Evidence map›Paper›PMID 36400661›Full record

ArticleVaccine2023

COVID-19 vaccine coverage disparities in rural and farm children.

Jeffrey J VanWormer, Gabriella Alicea, Bryan P Weichelt, Richard L Berg, Maria E Sundaram

Abstract read
In one paragraph

Article in Vaccine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jeffrey J VanWormerMarshfield Clinic Research Institute, Center for Clinical Epidemiology & Population Health, Marshfield, WI, USA. Electronic address: vanwormer.jeffrey@marshfieldresearch.org.
Gabriella AliceaMarshfield Clinic Research Institute, Center for Clinical Epidemiology & Population Health, Marshfield, WI, USA.
Bryan P WeicheltMarshfield Clinic Research Institute, National Farm Medicine Center, Marshfield, WI, USA.
Richard L BergMarshfield Clinic Research Institute, Office of Research Support Services, Marshfield, WI, USA.
Maria E SundaramMarshfield Clinic Research Institute, Center for Clinical Epidemiology & Population Health, Marshfield, WI, USA.

Funding

National Children's Center OVERALL Core Page 110U54OH009568 · OH · MARSHFIELD CLINIC RESEARCH FOUNDATION · PI SWENSON, ANDREA · 2008 to 2024
$20.2M
NIOSH CDC HHS U54 OH009568
6 · The paper itself

Abstract

backgroundThe risks of severe outcomes associated with SARS-CoV-2 (COVID-19) are elevated in unvaccinated individuals. It remains crucial to understand patterns of COVID-19 vaccination, particularly in younger and remote populations where coverage often lags. This study examined disparities in COVID-19 vaccine coverage in farm children and adolescents.

methodsA cross-sectional analysis was conducted in patients of the Marshfield Clinic Health System (MCHS) in Wisconsin. The sample included children/adolescents age 5-17 years who were eligible for COVID-19 vaccine initiation for ≥ 90 days (as of September 30, 2022), stratified by those who lived vs did not live on a farm. Outcomes included COVID-19 vaccine initiation, series completion, and booster receipt. Multivariable regression was used to examine associations between COVID-19 vaccination and farm, as well as rural and non-rural, residence.

resultsThere were 47,104 individuals (5% farm residents) in the sample. Overall, 33% of participants initiated and 31% completed the COVID-19 vaccine series. After adjustment, farm residence was associated with significantly lower odds of COVID-19 vaccine initiation (aOR [95% CI] = 0.68 [0.61, 0.75], p < 0.001), series completion (aOR = 0.67 [0.60, 0.75], p < 0.001), and booster receipt (aOR = 0.73 [0.61, 0.88], p = 0.001). Secondary analyses found COVID-19 vaccine coverage was lowest in young children who lived on dairy farms.

conclusionsCOVID-19 vaccine coverage is low in north-central Wisconsin children and adolescents. Those who live on farms have significantly lower likelihood of COVID-19 vaccine initiation, series completion, and booster receipt compared to non-farm counterparts. Farm families are an underserved group and require more effective public health interventions designed to prevent COVID-19.

Indexed as

COVID-19COVID-19 VaccinesAdolescentChildChild, PreschoolCross-Sectional StudiesFarmsHumansSARS-CoV-2VaccinationCOVID-19 VaccinesChildrenCOVID-19FarmRuralVaccination

Identifiers

PMID36400661
PMCPMC9659554

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.