Evidence map›Paper›PMID 40999377›Full record

ArticleBMC public health2025

Variation in COVID-19 vaccination and adverse outcomes: a state of Georgia case study.

Akane B Fujimoto, Pinar Keskinocak, Dima Nazzal

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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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

1 citing paper in PubMed.

  1. Article
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

3 authors.

Akane B FujimotoH. Milton Stewart School of Industrial and Systems Engineering, Georgia Institute of Technology, 755 Ferst Dr NW, Atlanta, GA, 30332, USA.
Pinar KeskinocakH. Milton Stewart School of Industrial and Systems Engineering, Georgia Institute of Technology, 755 Ferst Dr NW, Atlanta, GA, 30332, USA. pinar@isye.gatech.edu.
Dima NazzalH. Milton Stewart School of Industrial and Systems Engineering, Georgia Institute of Technology, 755 Ferst Dr NW, Atlanta, GA, 30332, USA.

Funding

Georgia Institute of Technology Benefactors: William W. George, Andrea Laliberte, Richard "Rick" E. & Charlene Zalesky, and Claudia & Paul Raines
6 · The paper itself

Abstract

backgroundDifferences in COVID-19 vaccine coverage, deaths, and hospitalizations across racial and ethnic groups have been documented in the United States. Evaluating these patterns at a smaller geographical scale while accounting for differences in vaccination uptake across racial groups provides additional insights. In this study, we quantify adult COVID-19 vaccination, death, and hospitalization outcomes across racial/ethnic groups and county urban-rural classification in the state of Georgia.

methodsThis cross-sectional study included adult COVID-19 vaccination (primary series, 1st booster, and 2nd booster), COVID-19-related deaths, and COVID-19-positive hospitalizations reported to the Georgia Department of Public Health through February 2023. We computed vaccination, death, and hospitalization rates for Hispanic, non-Hispanic (NH) Asian, NH Black, and NH White adults by county of residence urban-rural classification and vaccination status. Rate ratios (RRs) were calculated to evaluate differences in outcomes across racial/ethnic groups.

resultsThere were 14,386,650 COVID-19 vaccine doses administered, 40,711 COVID-19-related deaths, and 138,024 hospitalizations recorded during the study period. Differences by race/ethnicity varied by outcome and county urban-rural class. NH Black adults were at higher risk of being hospitalized with COVID-19 than NH White adults (RR 1.77, 95% CI, 1.75-1.79), even when stratified by vaccination status. NH Black adults were at higher risk of dying of COVID-19 than NH White adults (RR, 1.37, 95% CI, 1.34-1.39), except among those who received a booster dose (RR, 0.96, 95% CI, 0.86-1.07).

conclusionsNH Black adults experienced higher rates of adverse COVID-19-related outcomes compared to other racial/ethnic groups, even among the vaccinated. Stratifying outcomes by race/ethnicity, county urban-rural class, and vaccination status provided a better understanding of patterns across populations and geographies for targeted interventions. Public health agencies should focus on improving up-to-date vaccination coverage and removing barriers to access to care among communities that are underserved, particularly NH Black individuals.

Indexed as

COVID-19COVID-19 VaccinesEthnicityHospitalizationVaccination CoverageAdultAgedAsianBlack or African AmericanCross-Sectional StudiesFemaleGeorgiaHispanic or LatinoHumansMaleMiddle AgedCOVID-19 VaccinesCOVID-19Health policyVaccine uptake

Identifiers

PMID40999377
PMCPMC12465598

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LicenceCC BY
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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.