Rural Health
Resources by Topic: Vaccination
Challenges with Vaccination Data Hinder State and Local Immunization Program Efforts to Combat COVID-19
Presents results of a December 2021 survey of 56 state and local immunization programs regarding whether they receive individual-level COVID-19 vaccination data from Federal agencies and retail pharmacy partners. Discusses the impact of having incomplete individual-level vaccination data on reaching unvaccinated and vulnerable populations, including rural populations and American Indians and Alaska Natives (AI/ANs). Includes recommendations for the CDC to mitigate data gaps and ensure that state and local immunization programs are aware of existing tools to address vaccination campaign needs.
Date: 01/2023
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Presents results of a December 2021 survey of 56 state and local immunization programs regarding whether they receive individual-level COVID-19 vaccination data from Federal agencies and retail pharmacy partners. Discusses the impact of having incomplete individual-level vaccination data on reaching unvaccinated and vulnerable populations, including rural populations and American Indians and Alaska Natives (AI/ANs). Includes recommendations for the CDC to mitigate data gaps and ensure that state and local immunization programs are aware of existing tools to address vaccination campaign needs.
Date: 01/2023
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Early Challenges Highlight Areas for Improvement in COVID-19 Vaccination Programs
Explores challenges faced by 56 state, local, and territorial immunization programs in implementing COVID-19 vaccination programs, including challenges to reaching rural and underserved populations. Discusses mitigation strategies the immunization programs implemented to address those challenges. Includes recommendations for the CDC to improve the efficiency and equity of the COVID-19 vaccination programs.
Date: 01/2023
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Explores challenges faced by 56 state, local, and territorial immunization programs in implementing COVID-19 vaccination programs, including challenges to reaching rural and underserved populations. Discusses mitigation strategies the immunization programs implemented to address those challenges. Includes recommendations for the CDC to improve the efficiency and equity of the COVID-19 vaccination programs.
Date: 01/2023
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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What Happens When COVID-19 Emergency Declarations End? Implications for Coverage, Costs, and Access
Identifies federal health-related COVID-19 public health emergency (PHE) declarations, the flexibilities each provides, and implications for ending them. Topics covered include COVID-19 testing, treatment, and vaccination; telehealth; Medicaid coverage and federal match rates; Medicaid, Medicare, and private insurance flexibilities; and more.
Date: 01/2023
Type: Document
Sponsoring organization: KFF
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Identifies federal health-related COVID-19 public health emergency (PHE) declarations, the flexibilities each provides, and implications for ending them. Topics covered include COVID-19 testing, treatment, and vaccination; telehealth; Medicaid coverage and federal match rates; Medicaid, Medicare, and private insurance flexibilities; and more.
Date: 01/2023
Type: Document
Sponsoring organization: KFF
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Vaccination Coverage by Age 24 Months Among Children Born During 2018–2019 — National Immunization Survey–Child, United States, 2019–2021
Examines vaccination coverage for selected vaccines and doses among children born in 2018-2019. Supplementary Table 2 includes data for metropolitan and nonmetro areas.
Additional links: Supplementary Table 2
Author(s): Holly A. Hill, Michael Chen, Laurie D. Elam-Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(2), 33-38
Date: 01/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Examines vaccination coverage for selected vaccines and doses among children born in 2018-2019. Supplementary Table 2 includes data for metropolitan and nonmetro areas.
Additional links: Supplementary Table 2
Author(s): Holly A. Hill, Michael Chen, Laurie D. Elam-Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(2), 33-38
Date: 01/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Racial and Ethnic Differences in COVID-19 Vaccination Coverage Among Children and Adolescents Aged 5–17 Years and Parental Intent to Vaccinate Their Children — National Immunization Survey–Child COVID Module, United States, December 2020–September 2022
Reports on racial and ethnic differences in COVID-19 vaccination status and parental intent to vaccinate for children and adolescents aged 5-17 years. Includes data by urbanicity for those living in metropolitan and nonmetro areas.
Author(s): Madeleine R. Valier, Laurie D. Elam-Evans, Yi Mu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(1), 1-8
Date: 01/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on racial and ethnic differences in COVID-19 vaccination status and parental intent to vaccinate for children and adolescents aged 5-17 years. Includes data by urbanicity for those living in metropolitan and nonmetro areas.
Author(s): Madeleine R. Valier, Laurie D. Elam-Evans, Yi Mu, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(1), 1-8
Date: 01/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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America's Health Rankings Senior Report 2023
Provides a national and state-by-state overview of population health for older adults across 52 measures using data from 22 unique data sources. Covers social and economic factors, physical environment, clinical care, behaviors, and health outcomes. Highlights health disparities, including rural-urban disparities, across five categories of health. Includes state-by-state summaries and county-level maps for risk of social isolation by state.
Additional links: County-Level Maps for Risk of Social Isolation
Date: 2023
Type: Document
Sponsoring organization: United Health Foundation
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Provides a national and state-by-state overview of population health for older adults across 52 measures using data from 22 unique data sources. Covers social and economic factors, physical environment, clinical care, behaviors, and health outcomes. Highlights health disparities, including rural-urban disparities, across five categories of health. Includes state-by-state summaries and county-level maps for risk of social isolation by state.
Additional links: County-Level Maps for Risk of Social Isolation
Date: 2023
Type: Document
Sponsoring organization: United Health Foundation
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COVID-19 Vaccination Willingness and Uptake among Rural Black/African American, Latino, and White Adults
Using the COVID-19 Unequal Racial Burden survey, compares rural and nonrural adults' willingness to vaccinate against COVID-19. 1,500 respondents (500 from each racial or ethnic group) were used to compare willingness to vaccinate from rural Black or African American, Latino, and White adult population groups. Includes descriptive graphs showing reasons for their willingness or unwillingness among rural adults.
Author(s): Paula D. Strassle, Alexis L. Green, Caleb A. Colbert, Anita L. Stewart, Anna M. Nápoles
Citation: Journal of Rural Health, 39(4), 756-764
Date: 2023
Type: Document
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Using the COVID-19 Unequal Racial Burden survey, compares rural and nonrural adults' willingness to vaccinate against COVID-19. 1,500 respondents (500 from each racial or ethnic group) were used to compare willingness to vaccinate from rural Black or African American, Latino, and White adult population groups. Includes descriptive graphs showing reasons for their willingness or unwillingness among rural adults.
Author(s): Paula D. Strassle, Alexis L. Green, Caleb A. Colbert, Anita L. Stewart, Anna M. Nápoles
Citation: Journal of Rural Health, 39(4), 756-764
Date: 2023
Type: Document
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Staffing Crisis Casts Shadow Over Vulnerable Rural Communities: Executive Summary
Summarizes key findings from a series of surveys of rural hospital leaders conducted in 2021 and 2022 regarding staffing shortages. Discusses COVID-19 vaccination and exemptions, nursing shortages and the impact on access to care, and the effectiveness of recruiting incentives on attracting staff.
Author(s): Michael Topchik, Troy Brown, Melanie Pinette, Billy Balfour, Ana Wiesse
Date: 12/2022
Type: Document
Sponsoring organization: The Chartis Group
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Summarizes key findings from a series of surveys of rural hospital leaders conducted in 2021 and 2022 regarding staffing shortages. Discusses COVID-19 vaccination and exemptions, nursing shortages and the impact on access to care, and the effectiveness of recruiting incentives on attracting staff.
Author(s): Michael Topchik, Troy Brown, Melanie Pinette, Billy Balfour, Ana Wiesse
Date: 12/2022
Type: Document
Sponsoring organization: The Chartis Group
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Impact of Healthcare Capacity Disparities on the COVID-19 Vaccination Coverage in the United States: A Cross-Sectional Study
Examines the impact of the local healthcare capacity on vaccination coverage disparities in the U.S. at the county level. Identifies clustered low-vaccination areas in 17 states. Compares healthcare capacity, including social vulnerability, vaccine hesitancy, and medical doctors per capita, between low-vaccination and high-vaccination counties.
Author(s): Diego F. Cuadros, Juan D. Gutierrez, Claudia M. Moreno, et al.
Citation: The Lancet Regional Health - Americas, 18, 100409
Date: 12/2022
Type: Document
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Examines the impact of the local healthcare capacity on vaccination coverage disparities in the U.S. at the county level. Identifies clustered low-vaccination areas in 17 states. Compares healthcare capacity, including social vulnerability, vaccine hesitancy, and medical doctors per capita, between low-vaccination and high-vaccination counties.
Author(s): Diego F. Cuadros, Juan D. Gutierrez, Claudia M. Moreno, et al.
Citation: The Lancet Regional Health - Americas, 18, 100409
Date: 12/2022
Type: Document
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America's Health Rankings Annual Report 2022
Provides a national and state-by-state overview of population health by analyzing 51 measures to describe health outcomes in the U.S. and 32 additional measures used to track current and emerging health issues at state and national levels. Examines the effects of the COVID-19 pandemic in 2020 and 2021. Presents findings from the October 2022 COVID-Era Disparities Survey. Explores racial and ethnic disparities throughout, including data on American Indian/Alaska Native populations.
Additional links: Executive Brief
Date: 12/2022
Type: Document
Sponsoring organization: United Health Foundation
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Provides a national and state-by-state overview of population health by analyzing 51 measures to describe health outcomes in the U.S. and 32 additional measures used to track current and emerging health issues at state and national levels. Examines the effects of the COVID-19 pandemic in 2020 and 2021. Presents findings from the October 2022 COVID-Era Disparities Survey. Explores racial and ethnic disparities throughout, including data on American Indian/Alaska Native populations.
Additional links: Executive Brief
Date: 12/2022
Type: Document
Sponsoring organization: United Health Foundation
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