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An Epidemiologic Analysis of Associations between County-Level Per Capita Income, Unemployment Rate, and COVID-19 Vaccination Rates in the United States

Yuqi Guo, Andrea R. Kaniuka, Jingjing Gao and Omar T. Sims
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Yuqi Guo: School of Social Work, College of Health and Human Services, University of North Carolina at Charlotte, Charlotte, NC 28262, USA
Andrea R. Kaniuka: Department of Public Health Sciences, College of Health and Human Services, University of North Carolina at Charlotte, Charlotte, NC 28262, USA
Jingjing Gao: Public Policy Program, College of Arts and Sciences, University of North Carolina at Charlotte, Charlotte, NC 28262, USA
Omar T. Sims: Department of Social Work, College of Arts and Sciences, University of Alabama at Birmingham, Birmingham, AL 35222, USA

IJERPH, 2022, vol. 19, issue 3, 1-9

Abstract: The purpose of this longitudinal study was to examine associations between per capita income, unemployment rates, and COVID-19 vaccination rates at the county-level across the United States (U.S.), as well as to identify the interaction effects between county-level per capita income, unemployment rates, and racial/ethnic composition on COVID-19 vaccination rates. All counties in the U.S. that reported COVID-19 vaccination rates from January 2021 to July 2021 were included in this longitudinal study ( n = 2857). Pooled ordinary least squares (OLS) with fixed-effects were employed to longitudinally examine economic impacts on racial/ethnic disparities on county-level COVID-19 vaccination rates. County-level per capita income and county-level unemployment rates were both positively associated with county-level COVID-19 vaccination rates across the U.S. However, the associations were divergent in the context of race/ethnicity. Public health efforts to bolster COVID-19 vaccination rates are encouraged to consider economic factors that are associated with decreases in COVID-19 vaccination rates.

Keywords: COVID-19 vaccination rates; race/ethnicity; per capita income; unemployment rate; racial disparities (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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