in the Citywide Immunization Registry, a census of all vaccinations delivered in New York City. We used ordinary least squares regression models to predict fully vaccinated status, with key predictors of race and ethnicity using a variety of different control variables, including residential neighborhood or school fixed effects. We also stratified by borough and by age. The sample included all New York City public school students enrolled during the 2021–2022 school year. Asian students were most likely to be vaccinated and Black and White students least likely. Controlling for student characteristics, particularly residential neighborhood or school attended, diminished some of the race and ethnicity differences. Key differences were also present by borough, both overall and by racial and ethnic groups. In sum, racial and ethnic disparities in children's COVID-19 vaccination were present. Vaccination rates varied by the geographic unit of borough; controlling for neighborhood characteristics diminished some disparities by race and ethnicity. Neighborhood demographics and resources, and the attributes, culture and preferences of those who live there may affect vaccination decisions and could be targets of future efforts to increase vaccination rates.
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DOI：
10.1016/j.lana.2022.100191
发表时间：
2022-05
期刊：
Lancet regional health. Americas
影响因子：
--
作者：
McLaughlin JM;Khan F;Pugh S;Swerdlow DL;Jodar L
通讯作者：
Jodar L
影响因子：
6.9
作者：
Elbel, Brian;Tamura, Kosuke;Schwartz, Amy Ellen
通讯作者：
Schwartz, Amy Ellen
影响因子：
4.4
作者：
Nguyen KH;Nguyen K;Geddes M;Allen JD;Corlin L
通讯作者：
Corlin L
影响因子：
5.5
作者：
Romer, Daniel;Winneg, Kenneth M.;Jamieson, Patrick E.;Brensinger, Colleen;Jamieson, Kathleen H.
通讯作者：
Jamieson, Kathleen H.
影响因子：
13.8
作者：
Elbel, Brian;Zhou, Geng Eric;Lee, David C.;Chen, Willy;Day, Sophia E.;Konty, Kevin J.;Schwartz, Amy Ellen
通讯作者：
Schwartz, Amy Ellen