Effect of Income Inequality on COVID-19 Vaccination Rate

We examine the effects of income, income inequality, and education on COVID-19 vaccination rates across counties in the United States. Using county-level data, we find that higher household income is associated with greater vaccine uptake, while greater income inequality reduces vaccination rates. Standardized math test scores, used as a proxy for science literacy, are also positively related to vaccination, as is the share of adults with some college education. These results highlight the importance of socioeconomic and educational factors in shaping vaccine uptake and suggest that policies aimed at improving income security and educational attainment may strengthen public health responses in future crises.

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Publication Details

Journal
Forum for Social Economics
Published
2026-08-27
DOI
https://doi.org/10.1080/07360932.2026.2722652
Primary Topic
Vaccine Coverage and Hesitancy
Type
article
Field-Weighted Citation Impact
0.00
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article

Effect of Income Inequality on COVID-19 Vaccination Rate

Andrew Ju, Jason Patalinghug, Joshua Ping Ang
Forum for Social Economics
Vaccine Coverage and Hesitancy
article

Effect of Income Inequality on COVID-19 Vaccination Rate

Andrew Ju, Jason Patalinghug, Joshua Ping Ang
article en

Abstract

We examine the effects of income, income inequality, and education on COVID-19 vaccination rates across counties in the United States. Using county-level data, we find that higher household income is associated with greater vaccine uptake, while greater income inequality reduces vaccination rates. Standardized math test scores, used as a proxy for science literacy, are also positively related to vaccination, as is the share of adults with some college education. These results highlight the importance of socioeconomic and educational factors in shaping vaccine uptake and suggest that policies aimed at improving income security and educational attainment may strengthen public health responses in future crises.

Forum for Social Economics
Southern Connecticut State University (US), North Carolina Agricultural and Technical State University (US), Jacksonville University (US)
Quality Education
Openalex Percentile: Top 6%
Vaccine Coverage and Hesitancy
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