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Rural Health
Resources by Topic: Vaccination

Impact of the COVID-19 Vaccination Mandate on the Primary Care Workforce and Differences Between Rural and Urban Settings to Inform Future Policy Decision-Making
Analyzes the impact of COVID-19 vaccination mandates on the primary healthcare workforce in rural and urban settings. Examines 2021 survey data from 38 rural and 42 urban clinics in Oregon about issues such as job losses, vaccination waivers, and newly vaccinated staff. Includes data on clinic characteristics and impacts of the COVID-19 vaccine mandate across rural and urban clinics, as well as qualitative feedback from survey respondents.
Author(s): Brigit A. Hatch, Erin Kenzie, NithyaPriya Ramalingam, et al.
Citation: PLoS One, 18(6)
Date: 06/2023
Type: Document
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Monthly Excess Mortality Across Counties in the United States During the COVID-19 Pandemic, March 2020 to February 2022
Analyzes all-cause excess mortality between March 2020 and February 2022 by county and month to show trends in mortality by date and location. Highlights patterns seen over time between metropolitan and nonmetropolitan areas. Discusses the impact of COVID-19 vaccination on the trends.
Author(s): Eugenio Paglino, Dielle J. Lundberg, Zhenwei Zhou, et al.
Citation: Science Advances 9(25)
Date: 06/2023
Type: Document
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Nurses' Perceptions, Experiences, and Practices Regarding Human Papillomavirus Vaccination: Results from a Cross-Sectional Survey in Montana
Analyzes the roles and perceptions of nurses in administering the human papillomavirus (HPV) vaccination in predominantly rural and medically underserved areas. Examines data from 227 nurse respondents in Montana about their experiences and beliefs related to HPV, with a focus on barriers and facilitators of vaccine uptake.
Author(s): Juthika Thaker, Alexandria N. Albers, Sophia R. Newcomer
Citation: BMC Nursing, 22, 211
Date: 06/2023
Type: Document
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CATCH-UP Vaccines: Protocol for a Randomized Controlled Trial Using the Multiphase Optimization Strategy (MOST) Framework to Evaluate Education Interventions to Increase Covid-19 Vaccine Uptake in Oklahoma
Utilizes the multiphase optimization strategy (MOST) to examine interventions that improve COVID-19 vaccine uptake in underserved areas of Oklahoma, including rural. Reviews process improvement, barrier elicitation and reduction, and teachable moment messaging as strategies to reduce vaccine health disparities in rural and underserved populations. Includes Oklahoma map showing vaccination rates by ZIP code.
Author(s): Amanda E. Janitz, Jordan M. Neil, Laura A. Bray, et al.
Citation: BMC Public Health, 23
Date: 06/2023
Type: Document
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A Strategy to Tackle Public Health Misinformation
Blog post discussing how COVID-19 vaccine misinformation impacted vaccine uptake in rural Livingston County, Illinois. Describes how the county health department worked to address vaccine hesitancy. Highlights the theory of planned behavior and its potential applications for hospitals and health systems.
Date: 05/2023
Type: Document
Sponsoring organization: American Hospital Association
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Vaccine Hesitancy and the Willingness to Recommend the COVID-19 Vaccine to Children in a Rural County on the United States-Mexico Border
Presents the results of a 2022 survey in Cochise County, Arizona evaluating the readiness of Latinx adults to recommend vaccinating children under 5 years and children 5 to 12 years of age. Discusses characteristics linked to support COVID-19 vaccination for these two groups and other issues regarding the vaccination of children from these groups.
Author(s): Raghu D. Darisi, Audrey J. Buckland, Mario Morales, et al.
Citation: Frontiers in Public Health, 11
Date: 05/2023
Type: Document
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Health Conditions and Health Care Use Among American Indian and Alaska Native Adults by Tribal Land Residential Status: United States, 2019–2021
Examines chronic disease, healthcare access to basic services such as vaccinations, and mental health among American Indian and Alaska Natives (AI/AN) from 2019-2021 National Health Interview Survey data, with comparisons between living on or off tribal lands.
Author(s): Amanda E. Ng, Dzifa Adjaye-Gbewonyo, Anjel Vahratian
Date: 05/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Frequently Asked Questions: CMS Waivers, Flexibilities, and the End of the COVID-19 Public Health Emergency
Provides information related to COVID-19 flexibilities after the end of the COVID-19 public health emergency (PHE) that expired May 11, 2023. Addresses issues impacting Medicare, Medicaid, the Children's Health Insurance Program (CHIP), and private insurance including concerns related to COVID-19 vaccines and treatment, telehealth, and more. Includes information about which changes have ended, as well as end dates for those that extend after the PHE.
Date: 05/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Cervical Cancer in Arkansas Update
Offers surveillance data for cervical cancer in Arkansas. Discusses risk factors, screening recommendations, mortality, vaccination, and Arkansas-specific trends over time. Includes county-level data and rural and urban comparisons.
Author(s): Daniela Ramirez Aguilar
Date: 04/2023
Type: Presentation Slides
Sponsoring organization: Arkansas Department of Health
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The State of the World's Children 2023 - For Every Child, Vaccination: Regional Brief: East Asia and the Pacific
Explores reasons behind a sharp drop worldwide in routine vaccination coverage during the COVID-19 pandemic. Offers suggestions for steps to be taken for the protection of children's health. Features statistics on zero-dose and under-vaccinated children in East Asian and Pacific countries including Palau, Samoa, Federated States of Micronesia, and the Marshall Islands.
Date: 04/2023
Type: Document
Sponsoring organization: United Nations Children's Fund (UNICEF)
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