Devin Coon, Manraj Kaur
Discussion: National Legislative Favorability and Insurance Coverage for Adult and Adolescent Gender-Affirming Surgery
Plastic and reconstructive surgery
countylevel vaccination barriers sociodemographic barriers limited healthcare system resources healthcare accessibility barriers irregular healthcare seeking behaviors history low vaccination may partially explain covid19 vaccination intentions among us adults study examined whether countylevel vaccination barriers varied across racialethnic groups us associated willingness receive covid19 vaccine addition study assessed whether associations differed across racialethnic groups study used data reachus study large online survey us adults n 5475 completed january 2021march 2021 countylevel vaccination barriers measured using covid19 vaccine coverage index ordinal logistic regression estimated associations raceethnicity countylevel vaccination barriers countylevel vaccination barriers willingness receive covid19 vaccine models adjusted covariates age gender income education political ideology health insurance highrisk chronic health condition multigroup analysis estimated whether associations barriers willingness receive covid19 vaccine differed across racialethnic groups american indianalaska native blackafrican american hispaniclatino elp english language preference elp spanish language preference slp multiracial adults likely white adults live counties higher overall countylevel vaccination barriers adjusted odd ratios aors163381 higher countylevel vaccination barriers generally associated less willingness receive covid19 vaccine yet associations attenuated adjusting covariates trends differed across barriers racialethnic groups higher sociodemographic barriers associated less willingness receive covid19 vaccine aor078 95 ci064094 whereas higher irregular careseeking behavior associated greater willingness receive vaccine aor120 95 ci104139 greater history low vaccination associated less willingness receive covid19 vaccine among blackafrican american adults aor055 95 ci037084 greater willingness receive vaccine among american indianalaska native hispaniclatino elp adults aor190 95 ci110328 aor185 95 ci114301 future public health emergency vaccination programs include planning coverage efforts account structural barriers preventive healthcare intersection sociodemographic factors addressing structural barriers covid19 treatment preventive services essential reducing morbidity mortality future infectious disease outbreaks