Rural-Urban Differences in the Associations Between Aging and Disability Services and COVID-19 Vaccination Rates Among Older Adults

Author:

Sun Yue1ORCID,Rhubart Danielle C.2

Affiliation:

1. Department of Sociology and Lerner Center for Public Health Promotion, Maxwell School of Citizenship and Public Affairs, Syracuse University, NY, USA

2. Department of Biobehavioral Health, The Pennsylvania State University, University Park, PA, USA

Abstract

Aging services were poised to play an important role in supporting the COVID-19 vaccination rollout for older adults. In this study, we use ordinary least squares regression models of county-level data ( N = 3086) to examine if density of aging and disability services is associated with COVID-19 vaccination rates for older adults in rural and urban areas of the United States. We find that net of compositional characteristics, county-level density of aging and disability services is associated with higher older adult vaccination rates. However, in the rural-urban stratified models, this only remained consistently true for rural counties. Given higher risk of COVID-19 mortality for older adults and larger relative shares of older adults in rural areas, rural counties with low vaccination rates should invest in supporting and/or expanding older adult services to facilitate vaccination.

Funder

USDA Agricultural Experiment Station Multistate Research Project: W4001, Social, Economic and Environmental Causes and Consequences of Demographic Change in Rural America

NICHD-funded Population Research Institute at Penn State

Syracuse University Lerner Center for Public Health Promotion

NIA-funded Interdisciplinary Network on Rural Population Health and Aging

Publisher

SAGE Publications

Subject

Geriatrics and Gerontology,Gerontology

Reference25 articles.

1. Socioeconomic privilege and political ideology are associated with racial disparity in COVID-19 vaccination

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3. COVID-19 vaccination rates vary by community vulnerability: A county-level analysis

4. Older Adults’ Behavior Intentions Once a COVID-19 Vaccine Becomes Available

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