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County-Level COVID-19 Vaccination Rates, Non-Communicable Diseases, and Socioeconomic Inequities: Applying Syndemic Theory to Vaccines. | LitMetric

AI Article Synopsis

  • The COVID-19 pandemic has significantly impacted high-risk populations, particularly those with chronic illnesses and socioeconomic challenges.
  • The study analyzed vaccination rates across counties, categorizing them based on non-communicable disease (NCD) rates and socioeconomic status.
  • Results showed that counties with high NCD rates and socioeconomic inequities had lower vaccination coverage, indicating a troubling combination of health and social disparities.

Article Abstract

Introduction: The coronavirus disease 2019 (COVID-19) pandemic has disproportionately affected certain high-risk populations, including those with underlying chronic illnesses and those who are socioeconomically disadvantaged.

Methods: Our study evaluated county-level rates of fully vaccinated populations after classifying counties based on rates of non-communicable diseases (NCDs) and socioeconomic inequities below the 25th percentile of overall distribution of counties for each measure as low, counties above the 75th percentile as high, and all other counties as medium.

Results: Counties with higher rates of non-communicable diseases and socioeconomic disparities had lower COVID-19 vaccination coverage than did counties with lower rates of non-communicable diseases and socioeconomic disparities. Co-occurrence of high NCD and high socioeconomic vulnerability among counties in the lower half of vaccination coverage was also found for some counties.

Conclusion: These findings demonstrate the co-occurrence of low rates of vaccine coverage, high rates of NCDs, and high rates of socioeconomic disparities as a syndemic.

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Source
http://dx.doi.org/10.1353/hpu.2022.0134DOI Listing

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