Taylor M Fortnam, Laura C Chambers, Alyssa Bilinski, Roberta DeVito, Lisa Gargano, Michelle Wilson, Joseph W Hogan
{"title":"罗德岛州早期地区 COVID-19 疫苗优先接种政策评估。","authors":"Taylor M Fortnam, Laura C Chambers, Alyssa Bilinski, Roberta DeVito, Lisa Gargano, Michelle Wilson, Joseph W Hogan","doi":"10.2105/AJPH.2024.307741","DOIUrl":null,"url":null,"abstract":"<p><p><b>Objectives.</b> To determine whether geographic prioritization of limited COVID-19 vaccine supply was effective for reducing geographic disparities in case rates. <b>Methods.</b> Rhode Island allocated a portion of the initial COVID-19 vaccine supply to residents of Central Falls, a community already affected by structural policies and inadequate systems that perpetuate health inequities and experiencing disproportionately high COVID-19 morbidity and mortality. The policy was implemented with a culturally and linguistically appropriate community engagement plan and was intended to reduce observed disparities. Using a Bayesian causal analysis with population surveillance data, we evaluated the impact of this prioritization policy on recorded cases over the subsequent 16 weeks. <b>Results.</b> Early geographic prioritization of Central Falls accelerated vaccine uptake, averting an estimated 520 cases (95% confidence interval = 22, 1418) over 16 weeks and reducing cases by approximately 34% during this period (520 averted vs 1519 expected without early prioritization). <b>Conclusions.</b> Early geographic prioritization increased vaccine uptake and reduced cases in Central Falls, thereby reducing geographic disparities. <b>Public Health Implications.</b> Public health institutions should consider geographic prioritization of limited vaccine supply to reduce geographic disparities in case rates. (<i>Am J Public Health</i>. 2024;114(S7):S580-S589. https://doi.org/10.2105/AJPH.2024.307741).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":null,"pages":null},"PeriodicalIF":9.6000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11424999/pdf/","citationCount":"0","resultStr":"{\"title\":\"Evaluation of Rhode Island's Early Geographic COVID-19 Vaccine Prioritization Policy.\",\"authors\":\"Taylor M Fortnam, Laura C Chambers, Alyssa Bilinski, Roberta DeVito, Lisa Gargano, Michelle Wilson, Joseph W Hogan\",\"doi\":\"10.2105/AJPH.2024.307741\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>Objectives.</b> To determine whether geographic prioritization of limited COVID-19 vaccine supply was effective for reducing geographic disparities in case rates. <b>Methods.</b> Rhode Island allocated a portion of the initial COVID-19 vaccine supply to residents of Central Falls, a community already affected by structural policies and inadequate systems that perpetuate health inequities and experiencing disproportionately high COVID-19 morbidity and mortality. The policy was implemented with a culturally and linguistically appropriate community engagement plan and was intended to reduce observed disparities. Using a Bayesian causal analysis with population surveillance data, we evaluated the impact of this prioritization policy on recorded cases over the subsequent 16 weeks. <b>Results.</b> Early geographic prioritization of Central Falls accelerated vaccine uptake, averting an estimated 520 cases (95% confidence interval = 22, 1418) over 16 weeks and reducing cases by approximately 34% during this period (520 averted vs 1519 expected without early prioritization). <b>Conclusions.</b> Early geographic prioritization increased vaccine uptake and reduced cases in Central Falls, thereby reducing geographic disparities. <b>Public Health Implications.</b> Public health institutions should consider geographic prioritization of limited vaccine supply to reduce geographic disparities in case rates. (<i>Am J Public Health</i>. 2024;114(S7):S580-S589. https://doi.org/10.2105/AJPH.2024.307741).</p>\",\"PeriodicalId\":7647,\"journal\":{\"name\":\"American journal of public health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":9.6000,\"publicationDate\":\"2024-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11424999/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American journal of public health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2105/AJPH.2024.307741\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/8/28 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of public health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2105/AJPH.2024.307741","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/8/28 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Evaluation of Rhode Island's Early Geographic COVID-19 Vaccine Prioritization Policy.
Objectives. To determine whether geographic prioritization of limited COVID-19 vaccine supply was effective for reducing geographic disparities in case rates. Methods. Rhode Island allocated a portion of the initial COVID-19 vaccine supply to residents of Central Falls, a community already affected by structural policies and inadequate systems that perpetuate health inequities and experiencing disproportionately high COVID-19 morbidity and mortality. The policy was implemented with a culturally and linguistically appropriate community engagement plan and was intended to reduce observed disparities. Using a Bayesian causal analysis with population surveillance data, we evaluated the impact of this prioritization policy on recorded cases over the subsequent 16 weeks. Results. Early geographic prioritization of Central Falls accelerated vaccine uptake, averting an estimated 520 cases (95% confidence interval = 22, 1418) over 16 weeks and reducing cases by approximately 34% during this period (520 averted vs 1519 expected without early prioritization). Conclusions. Early geographic prioritization increased vaccine uptake and reduced cases in Central Falls, thereby reducing geographic disparities. Public Health Implications. Public health institutions should consider geographic prioritization of limited vaccine supply to reduce geographic disparities in case rates. (Am J Public Health. 2024;114(S7):S580-S589. https://doi.org/10.2105/AJPH.2024.307741).
期刊介绍:
The American Journal of Public Health (AJPH) is dedicated to publishing original work in research, research methods, and program evaluation within the field of public health. The journal's mission is to advance public health research, policy, practice, and education.