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Geographically targeted COVID-19 vaccination is more equitable and averts more deaths than age-based thresholds alone
Copyright policy )Geographically targeted COVID-19 vaccination is more equitable and averts more deaths than age-based thresholds alone
COVID-19 mortality increases markedly with age and is also substantially higher among Black, Indigenous, and People of Color (BIPOC) populations in the United States. These two facts can have conflicting implications because BIPOC populations are younger than white populations. In analyses of California and Minnesota—demographically divergent states—we show that COVID vaccination schedules based solely on age benefit the older white populations at the expense of younger BIPOC populations with higher risk of death from COVID-19. We find that strategies that prioritize high-risk geographic areas for vaccination at all ages better target mortality risk than age-based strategies alone, although they do not always perform as well as direct prioritization of high-risk racial/ethnic groups. Vaccination schemas directly implicate equitability of access, both domestically and globally.
Age-based COVID-19 vaccination prioritizes white people above higher-risk others; geographic prioritization improves equity.
Description
- University of Minnesota System United States
- University of California System United States
- Globe University United States
- University of Minnesota Morris United States
- University of California, Berkeley United States
Microsoft Academic Graph classification: 2019-20 coronavirus outbreak History Coronavirus disease 2019 (COVID-19) Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Vaccination Demography
ACM Computing Classification System: ComputingMilieux_MISCELLANEOUS ComputingMethodologies_DOCUMENTANDTEXTPROCESSING
Covid-19 mortality, Aging, social equity, pandemics, ETHNIC_MINORITIES, Article, [SHS]Humanities and Social Sciences, Social and Interdisciplinary Sciences, Vaccine Related, equity, geographically targeted vaccination, vaccine, USA, DIFFERENTIAL_MORTALITY, Multidisciplinary, Prevention, COVID-19, SciAdv r-articles, minorities, Coronavirus, Good Health and Well Being, DIFFERENTIAL_MORBIDITY, UNITED_STATES, VACCINATION, Immunization, Research Article
Covid-19 mortality, Aging, social equity, pandemics, ETHNIC_MINORITIES, Article, [SHS]Humanities and Social Sciences, Social and Interdisciplinary Sciences, Vaccine Related, equity, geographically targeted vaccination, vaccine, USA, DIFFERENTIAL_MORTALITY, Multidisciplinary, Prevention, COVID-19, SciAdv r-articles, minorities, Coronavirus, Good Health and Well Being, DIFFERENTIAL_MORBIDITY, UNITED_STATES, VACCINATION, Immunization, Research Article
Microsoft Academic Graph classification: 2019-20 coronavirus outbreak History Coronavirus disease 2019 (COVID-19) Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Vaccination Demography
ACM Computing Classification System: ComputingMilieux_MISCELLANEOUS ComputingMethodologies_DOCUMENTANDTEXTPROCESSING
citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).47 popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.Top 1% influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).Top 10% impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.Top 1% citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).47 popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.Top 1% influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).Top 10% impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.Top 1%
Citations provided by BIP!Popularity provided by BIP!- University of Minnesota System United States
- University of California System United States
- Globe University United States
- University of Minnesota Morris United States
- University of California, Berkeley United States
- National Institute for Demographic Studies France
- University of California San Francisco Medical Center United States
- Stanford University United States
- Harvard University United States
- University of California, San Francisco United States
COVID-19 mortality increases markedly with age and is also substantially higher among Black, Indigenous, and People of Color (BIPOC) populations in the United States. These two facts can have conflicting implications because BIPOC populations are younger than white populations. In analyses of California and Minnesota—demographically divergent states—we show that COVID vaccination schedules based solely on age benefit the older white populations at the expense of younger BIPOC populations with higher risk of death from COVID-19. We find that strategies that prioritize high-risk geographic areas for vaccination at all ages better target mortality risk than age-based strategies alone, although they do not always perform as well as direct prioritization of high-risk racial/ethnic groups. Vaccination schemas directly implicate equitability of access, both domestically and globally.
Age-based COVID-19 vaccination prioritizes white people above higher-risk others; geographic prioritization improves equity.
Description