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Book part
Publication date: 28 August 2023

Caroline Wolski, Kathryn Freeman Anderson and Simone Rambotti

Since the development of the COVID-19 vaccinations, questions surrounding race have been prominent in the literature on vaccine uptake. Early in the vaccine rollout, public health…

Abstract

Purpose

Since the development of the COVID-19 vaccinations, questions surrounding race have been prominent in the literature on vaccine uptake. Early in the vaccine rollout, public health officials were concerned with the relatively lower rates of uptake among certain racial/ethnic minority groups. We suggest that this may also be patterned by racial/ethnic residential segregation, which previous work has demonstrated to be an important factor for both health and access to health care.

Methodology/Approach

In this study, we examine county-level vaccination rates, racial/ethnic composition, and residential segregation across the U.S. We compile data from several sources, including the American Community Survey (ACS) and Centers for Disease Control (CDC) measured at the county level.

Findings

We find that just looking at the associations between racial/ethnic composition and vaccination rates, both percent Black and percent White are significant and negative, meaning that higher percentages of these groups in a county are associated with lower vaccination rates, whereas the opposite is the case for percent Latino. When we factor in segregation, as measured by the index of dissimilarity, the patterns change somewhat. Dissimilarity itself was not significant in the models across all groups, but when interacted with race/ethnic composition, it moderates the association. For both percent Black and percent White, the interaction with the Black-White dissimilarity index is significant and negative, meaning that it deepens the negative association between composition and the vaccination rate.

Research limitations/implications

The analysis is only limited to county-level measures of racial/ethnic composition and vaccination rates, so we are unable to see at the individual-level who is getting vaccinated.

Originality/Value of Paper

We find that segregation moderates the association between racial/ethnic composition and vaccination rates, suggesting that local race relations in a county helps contextualize the compositional effects of race/ethnicity.

Details

Social Factors, Health Care Inequities and Vaccination
Type: Book
ISBN: 978-1-83753-795-2

Keywords

Content available
Book part
Publication date: 28 August 2023

Abstract

Details

Social Factors, Health Care Inequities and Vaccination
Type: Book
ISBN: 978-1-83753-795-2

Book part
Publication date: 19 December 2017

Michael Gibson-Light

To be denied the status of formal worker is to be denied the rights and protections of the formal sector. Such classification is a source of insecurity and uncertainty for many…

Abstract

To be denied the status of formal worker is to be denied the rights and protections of the formal sector. Such classification is a source of insecurity and uncertainty for many. When employers privilege disembedded employment arrangements, workers in precarious semi-formal settings face many financial and relational challenges, yet receive limited support. In hostile economic, social, and legal contexts, what practices and discourses do these workers draw on to respond to their work situations? When, and against whom, do they struggle for labor embeddedness? Analyses of ethnographic and interview data from two fieldwork projects studying semi-formal work – one study of inmate labor in a US prison and one of a local independent culture industry – reveal that workers engage in collective and independent classification struggles in search of formal and symbolic reclassification. A typology of such struggles is presented. By viewing these practices through this lens, this chapter aims to reveal parallels in the experiences of workers in seemingly disconnected fields and advance our understanding of worker action and embeddedness in contemporary capitalism.

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