Background <p>The COVID-19 pandemic resulted in the rapid development and distribution of vaccines as a critical strategy to control the spread of the virus. This paper explores COVID-19 vaccine uptake in the state of Ohio, with a particular focus on the difference between metro and non-metro residents.</p> Method <p>Survey data collected as part of the IMPACT-Ohio Project were used for this study. From August 2021 to February 2023, 3,806 individuals who resided in 12 Ohio counties (six metro and six non-metro counties) responded to the survey. Chi-square tests compared the relationships between various demographic, socio-economic and clinical characteristics among metro and non-metro region respondents. Binary logistic regression modeled the probability of receipt of COVID-19 vaccine and compared those Ohioans who lived in metro (RUCC codes 1–3) vs non-metro (RUCC codes 4–9) counties with adjustment of various covariates.</p> Results <p>Participants residing in metro counties were almost two times more likely to receive the COVID-19 vaccine compared to those living in non-metro counties adjusting for demographic, socioeconomic and clinical characteristics (aOR: 1.89, 95% CI: 1.38–2.58, <i>P</i> &lt; 0.0001). Lower COVID-19 vaccine uptake was associated with younger age (less than 65&#xa0;years old), lower education level, having no health insurance or public insurance and being food insecure.</p> Conclusion <p>This study provides a comprehensive understanding of the barriers and determinants associated with vaccine uptake which can inform future interventions and public health policies aimed at improving vaccination rates in Ohio.</p>

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COVID-19 vaccination uptake in Ohio: analyzing the difference between metro and non-metro residents

  • Maya Patel,
  • Yevgeniya Gokun,
  • Cecilia DeGraffinreid,
  • Chasity Washington,
  • Ryan D. Baltic,
  • Matthew D. Ringel,
  • Electra D. Paskett

摘要

Background

The COVID-19 pandemic resulted in the rapid development and distribution of vaccines as a critical strategy to control the spread of the virus. This paper explores COVID-19 vaccine uptake in the state of Ohio, with a particular focus on the difference between metro and non-metro residents.

Method

Survey data collected as part of the IMPACT-Ohio Project were used for this study. From August 2021 to February 2023, 3,806 individuals who resided in 12 Ohio counties (six metro and six non-metro counties) responded to the survey. Chi-square tests compared the relationships between various demographic, socio-economic and clinical characteristics among metro and non-metro region respondents. Binary logistic regression modeled the probability of receipt of COVID-19 vaccine and compared those Ohioans who lived in metro (RUCC codes 1–3) vs non-metro (RUCC codes 4–9) counties with adjustment of various covariates.

Results

Participants residing in metro counties were almost two times more likely to receive the COVID-19 vaccine compared to those living in non-metro counties adjusting for demographic, socioeconomic and clinical characteristics (aOR: 1.89, 95% CI: 1.38–2.58, P < 0.0001). Lower COVID-19 vaccine uptake was associated with younger age (less than 65 years old), lower education level, having no health insurance or public insurance and being food insecure.

Conclusion

This study provides a comprehensive understanding of the barriers and determinants associated with vaccine uptake which can inform future interventions and public health policies aimed at improving vaccination rates in Ohio.