COVID-19 vaccine uptake inequality among older adults: A multidimensional demographic analysis.

COVID-19 vaccine uptake inequality among older adults: A multidimensional demographic analysis.

Publication date: Jan 01, 2025

Age, race, ethnicity, and sex are important determinants of coronavirus disease of 2019 (COVID-19) outcomes. Older adults (65 years and older) are at the highest risk of COVID-19 morbidity and mortality. Analyzing their vaccine uptake by subclassifying demographics is rare and can assist vaccination policies. This study investigates COVID-19 dose 1 and 2 vaccine uptakes among them by race, ethnicity, and sex. Immunization registry data were used to calculate temporal changes in older adults’ COVID-19 vaccine uptake by race, ethnicity, race-sex, and ethnicity-sex in Kentucky’s most populous county, Jefferson County, during the first 6 quarters of the COVID-19 vaccination program. By May 2022, the county’s Asian residents had the highest dose 1 and 2 vaccination rates (97. 0% and 80. 4%), then White residents (90. 0% and 80. 2%). Black residents had one of the lowest COVID-19 vaccination rates (87. 3% and 77. 3%). The rate among Hispanic residents (82. 0% and 66. 4%) was considerably lower than non-Hispanic residents (90. 2% and 80. 1%). The rates were consistently lower in males. Racial, ethnic, and sex-based COVID-19 vaccine inequalities were largely maintained during the study period. Vaccine rollout practices and promotional programs should aim to boost the uptake of the COVID-19 vaccination among racial minority and male older adults.

Concepts Keywords
Coronavirus 65 years and older
Hispanic Aged
Kentucky Aged, 80 and over
Subclassifying COVID-19
COVID-19 vaccination
COVID-19 Vaccines
COVID-19 Vaccines
Demography
Ethnicity
Ethnicity
Female
Humans
Kentucky
Male
Multidimensional
Race
SARS-CoV-2
Sex
Vaccination
Vaccination Coverage

Semantics

Type Source Name
pathway KEGG Coronavirus disease
disease MESH COVID-19
disease MESH morbidity

Original Article

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