Predictors and Barriers to Achieving Immunization in Rural and Urban Areas

Infants younger than 6 months old are highly susceptible to severe vaccine-preventable diseases. Immunization of mothers during pregnancy in combination with childhood immunization without delay offers the optimal opportunity to prevent severe infant morbidity and mortality.

Although recent research has highlighted disparities in adolescent immunization among rural-residing adolescents, vaccination rates impacting the youngest infants in rural areas have not yet been comprehensively evaluated. Using the pregnancy risk assessment monitoring system, this project evaluated the predictors and barriers to providing complete and timely coverage of prenatal and early infant immunization in rural areas compared to urban areas.

Publications

• Disparities in Prenatal Immunization Rates in Rural and Urban U.S. Areas by Indicators of Access to Care
  Journal Article
  Southwest Rural Health Research Center
  Date: 02/2022
  This study evaluates variations in immunization rates among pregnant women across the urban-rural continuum. Results indicate pregnant women in rural areas more commonly rely on Medicaid to fund prenatal care but are less likely to have full or expanded access to Medicaid. This finding may contribute to immunization uptake disparities.