Community Health, Health Care Access, And COVID-19 Booster Uptake In Massachusetts

Gaffney, Adam; Woolhandler, Steffie; Bor, Jacob; McCormick, Danny; Himmelstein, David U.

doi:10.1377/hlthaff.2022.00835

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Health Affairs

2023

DOI: 10.1377/hlthaff.2022.00835

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Community Health, Health Care Access, And COVID-19 Booster Uptake In Massachusetts

Adam Gaffney

Steffie Woolhandler

Jacob Bor

et al.

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2024

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Cited by 2 publications

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“…21 A ZIP code-level analysis found correlations between access to care and booster uptake in Massachusetts. 24 Nationallevel studies have linked higher insurance coverage rates with both increased initial COVID-19 vaccination 25 and booster uptake. 17 One survey found that people's "personal health care providers" were the most trusted source of data on COVID-19 vaccination, 26 and another that individuals who received a recommendation for COVID-19 vaccination from a health care provider had lower vaccine hesitancy and higher uptake.…”

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confidence: 99%

“…For instance, a county-level analysis found an association between higher primary care provider density and increased area-level COVID-19 vaccine uptake 21 . A ZIP code-level analysis found correlations between access to care and booster uptake in Massachusetts 24 . National-level studies have linked higher insurance coverage rates with both increased initial COVID-19 vaccination 25 and booster uptake 17 .…”

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confidence: 99%

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Health Care Access and COVID-19 Vaccination in the United States

De Guzman,

Thomas,

Wiwanto

et al. 2024

Medical Care

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Background: Although federal legislation made COVID-19 vaccines free, inequities in access to medical care may affect vaccine uptake. Objective: To assess whether health care access was associated with uptake and timeliness of COVID-19 vaccination in the United States. Design: A cross-sectional study. Setting: 2021 National Health Interview Survey (Q2-Q4). Subjects: In all, 21,532 adults aged≥18 were included in the study. Measures: Exposures included 4 metrics of health care access: health insurance, having an established place for medical care, having a physician visit within the past year, and medical care affordability. Outcomes included receipt of 1 or more COVID-19 vaccines and receipt of a first vaccine within 6 months of vaccine availability. We examined the association between each health care access metric and outcome using logistic regression, unadjusted and adjusted for demographic, geographic, and socioeconomic covariates. Results: In unadjusted analyses, each metric of health care access was associated with the uptake of COVID-19 vaccination and (among those vaccinated) early vaccination. In adjusted analyses, having health coverage (adjusted odds ratio [AOR] 1.60; 95% CI: 1.39, 1.84), a usual place of care (AOR 1.58; 95% CI: 1.42, 1.75), and a doctor visit within the past year (AOR 1.45, 95% CI: 1.31, 1.62) remained associated with higher rates of COVID-19 vaccination. Only having a usual place of care was associated with early vaccine uptake in adjusted analyses. Limitations: Receipt of COVID-19 vaccination was self-reported. Conclusions: Several metrics of health care access are associated with the uptake of COVID-19 vaccines. Policies that achieve universal coverage, and facilitate long-term relationships with trusted providers, may be an important component of pandemic responses.

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confidence: 99%

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confidence: 99%

Health Care Access and COVID-19 Vaccination in the United States

De Guzman,

Thomas,

Wiwanto

et al. 2024

Medical Care

Self Cite

View full text Add to dashboard Cite

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Reducing administrative burdens to increase the take-up of public services: the case of vaccination intentions

Cantarelli,

Belle,

Herd

et al. 2024

Public Management Review

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Community Health, Health Care Access, And COVID-19 Booster Uptake In Massachusetts

Cited by 2 publications

References 21 publications

Health Care Access and COVID-19 Vaccination in the United States

Health Care Access and COVID-19 Vaccination in the United States

Reducing administrative burdens to increase the take-up of public services: the case of vaccination intentions

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