Urban-Rural Disparities in Vaccination Service Use Among Low-Income Adolescents
Advanced Search
Select up to three search categories and corresponding keywords using the fields to the right. Refer to the Help section for more detailed instructions.
 
 
Help
Clear All
i

Urban-Rural Disparities in Vaccination Service Use Among Low-Income Adolescents

Filetype[PDF-241.75 KB]


  • English

  • Details:

    • Alternative Title:
      J Adolesc Health
    • Description:
      Objective: To access urban-rural disparities in vaccination service use among Medicaid-enrolled adolescents and examine its association with residence county characteristics. Study design: We used the 2016 Medicaid T-MSIS Analytic File to estimate adolescents’ use of vaccination services, defined as the proportion of adolescents aged 11–18 years with ≥ 1 vaccination visit in a county. We used linear regression and the Oaxaca-Blinder decomposition method to examine the association between county characteristics and urban-rural disparities in vaccination service use. Results: The analysis included 2,473 counties located in 38 states. The mean proportion of adolescents making ≥ 1 vaccination visit at the county level was low (36.09%) and was lower in rural than in urban counties (31.99% vs. 36.85%, p < .01). The number of primary care physicians (PCPs) was positively associated with vaccination service use in rural counties; in urban counties, % of households without a vehicle was negatively associated with vaccination service use. The decomposition results showed that 66.78% (3.24 percentage points) of the urban-rural disparities in vaccination service use could be attributed to urban-rural differences in the county characteristics included in the study. Characteristics measuring access to care (number of PCPs), social and economic factors (% adults with at least a bachelor’s degree and % children in poverty), quality of care (influenza vaccination rates and preventable hospital stays), and demographics (% non-Hispanic black, % Hispanic, and % females) played a role in urban-rural disparities. Conclusions: Differences in county characteristics could partly explain the observed urban-rural disparities in vaccination service use among low-income adolescents.
    • Pubmed ID:
      33288460
    • Pubmed Central ID:
      PMC8175462
    • Document Type:
    • Place as Subject:
    • Collection(s):
    • Main Document Checksum:
    • File Type:

    You May Also Like

    Checkout today's featured content at stacks.cdc.gov