Expanding COVID-19 vaccine access to underserved populations through implementation of mobile vaccination units

Priya Sarin Gupta · Amir M. Mohareb · Christine Valdes · Christin Price · Mimi Jollife · Craig Regis +8 more

28 citations0/0 files storedPreventive Medicine

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Vaccine Coverage and Hesitancy SARS-CoV-2 and COVID-19 Research COVID-19 epidemiological studies

Abstract

COVID-19 has disproportionately impacted underserved populations, including racial/ethnic minorities. Prior studies have demonstrated that mobile health units are effective at expanding preventive services for hard-to-reach populations, but this has not been studied in the context of COVID-19 vaccination. Our objective was to determine if voluntary participants who access mobile COVID-19 vaccination units are more likely to be racial/ethnic minorities and adolescents compared with the general vaccinated population. We conducted a cross-sectional study of individuals who presented to three different mobile COVID-19 vaccination units in the Greater Boston area from May 20, 2021, to August 18, 2021. We acquired data regarding the general vaccinated population in the state and of target communities from the Massachusetts Department of Public Health. We used chi-square testing to compare the demographic characteristics of mobile vaccination unit participants and the general state and community populations that received COVID-19 vaccines during the same time period. We found that during this three-month period, mobile vaccination units held 130 sessions and administered 2622 COVID-19 vaccine doses to 1982 unique participants. The median (IQR) age of participants was 31 (16-46) years, 1016 (51%) were female, 1575 (80%) were non-White, and 1126 (57%) were Hispanic. Participants in the mobile vaccination units were more likely to be younger (p < 0.001), non-White race (p < 0.001), and Hispanic ethnicity (p < 0.001) compared with the general vaccinated population of the state and target communities. This study suggests that mobile vaccination units have the potential to improve access to COVID-19 vaccination for diverse populations.

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References

2021COVID-19 Vaccination Hesitancy in the United States: A Rapid National Assessment 2021COVID‐19 vaccine hesitancy: Race/ethnicity, trust, and fear 2021Understanding Drivers of Coronavirus Disease 2019 Vaccine Hesitancy Among Blacks 2021Using mobile clinics to deliver care to difficult-to-reach populations: A COVID-19 practice we should keep 2021COVID-19 Vaccination Coverage Among Adolescents Aged 12–17 Years — United States, December 14, 2020–July 31, 2021

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2023Evaluating the impact of using mobile vaccination units to increase COVID-19 vaccination uptake in Cheshire and Merseyside, UK: a synthetic control analysis 2024Mobile health clinics for distribution of vaccinations to underserved communities during health emergencies: A COVID-19 case study

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