ArticleAmerican journal of preventive medicine2022
Geographic Heterogeneity in Behavioral and Social Drivers of COVID-19 Vaccination.
Article in American journal of preventive medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Vaccination of patients with hematological malignancies: barriers and strategies to improve uptake.Frontiers in medicine · 2026Review
- A feasibility study: Using mobile phone-based tools to collect community-level Behavioral and Social Drivers (BeSD) of vaccination data in Zambia.PLOS global public health · 2025Article
- Nonstructural barriers to adult vaccination.Human vaccines & immunotherapeutics · 2024Article
- The evolution of vaccine hesitancy through the COVID-19 pandemic: A semi-structured interview study on booster and bivalent doses.Human vaccines & immunotherapeutics · 2024Article
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- Behavioral and social drivers of COVID-19 vaccination initiation in the US: a longitudinal study March─ October 2021.Journal of behavioral medicine · 2024Article
- Spatiotemporal Dynamics of COVID-19 Pandemic City Lockdown: Insights From Nighttime Light Remote Sensing.GeoHealth · 2024Article
- Overcoming Health Inequities: Spatial Analysis of Seroprevalence and Vaccination Against COVID-19 in Chile.Health equity · 2024Article
- Behavioral and social predictors of COVID-19 vaccine uptake among persons with disabilities in Kenya.Frontiers in public health · 2024Article
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- Correlates of COVID-19 vaccine coverage in Arkansas: Results from a weighted random sample survey.Vaccine · 2023Article
- Reaching late adopters: factors influencing COVID-19 vaccination of Marshallese and Hispanic adults.BMC public health · 2023Article
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Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionLittle is known about how the drivers of COVID-19 vaccination vary across the U.S. To inform vaccination outreach efforts, this study explores geographic variation in correlates of COVID-19 nonvaccination among adults.
methodsParticipants were a nationally representative sample of U.S. adults identified through random-digit dialing for the National Immunization Survey-Adult COVID Module. Analyses examined the geographic and temporal landscape of constructs in the Behavioral and Social Drivers of Vaccination Framework among unvaccinated respondents from May 2021 to December 2021 (n=531,798) and sociodemographic and geographic disparities and Behavioral and Social Drivers of Vaccination predictors of COVID-19 nonvaccination from October 2021 to December 2021 (n=187,756).
resultsNational coverage with at least 1 dose of COVID-19 vaccine was 79.3% by December 2021, with substantial geographic heterogeneity. Regions with the largest proportion of unvaccinated persons who would probably get a COVID-19 vaccine or were unsure resided in the Southeast and Midwest (Health and Human Services Regions 4 and 5). Both regions had similar temporal trends regarding concerns about COVID-19 and confidence in vaccine importance, although the Southeast had especially low confidence in vaccine safety in December 2021, lowest in Florida (5.5%) and highest in North Carolina (18.0%). The strongest Behavioral and Social Drivers of Vaccination correlate of not receiving a COVID-19 vaccination was lower confidence in COVID-19 vaccine importance (adjusted prevalence ratio=5.19, 95% CI=4.93, 5.47; strongest in the Northeast, Southwest, and Mountain West and weakest in the Southeast and Midwest). Other Behavioral and Social Drivers of Vaccination correlates also varied by region.
conclusionsContributors to nonvaccination showed substantial geographic heterogeneity. Strategies to improve COVID-19 vaccination uptake may need to be tailored regionally.
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