Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.

The Association of Social Factors and Health Insurance Coverage with COVID-19 Vaccinations and Hesitancy, July 2021

Ku, L.

Release Date:

Peer Review Study

Healthcare Access and Quality
Social and Community Context
Tools Included
Outside U.S.

Data Collection and Reporting

This study assessed vaccine hesitancy in the United States by looking at Census Bureau’s Household Pulse Survey data. The study looked at race and ethnicity for individuals who have received at least one COVID-19 vaccine dose by June 2021, but also looked at other socioeconomic factors such as access to healthy food, insurance status, and state-level political differences. The results found that while initial race/ethnicity analyses shows Black adults are more likely to not get vaccinated for COVID-19 than White adults, once other social factors were included, these differences were no longer significant. Additionally, insurance status and food insufficiency were not seen as significantly associated with vaccination hesitancy, but political differences does create an impact in overall state vaccination rates.

Resource Details

Outcomes of Interest

Reduction of Health Disparities

Priority Population(s)

Asian, Black or African American, Hispanic, Latino, or Latinx

Setting(s) of Implementation


Geographic Area of Implementation

Implementation Period