ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2021
Urban-Rural Disparities in Vaccination Service Use Among Low-Income Adolescents.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Identifying Healthcare Professionals With Lower Human Papillomavirus (HPV) Vaccine Recommendation Quality: A Systematic Review.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Pooled it
- Navigating Vaccines with Confidence: Assessing Current and Past Community-Based Vaccination Efforts in Rural Eastern North Carolina.Vaccines · 2025Article
- Article
- Article
- Determinants of Under-Immunization Among Children Between 0 and 59 Months in Buea Municipality, South Western Cameroon: Implications for National Immunization Campaign.Healthcare (Basel, Switzerland) · 2025Article
- Socioeconomic disparities in HPV vaccine uptake: multivariable analysis of vaccination data from Tianjin (2018-2023).Frontiers in public health · 2025Article
- Quantifying Disparities in COVID-19 Vaccination Rates by Rural and Urban Areas: Cross-Sectional Observational Study.JMIR public health and surveillance · 2024Observational
- Racialized economic segregation and potentially preventable hospitalizations among Medicaid/CHIP-enrolled children.Health services research · 2023Article
- Do social media campaigns foster vaccination adherence? A systematic review of prior intervention-based campaigns on social media.Telematics and informatics · 2023Review
- Social Capital, Urbanization Level, and COVID-19 Vaccination Uptake in the United States: A National Level Analysis.Vaccines · 2022Article
- Effects of Vaccination Against Influenza, Pertussis, and COVID-19 on Human Milk Antibodies: Current Evidence and Implications for Health Equity.Frontiers in immunology · 2022Review
- Disparities in healthcare access and utilization and human papillomavirus (HPV) vaccine initiation in the United States.Human vaccines & immunotherapeutics · 2021Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo access urban-rural disparities in vaccination service use among Medicaid-enrolled adolescents and examine its association with residence county characteristics. STUDY
designWe 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.
resultsThe 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.
conclusionsDifferences in county characteristics could partly explain the observed urban-rural disparities in vaccination service use among low-income adolescents.
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Registered trials
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