Mpox Vaccination and the Role of Social Vulnerability in Durham County, North Carolina, USA.

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Racial and Ethnic Health Disparities Pub Date : 2024-12-01 Epub Date: 2023-10-13 DOI:10.1007/s40615-023-01827-8

Savannah Carrico, John-Paul Zitta, Elizabeth Stevens, Rodney Jenkins, Marissa Mortiboy, Jeffrey D Jenks

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引用次数: 0

Abstract

Background: Disparities in vaccine coverage among groups in the USA is common, possibly due to higher vaccine hesitancy in certain populations, difficulty accessing vaccines, and underlying social vulnerability.

Methods: The aim of this study was to investigate the association between mpox vaccine administration, social determinants of health, and social vulnerability index (SVI) in Durham County, North Carolina, USA. Random forest regression (RFE) and min-max scaling preprocessing were used to predict mpox vaccinations in Durham County at the census tract level. The top eleven most influential features and their correlations with mpox vaccination were calculated.

Results: Non-Hispanic white individuals, males, and those between the ages of 20 and 40 years were overrepresented in mpox vaccine reception in Durham County. Surprisingly, lacking a high school diploma, lacking health insurance, lacking a household vehicle, and living below the poverty line were all positively associated with receiving the mpox vaccine. Being a Black or African American and Hispanic or Latino individual was also positively associated with receiving the mpox vaccine.

Discussion: Vaccine outreach efforts in Durham County, North Carolina, had success in reaching at-risk individuals, including socially vulnerable individuals. Future research should focus more specifically on how social vulnerability relates to vaccine reception for vaccine-preventable diseases.

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猴痘疫苗接种与美国北卡罗来纳州达勒姆县社会脆弱性的作用。

背景：美国各群体疫苗覆盖率的差异很常见，可能是由于某些人群对疫苗的犹豫程度更高、难以获得疫苗以及潜在的社会脆弱性。方法：本研究旨在调查美国北卡罗来纳州达勒姆县猴痘疫苗接种、健康的社会决定因素和社会脆弱性指数（SVI）之间的关系。采用随机森林回归（RFE）和min-max标度预处理在人口普查区水平上预测达勒姆县猴痘疫苗接种情况。计算了前11个最具影响力的特征及其与猴痘疫苗接种的相关性。结果：在达勒姆县猴痘疫苗接种中，非汉族白人、男性和20至40岁之间的人比例过高。令人惊讶的是，缺乏高中文凭、缺乏医疗保险、缺乏家用车辆以及生活在贫困线以下都与接种猴痘疫苗有着积极的联系。身为黑人或非裔美国人、西班牙裔或拉丁裔人也与接种猴痘疫苗呈正相关。讨论：北卡罗来纳州达勒姆县的疫苗推广工作成功地惠及了高危人群，包括社会弱势群体。未来的研究应该更具体地关注社会脆弱性与疫苗可预防疾病的疫苗接种之间的关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

5.10%

发文量

263

期刊介绍： Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.