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. 2022 Jan 21;3(1):e214501.
doi: 10.1001/jamahealthforum.2021.4501. eCollection 2022 Jan.

Disadvantage Indices Deployed to Promote Equitable Allocation of COVID-19 Vaccines in the US: A Scoping Review of Differences and Similarities in Design

Tuhina Srivastava  1 , Harald Schmidt  2 , Emily Sadecki  2 , Melanie L Kornides  3
Affiliations

Disadvantage Indices Deployed to Promote Equitable Allocation of COVID-19 Vaccines in the US: A Scoping Review of Differences and Similarities in Design

Tuhina Srivastava et al. JAMA Health Forum. .

Abstract

This scoping review identifies the construction and defined purpose of disadvantage indices deployed during the initial COVID-19 vaccine rollout.

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Conflict of interest statement

Conflict of Interest Disclosures: Dr Kornides reported receiving grants from National Institutes of Health/National Institute of Child Health and Human Development/Office of Research on Women's Health (NIH/NICHD/ORWH 5 K12 HD085848-04/05) during the conduct of the study. No other disclosures were reported.

Figures

Figure.
Figure.. Percentage Composition of Each Disadvantage Index by Domain
These 9 domains were derived from the index-defined domains in the Table. Most index-defined domain names were used or matched across indices, which had slight variations in domain naming. “Epidemiological Factors” were renamed as “Health.” All different “environmental” or “neighborhood”-specific factors were grouped under “Environmental and Neighborhood.” The colored bars indicate percentage composition of each index by the number of variables in author-constructed domains. Because the SVI and CCVI weight all variables equally, the percentages shown are representative of true domain share in index construction based on the number of variables included for those indices. ADI indicates Area Deprivation Index; CCVI, COVID-19 Community Vulnerability Index; HPI, Healthy Places Index; SVI, Social Vulnerability Index.
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References

    1. National Academies of Sciences, Engineering, and Medicine . Framework for Equitable Allocation of COVID-19 Vaccine. National Academies Press; 2020. doi:10.17226/25917 - DOI - PubMed
    1. Schmidt H, Weintraub R, Williams MA, et al. . Equitable allocation of COVID-19 vaccines in the United States. Nat Med. 2021;27(7):1298-1307. doi:10.1038/s41591-021-01379-6 - DOI - PubMed
    1. University of Wisconsin School of Medicine and Public Health . 2019 Area Deprivation Index. University of Wisconsin School of Medicine and Public Health. Accessed July 6, 2021. https://www.neighborhoodatlas.medicine.wisc.edu/
    1. Surgo Ventures . COVID-19 Community Vulnerability Index (CCVI) methodology. Updated December 2020. Accessed December 15, 2021. https://covid-static-assets.s3.amazonaws.com/US-CCVI/COVID-19+Community+...
    1. Delaney T, Dominie W, Dowling H, et al. . Healthy Places Index (HPI 2.0). Accessed April 17, 2021. https://healthyplacesindex.org/wp-content/uploads/2021/04/HPI2Documentat...

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