Evidence map›Paper›PMID 41505875›Full record

ReviewVaccine2026

Bridging the gap: a review of the factors contributing to differences in vaccination coverage among rural and urban adults.

Charleigh Granade, Megan Lindley, Jennifer Nelson, Amimah Asif, Julie Zajac, Xania Reed

Abstract readReview
In one paragraph

Review in Vaccine, 2026. 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

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

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

6 authors.

Charleigh GranadeImmunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States. Electronic address: ori9@cdc.gov.
Megan LindleyImmunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Jennifer NelsonImmunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States; Division of Global Migration and Health, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Amimah AsifImmunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Julie ZajacImmunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Xania ReedImmunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

purposeTo examine factors contributing to vaccination coverage differences between rural and urban adult populations; evaluate intervention studies aimed at increasing vaccine uptake among rural adult populations.

methodsWe reviewed literature published between January 2000 and April 2024. Findings are presented using the Capability, Opportunity, and Motivation Model for Behavior Change. Intervention studies were systematically evaluated using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.

findingsForty-five studies were included in the final analysis and summarized qualitatively within the following topic areas: 1) factors contributing to vaccination coverage differences between rural and urban adult populations and 2) effective strategies for increasing vaccine availability among rural adult populations. Of the six intervention studies identified, only three met the criteria for direct evidence (Level I or II, fair or good quality).

conclusionsVaccination coverage differences between rural and urban adults stem primarily from opportunity and motivation-related factors. Limited intervention studies have not effectively addressed the individual or systemic barriers to vaccination for rural populations.

Indexed as

Rural PopulationUrban PopulationVaccinationVaccination CoverageAdultHumansMotivationAdultCoverageImmunizationRuralUrban

Identifiers

PMID41505875
PMCPMC12837911

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.