TABLE. COVID-19 vaccination status* of adults aged ≥18 years, by respondent characteristic and disability status† — National Immunization Survey Adult COVID Module, United States, May 30–June 26, 2021.
| Respondent group/Characteristic | With a disability† |
Without a disability |
Prevalence ratio§ (95% CI) |
|||
|---|---|---|---|---|---|---|
| No. | %¶ Vaccinated* (95% CI) | No. | %¶ Vaccinated* (95% CI) | Unadjusted | Age-adjusted | |
|
Total
|
5,345
|
66.7 (63.9–69.3)
|
51,106
|
64.5 (63.5–65.4)
|
1.03 (0.99–1.08)
|
0.88 (0.84–0.93)**
|
|
Age group, yrs
| ||||||
| 18–24 (Ref) |
198 |
33.5 (23.8–44.7) |
5,015 |
46.4 (43.9–49.0) |
0.72 (0.52–0.99)** |
NA |
| 25–29 |
162 |
35.5 (22.9–50.6) |
4,203 |
49.8 (46.7–52.9) |
0.71 (0.48–1.07) |
NA |
| 30–39 |
372 |
48.8 (40.2–57.5)†† |
8,817 |
52.9 (50.8–55.0)†† |
0.92 (0.77–1.11) |
NA |
| 40–49 |
559 |
54.4 (46.2–62.3)†† |
8,050 |
60.8 (58.4–63.1)†† |
0.89 (0.77–1.04) |
NA |
| 50–64 |
1,783 |
62.8 (57.6–67.7)†† |
14,246 |
71.9 (70.1–73.6)†† |
0.87 (0.80–0.95)** |
NA |
| 65–74 |
1,260 |
82.7 (77.4–87.0)†† |
7,069 |
88.6 (86.6–90.4)†† |
0.93 (0.88–0.99)** |
NA |
| ≥75 |
953 |
88.2 (83.7–91.6)†† |
2,827 |
90.0 (87.5–92.1)†† |
0.98 (0.93–1.03) |
NA |
|
Sex
| ||||||
| Male (Ref) |
2,542 |
66.4 (62.2–70.5) |
25,297 |
61.9 (60.6–63.2) |
1.07 (1.00–1.15)** |
0.91 (0.85–0.99)** |
| Female |
2,747 |
67.3 (63.6–70.7) |
25,457 |
67.0 (65.7–68.3)†† |
1.00 (0.95–1.06) |
0.86 (0.80–0.92)** |
|
Race/Ethnicity§§
| ||||||
| White (Ref) |
2,993 |
69.0 (65.4–72.4) |
30,871 |
66.6 (65.5–67.7) |
1.04 (0.98–1.09) |
0.88 (0.82–0.94)** |
| Hispanic |
822 |
67.2 (59.8–73.7) |
6,613 |
61.8 (59.2–64.3)†† |
1.09 (0.97–1.22) |
0.94 (0.84–1.05) |
| Black |
726 |
60.1 (52.8–67.1)†† |
5,748 |
56.3 (53.6–58.9)†† |
1.07 (0.94–1.22) |
0.84 (0.73–0.97)** |
| AI/AN |
105 |
38.2 (23.6–55.2)†† |
538 |
39.2 (31.8–47.1)†† |
0.97 (0.81–1.56) |
0.85 (0.56–1.30) |
| Asian |
127 |
74.7 (46.5–90.9) |
3,015 |
85.5 (81.5–88.8)†† |
0.87 (0.64–1.19) |
0.86 (0.67–1.12) |
| NHPI |
113 |
71.1 (27.8–94.0) |
974 |
59.1 (47.0–70.2) |
1.20 (0.68–2.13) |
0.78 (0.32–1.91) |
| Multiple race/Other |
294 |
55.6 (43.0–67.6)†† |
1,797 |
49.2 (43.9–54.5)†† |
1.13 (0.88–1.45) |
0.85 (0.62–1.18) |
|
Urbanicity¶¶
| ||||||
| MSA, principal city (Ref) |
1,387 |
68.7 (62.8–74.0) |
14,609 |
68.0 (66.2–69.7) |
1.01 (0.93–1.10) |
0.88 (0.79–0.97)** |
| MSA, nonprincipal city |
2,697 |
67.4 (63.7–70.9) |
26,796 |
65.1 (63.9–66.3)†† |
1.04 (0.98–1.10) |
0.89 (0.84–0.95)** |
| Non-MSA |
1,261 |
61.4 (55.4–67.2) |
9,701 |
54.4 (52.0–56.7)†† |
1.13 (1.02–1.26) |
0.88 (0.77–1.01) |
|
SVI of county of residence***
| ||||||
| Low (Ref) |
1,225 |
68.0 (62.3–73.2) |
14,066 |
69.9 (68.2–71.6) |
0.97 (0.89–1.06) |
0.84 (0.76–0.93)** |
| Moderate |
1,687 |
68.6 (63.6–73.2) |
17,064 |
65.1 (63.5–66.6)†† |
1.05 (0.98–1.14) |
0.90 (0.83–0.99)** |
| High |
1,520 |
64.8 (59.8–69.4) |
11,864 |
60.4 (58.6–62.2)†† |
1.07 (0.99–1.16) |
0.89 (0.82–0.98)** |
|
Poverty status and household income†††
| ||||||
| Above poverty, ≥$75k (Ref) |
798 |
78.0 (70.3–84.1) |
19,539 |
72.5 (71.0–73.9) |
1.08 (0.98–1.17) |
0.97 (0.87–1.07) |
| Above poverty, <$75k |
1,911 |
68.9 (64.5–73.1)†† |
15,528 |
61.1 (59.4–62.7)†† |
1.13 (1.05–1.21)** |
0.94 (0.86–1.03) |
| Below poverty |
1,137 |
55.5 (49.4–61.5)†† |
4,410 |
48.6 (45.6–51.7)†† |
1.14 (1.01–1.30)** |
0.95 (0.83–1.07) |
| Unknown income |
1,499 |
66.6 (61.3–71.4)†† |
11,629 |
64.3 (62.4–66.2)†† |
1.03 (0.95–1.12) |
0.89 (0.81–0.98)** |
|
Education level
| ||||||
| College graduate (Ref) |
1,338 |
80.2 (74.6–84.9) |
23,844 |
79.2 (78.0–80.5) |
1.01 (0.95–1.08) |
0.89 (0.81–0.99)** |
| Some college |
1,652 |
66.0 (61.2–70.5)†† |
13,590 |
62.2 (60.5–63.9)†† |
1.06 (0.98–1.14) |
0.94 (0.87–1.03) |
| High school graduate or less |
2,175 |
62.6 (58.4–66.6)†† |
12,231 |
53.8 (52.1–55.5)†† |
1.16 (1.08–1.25)** |
0.93 (0.86–1.01) |
|
Health insurance
| ||||||
| Insured (Ref) |
4,803 |
69.4 (66.5–72.1) |
45,472 |
67.6 (66.6–68.6) |
1.03 (0.98–1.07) |
0.88 (0.83–0.93)** |
| Not insured |
363 |
40.2 (31.7–49.3)†† |
4,205 |
42.1 (39.2–45.1)†† |
0.95 (0.76–1.20) |
0.87 (0.72–1.05) |
|
Mental health
| ||||||
| Excellent, very good, or good (Ref) |
3,866 |
70.7 (67.4–73.7) |
46,379 |
64.8 (63.9–65.8) |
1.09 (1.04–1.11)** |
0.92 (0.86–0.98)** |
| Fair or poor |
1,398 |
56.5 (51.2–61.7)†† |
4,405 |
61.5 (58.2–64.6)†† |
0.92 (0.83–1.02) |
0.79 (0.72–0.88)** |
|
Comorbidities§§§
| ||||||
| No (Ref) |
2,087 |
62.2 (57.8–66.4) |
37,054 |
60.2 (59.2–61.3) |
1.03 (0.96–1.11) |
0.89 (0.83–0.96)** |
| Yes |
3,120 |
71.0 (67.5–74.3)†† |
13,577 |
76.6 (74.9–78.2)†† |
0.93 (0.88–0.98)** |
0.82 (0.77–0.88)** |
|
Ever had COVID-19
| ||||||
| No (Ref) |
4,496 |
68.6 (65.6–71.5) |
43,223 |
68.1 (67.1–69.1) |
1.01 (0.96–1.06) |
0.86 (0.81–0.91)** |
| Yes |
776 |
59.1 (52.3–65.5)†† |
7,234 |
49.1 (46.9–51.4)†† |
1.20 (1.06–1.96)** |
1.05 (0.93–1.18) |
|
Received any vaccine that was not a COVID-19 vaccine in the past 2 years
| ||||||
| Yes (Ref) |
3,224 |
81.1 (78.0–83.9) |
29,282 |
80.7 (79.6–81.7) |
1.01 (0.97–1.05) |
0.90 (0.85–0.95)** |
| No | 2,078 | 48.1 (43.8–52.4)†† | 21,534 | 47.5 (46.2–48.8)†† | 1.01 (0.92–1.11) | 0.86 (0.78–0.95)** |
Abbreviations: AI/AN = American Indian or Alaska Native; CI = confidence interval; MSA = metropolitan statistical area; NA = not applicable; NHPI = Native Hawaiian or Other Pacific Islander; Ref = referent group; SVI = social vulnerability index.
* At least 1 dose of any of the approved COVID-19 vaccines (Pfizer-BioNTech, Moderna, or Janssen [Johnson & Johnson]).
† Disability was defined as an affirmative response to the following survey question: “Do you have serious difficulty seeing, hearing, walking, remembering, making decisions, or communicating?”
§ Prevalence ratio comparing vaccination rates among persons with a disability with rates among persons without a disability.
¶ Weighted percentage. Respondents missing either vaccination or disability status were excluded (298).
** p<0.05 for prevalence ratio.
†† p<0.05 by t-test for comparisons of proportions with the indicated reference level.
§§ White, Black, AI/AN, Asian, NHPI, and multiple-race persons were non-Hispanic; Hispanic persons could be of any race.
¶¶ Urbanicity derived based on the centroid of the zip code of residence.
*** CDC and Agency for Toxic Substances and Disease Registry Social Vulnerability Index use 15 U.S. Census variables to help officials identify communities that might need support before, during, or after disasters. https://www.atsdr.cdc.gov/placeandhealth/svi/index.html
††† Household income is derived from the number of persons reported in the household, the reported household income, and the 2020 U.S. Census poverty thresholds.
§§§ Based on response to the question, “Do you have a health condition that may put you at higher risk for COVID-19?”