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Article Dans Une Revue Science Advances Année : 2021

Geographically targeted COVID-19 vaccination is more equitable and averts more deaths than age-based thresholds alone

Elizabeth Wrigley-Field
  • Fonction : Auteur
Mathew V. Kiang
  • Fonction : Auteur
Alicia R. Riley
  • Fonction : Auteur
Yea-Hung Chen
  • Fonction : Auteur
Kate A. Duchowny
  • Fonction : Auteur
Ellicott C. Matthay
  • Fonction : Auteur
David van Riper
  • Fonction : Auteur
Kirrthana Jegathesan
  • Fonction : Auteur
Kirsten Bibbins-Domingo
  • Fonction : Auteur
Jonathon P. Leider
  • Fonction : Auteur

Résumé

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.
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hal-03526809 , version 1 (14-01-2022)

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Elizabeth Wrigley-Field, Mathew V. Kiang, Alicia R. Riley, Magali Barbieri, Yea-Hung Chen, et al.. Geographically targeted COVID-19 vaccination is more equitable and averts more deaths than age-based thresholds alone. Science Advances , 2021, 7 (40), pp.1-14. ⟨10.1126/sciadv.abj2099⟩. ⟨hal-03526809⟩
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