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. 2023 Feb 13;41(12):1943–1950. doi: 10.1016/j.vaccine.2023.02.022

TABLE 1.

COVID-19 vaccination coverage by minority health social vulnerability index (MHSVI) tertile classifications for each indicator among persons ≥ 18 years of age who received at least one vaccine dose (N = 192,253,905) — United States, December 14, 2020–January 31, 2022.

MHSVI Metrics Vaccination Coverage No. (%)
Relative Differences in Vaccination Coverage (Ratio)
Rate Differences in Vaccination Coverage (%)
Low Social Vulnerability Moderate Social Vulnerability High Social Vulnerability Low/High Moderate/High Low - High Moderate - High
Overall MHSVI 25,784,643 (78.2) 73,378,210 (80.5) 103,993,864 (78.5) 1.0 1.0 −0.3 % 2.0 %
Socioeconomic status
Poverty 80,166,432 (83.2) 85,064,423 (78.2) 37,925,862 (73.7) 1.1 1.1 9.5% 4.5%
Unemployment 42,516,254 (78.8) 95,280,667 (80.3) 65,359,796 (77.9) 1.0 1.0 0.9% 2.4%
Per capita income 144,487,365 (83.9) 40,007,685 (70.6) 18,661,667 (67.6) 1.2 1.0 16.3% 3.0%
No high school diploma 77,134,854 (81.2) 82,283,439 (78.6) 43,738,424 (77.0) 1.1 1.0 4.1% 1.5%
Household composition and disability status
Age≥65 years of age 145,524,535 (81.5) 38,599,345 (75.1) 19,032,837 (71.5) 1.1 1.1 10.0 % 3.6 %
Age ≤v17 years of age 53,949,742 (80.8) 81,602,519 (81.8) 67,604,456 (75.1) 1.1 1.1 5.7 % 6.8 %
Disability 146,667,343 (83.3) 41,938,759 (72.5) 14,550,615 (64.0) 1.3 1.1 19.4 % 8.5 %
Single parent 45,835,124 (82.3) 66,744,386 (78.9) 90,577,207 (77.9) 1.1 1.0 4.4 % 1.0 %
Racial/Ethnic minority status and language
Minority Status:
American Indian/Alaska Native 57,946,011 (78.7) 93,775,490 (80.6) 51,435,216 (77.3) 1.0 1.0 1.4 % 3.3 %
Asian 9,968,319 (60.9) 22,446,379 (67.5) 170,742,019 (82.5) 0.7 0.8 −21.6 % −15.1 %
African American 15,974,441 (70.9) 61,739,743 (78.6) 125,442,533 (80.7) 0.7 0.8 −9.8 % −2.1 %
Native Hawaiian/Pacific Islander 103,569,626 (78.3) § 99,587,091 (80.1) 1.0 § −1.8 % §
Hispanic or Latinx 18,856,839 (67.9) 47,031,352 (73.7) 137,268,526 (83.2) 0.8 0.9 −15.3 % −9.5 %
Some Other Race 9,968,319 (60.9) 22,446,379 (67.5) 170,742,019 (82.5) 0.8 0.9 −15.1v% −9.1 %
Language - Speak English Less than “Very Well”
Spanish Speakers 7,242,915 (63.4) 21,166,095 (67.0) 174,747,707 (81.8) 0.8 0.8 −18.4 % −14.8 %
Chinese Speakers 13,310,492 (62.3) 9,507,317 (65.6) 180,338,908 (81.7) 0.8 0.8 −19.5 % −16.1v%
Vietnamese Speakers 20,141,077 (64.7) 4,606,149 (66.6) 178,409,491 (81.6) 0.8 0.8 −16.9 % −15.0 %
Korean Speakers 21,304,344 (64.3) 4,087,444 (66.9) 177,764,929 (81.8) 0.8 0.8 −17.5 % −14.9 %
Russian Speakers 29,993,312 (64.9) § 173,163,405 (82.3) 0.8 § −17.4 % §
Housing type and transportation
Multiunit housing 9,198,498 (61.3) 20,985,614 (65.9) 172,972,605 (82.5) 0.7 0.8 −21.2 % −16.6 %
Mobile homes 153,179,385 (83.4) 33,770,777 (71.1) 16,206,555 (64.0) 1.3 1.1 19.3 % 7.1 %
Crowding 37,173,716 (75.9) 65,545,716 (75.9) 100,437,285 (82.8) 0.9 0.9 −6.9 % −7.0 %
No vehicle 42,999,506 (74.9) 65,413,455 (77.5) 94,743,756 (82.6) 0.9 0.9 −7.6 % −5.1 %
Group quarters 64,106,451 (77.3) 92,723,288 (82.3) 46,326,978 (76.0) 1.0 1.1 1.3 % 6.4 %
Health Care Infrastructure & Access
Hospitals 9,795,713 (64.9) 76,624,940 (75.8) 116,736,064 (83.2) 0.8 0.9 −18.3 % −7.4 %
Urgent care clinics 136,748,119 (79.2) 43,882,471 (88.7) 22,526,127 (65.3) 1.2 1.4 14.0 % 23.5 %
Pharmacies 32,202,793 (76.1) 91,570,149 (79.7) 79,383,775 (79.9) 1.0 1.0 −3.7 % −0.2 %
Primary Care Physicians 148,943,293 (83.5) 42,753,481 (71.9) 11,459,943 (61.5) 1.4 1.2 22.0% 10.4%
Health Insurance 76,237,111 (82.7) 79,659,690 (79.0) 47,259,916 (74.4) 1.1 1.1 8.3% 4.6%
Medical Vulnerability
Cardiovascular Disease Death 107,616,500 (84.9) 72,901,658 (76.3) 22,638,559 (66.2) 1.3 1.2 18.7% 10.2%
Chronic Respiratory Disease 134,217,226 (85.2) 46,449,839 (72.5) 22,489,652 (64.5) 1.3 1.1 20.7% 8.0%
Obesity 134,220,748 (84.6) 46,111,338 (72.2) 22,824,631 (67.0) 1.3 1.1 17.7% 5.2%
Diabetes 93,412,417 (84.7) 83,945,431 (77.9) 25,798,869 (67.2) 1.3 1.2 17.4% 10.6%
Internet Access 157,354,560 (82.2) 35,139,028 (72.4) 10,663,129 (64.2) 1.3 1.1 18.0% 8.2%
§

No counties in that MHSVI tertile category.