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Rural Health
Resources by Topic: Vaccination

Pediatric Vaccination Rates in Rural America
Policy position paper regarding declining vaccination rates of children in rural communities. Compares rural and urban childhood vaccination rates and the potential for increasing health disparities. Describes a "5As of vaccine access" policy framework to evaluate current and future immunization policies and proposals. Offers recommended actions for federal, state, and local governments and organizations to improve rural vaccine uptake.
Author(s): Cynthia Calixte, Nitika Moibi, Andrea Stephenson Royster
Date: 12/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Urban and Rural Healthcare Providers' Perspectives on HPV Vaccination in Minnesota
Reports findings from a set of 20 qualitative interviews with urban and rural adolescent healthcare providers and clinic staff in Minnesota. Examines provider strategies used when discussing HPV, COVID-19, and other adolescent vaccines, as well as perceptions of parental opinions on adolescent vaccination. Discusses rural cultural values that impact rural provider strategies for promoting vaccination.
Author(s): Elizabeth J. Polter, Ben Christianson, Anne Steinberg, et al.
Citation: Human Vaccines & Immunotherapeutics, 19(3), 2291859
Date: 12/2023
Type: Document
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Influenza, Updated COVID-19, and Respiratory Syncytial Virus Vaccination Coverage Among Adults — United States, Fall 2023
Reports on vaccination coverage among adults 18 years and older as of December 9, 2023 for influenza, COVID-19, and respiratory syncytial virus (RSV). Figure 2 includes data on vaccination and intent to be vaccinated for rural, suburban, and urban areas.
Author(s): Carla L. Black, Jennifer L. Kriss, Hilda Razzaghi, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(51), 1377-1382
Date: 12/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Addressing COVID-19 Vaccine Hesitancy in Rural Community Pharmacies: A Protocol for a Stepped Wedge Randomized Clinical Trial
Evaluates implementation strategies of rural-located pharmacies looking to address COVID-19 vaccine hesitancy in their communities. Describes how the study will examine intervention fidelity, effectiveness, feasibility, acceptability, adoption, reach, and cost.
Author(s): Geoffrey Curran, Cynthia Mosley, Abigail Gamble, et al.
Citation: Implementation Science, 18, 72
Date: 12/2023
Type: Document
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Factors Influencing COVID-19 Vaccine Uptake among Spanish-Speaking Pregnant People
Interviewed 30 rural Spanish speaking women who were pregnant or recently postpartum to determine social media advertisement factors that influenced COVID-19 vaccine acceptance. Offers recommendations for public health messaging campaigns based on findings.
Author(s): Magali Sanchez, Iveliz Martel, Elizabeth Cox, et al.
Citation: Vaccines (Basel), 11(11), 1726
Date: 11/2023
Type: Document
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Declines in Influenza Vaccination Coverage Among Health Care Personnel in Acute Care Hospitals During the COVID-19 Pandemic — United States, 2017–2023
Examines influenza vaccinations among health care personnel (HCP) prior to and during the COVID-19 pandemic. Provides data on facility-level influenza vaccination levels among HCP for 3 years during the prepandemic period (2017-2020) and 3 years during the pandemic (2020-2023), broken down by HCP type and rural, suburban, or urban location.
Author(s): Hoody Lymon, Lu Meng, Hannah E. Reses, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(45), 1244-1247
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Influenza and Up-to-Date COVID-19 Vaccination Coverage Among Health Care Personnel — National Healthcare Safety Network, United States, 2022–23 Influenza Season
Provides data on influenza and COVID-19 vaccination among health care personnel (HCP) during the 2022-2023 influenza season. Presents vaccination data of HCP in nursing homes and acute care hospitals, broken down by staff type, facility size, rural versus urban location, urbanicity, social vulnerability index, and region. Includes state-level maps of HCP vaccination percentages.
Author(s): Jeneita Bell, Lu Meng, Kira Barbre, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(45), 1237-1243
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Vaccination Coverage by Age 24 Months Among Children Born in 2019 and 2020 — National Immunization Survey-Child, United States, 2020–2022
Examines vaccination coverage for selected vaccines and doses among children born in 2019-2020. Supplementary Table 1 includes data for metropolitan and nonmetro areas by year and vaccine for birth years 2016 through 2020.
Additional links: Supplementary Table 1
Author(s): Holly A. Hill, David Yankey, Laurie D. Elam-Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 72(44), 1190-1196
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Maternal and Child Health Services Title V Block Grant - Hawaii: FY 2024 Application/FY 2022 Annual Report
Describes Hawaii's maternal and child health programs, which include priorities related to family planning, food security, rates of child abuse and neglect, health screenings for children, wellness visits and vaccination, mental healthcare, telehealth access, and more. Discusses healthcare access issues for rural residents, activities by the Office of Primary Care and Rural Health, Medicaid provider shortages, and other rural-relevant issues.
Date: 09/2023
Type: Document
Sponsoring organization: Hawaii State Department of Health
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CDC's State of Vaccine Confidence Insights Report: Vaccination in Rural America Special Report
Examines vaccine confidence and uptake among rural populations in the United States between 2017-2023, with a focus on COVID-19 vaccination. Covers differences in vaccine uptake among rural, suburban, and rural populations. Discusses concerns about vaccination and identifies strategies for successful outreach to rural areas.
Date: 09/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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