{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T06:10:36Z","timestamp":1747203036048,"version":"3.40.5"},"reference-count":21,"publisher":"American Public Health Association","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:p> Objectives. To assess multilevel factors associated with variation in COVID-19 vaccination rates in a US network of community health centers. <\/jats:p><jats:p> Methods. Using multilevel logistic regression with electronic health record data from ADVANCE (Accelerating Data Value Across a National Community Health Center Network; January 1, 2022\u2013December 31, 2022), we assessed associations between health care delivery site\u2013level (n\u2009=\u20091219) and patient-level (n\u2009=\u20091\u2009864\u2009007) characteristics and COVID-19 primary vaccine series uptake. <\/jats:p><jats:p> Results. A total of 1\u2009337\u2009440 patients completed the COVID-19 primary vaccine series. Health care delivery site characteristics were significantly associated with lower series completion rates, including being located in non-Medicaid expansion states and isolated or rural communities and serving fewer patients. Patient characteristics associated with significantly lower likelihood of completing the vaccine series included being Black\/African American or American Indian\/Alaska Native (vs White), younger age, lower income, being uninsured or publicly insured (vs using private insurance), and having fewer visits. <\/jats:p><jats:p> Conclusions. Both health care delivery site\u2013 and patient-level factors were significantly associated with lower COVID-19 vaccine uptake. Community health centers have been a critical resource for vaccination during the pandemic. ( Am J Public Health. 2024;114(11):1242\u20131251. https:\/\/doi.org\/10.2105\/AJPH.2024.307773 ) <\/jats:p>","DOI":"10.2105\/ajph.2024.307773","type":"journal-article","created":{"date-parts":[[2024,10,2]],"date-time":"2024-10-02T20:03:06Z","timestamp":1727899386000},"page":"1242-1251","source":"Crossref","is-referenced-by-count":0,"title":["Health Care Delivery Site\u2013 and Patient-Level Factors Associated With COVID-19 Primary Vaccine Series Completion in a National Network of Community Health Centers"],"prefix":"10.2105","volume":"114","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6326-5012","authenticated-orcid":false,"given":"Rachel","family":"Gold","sequence":"first","affiliation":[{"name":"Rachel Gold, Anna Steeves-Reece, Aileen Ochoa, Jee Oakley, Rose Gunn, Brigit A. Hatch, Treasure Allen, and Erika K. Cottrell are with the Research Division, OCHIN, Inc. Portland, OR. Shuling Liu is with the Department of Family Medicine, Oregon Health & Science University, Portland. Sean T. O\u2019Leary and Christine I. Spina are with the Adult and Child Center for Health Outcomes Research and Delivery Science University of Colorado Anschutz Medical Campus, Aurora."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Steeves-Reece","sequence":"additional","affiliation":[{"name":"Rachel Gold, Anna Steeves-Reece, Aileen Ochoa, Jee Oakley, Rose Gunn, Brigit A. Hatch, Treasure Allen, and Erika K. Cottrell are with the Research Division, OCHIN, Inc. Portland, OR. Shuling Liu is with the Department of Family Medicine, Oregon Health & Science University, Portland. Sean T. O\u2019Leary and Christine I. 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Spina are with the Adult and Child Center for Health Outcomes Research and Delivery Science University of Colorado Anschutz Medical Campus, Aurora."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jee","family":"Oakley","sequence":"additional","affiliation":[{"name":"Rachel Gold, Anna Steeves-Reece, Aileen Ochoa, Jee Oakley, Rose Gunn, Brigit A. Hatch, Treasure Allen, and Erika K. Cottrell are with the Research Division, OCHIN, Inc. Portland, OR. Shuling Liu is with the Department of Family Medicine, Oregon Health & Science University, Portland. Sean T. O\u2019Leary and Christine I. Spina are with the Adult and Child Center for Health Outcomes Research and Delivery Science University of Colorado Anschutz Medical Campus, Aurora."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rose","family":"Gunn","sequence":"additional","affiliation":[{"name":"Rachel Gold, Anna Steeves-Reece, Aileen Ochoa, Jee Oakley, Rose Gunn, Brigit A. 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