{"id":179,"date":"2023-08-22T19:54:24","date_gmt":"2023-08-22T19:54:24","guid":{"rendered":"https:\/\/www.merckvaccines.com\/tools-and-resources\/?page_id=179"},"modified":"2025-11-27T14:53:22","modified_gmt":"2025-11-27T14:53:22","slug":"understanding-disparities","status":"publish","type":"page","link":"https:\/\/www.merckvaccines.com\/tools-and-resources\/vaccination-program-tools\/understanding-disparities\/","title":{"rendered":"Understanding disparities"},"content":{"rendered":"\n<div class=\"wp-block-columns mb-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:936px\"><link rel='stylesheet' id='vivid360-in-page-navigation-css-css' href='https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/in-page-navigation\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div class=\"wp-block-vivid360-in-page-navigation inPageNavi full-page-width equal-width ml-0 mr-0\" role=\"navigation\" aria-label=\"In-Page Navigation\" opt-design=\"v-tab\" has-icon=\"false\" icon-position=\"right\" data-menu=\"200\"><div class=\"vivid360-v-tab-titles\" style=\"justify-content:flex-start\"><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n<\/div>\n\n\n<link rel='stylesheet' id='vivid360-hero-css-css' href='https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/hero\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div id=\"\" class=\"wp-block-vivid360-hero\"><div class=\"vivid360-hero-container align-center align-middle ratio-50-50 horizontal desktop text-align-left has-white-color has-primary-background-color is-split-style split-image-right mobile-is-split-style mobile-split-image-top mobile-uses-custom-styles\" style=\"border-width:0;border-style:solid;border-top-left-radius:0;border-top-right-radius:0;border-bottom-right-radius:0;border-bottom-left-radius:0;--minHeight:367px;--mobileMinHeight:167px\"><div class=\"wide_screens hidden\" data-value=\"default\"><\/div><picture><source media=\"(max-width: 767px)\" srcset=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2024\/01\/we@3x.webp?w=767\"\/><source media=\"(min-width: 768px) and (max-width:1024px)\" srcset=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2024\/01\/we@3x.webp?w=1024\"\/><source media=\"(min-width: 1025px) and (max-width:1440px)\" srcset=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2024\/01\/we@3x.webp?w=1440\"\/><img decoding=\"async\" width=\"1134\" height=\"800\" loading=\"lazy\" data-src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2024\/01\/we@3x.webp?w=1600\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2024\/01\/we@3x.webp?w=1600\" alt=\"\" class=\"hero-image\" style=\"--desktop-focal-x:50%;--desktop-focal-y:50%;--mobile-focal-x:50%;--mobile-focal-y:50%;--tablet-focal-x:50%;--tablet-focal-y:50%\"\/><div class=\"capoverlay-container-desktop right-bottom show custom_margin   label\" style=\"--top-margin:;--bottom-margin:0;--left-margin:;--right-margin:0px\"><div class=\"overlay-caption-schema\">Actor Portrayal<\/div><\/div><\/picture><div class=\"hero-wrapper\"><div class=\"hero-content\"><h1 style=\"--headlineFontSize:36px;--headlineFontSizeTablet:36px;--headlineFontSizeMobile:24px;--headlineLineHeight:45px;--headlineLineHeightTablet:45px;--headlineLineHeightMobile:30px\" class=\"hero-title fontWeightRegular\"><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-white-color\">Understanding Disparities: Social Determinants of Health (SDOH) &amp; Vaccination<\/mark><\/h1><p class=\"hero-description\"><\/p><div class=\"hero-btn-group\"><\/div><div class=\"hero-caption\"><\/div><\/div><\/div><\/div><div class=\"hero-caption-2desktop\"><\/div><\/div>\n\n\n\n<div class=\"wp-block-columns mb-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:936px\"><link rel='stylesheet' id='vivid360-spacer-css-css' href='https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/spacer\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div style=\"background-color:transparent;--desktop-spacer:48px;--mobile-spacer:28px;--tablet-spacer:48px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"wp-block-columns mb-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:552px\"><link rel='stylesheet' id='vivid360-heading-css-css' href='https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/heading\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div class=\"vivid360-heading default-hcp-tablet-fontsize\" id=\"aacad9825-a994-41cc-8f45-0d905e3c0ba1\"><h2 class=\"has-primary-color has-text-align-center content-width fontWeightRegular\" style=\"--desktopFontSize:24px;--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:20px;--desktopLineHeightSize:36px;--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:;--tabletAlign:center;--mobileAlign:center\" id=\"\">Health care professionals like you play a critical role in achieving vaccination equity.\u00b9<\/h2><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:25px;--mobile-spacer:24px;--tablet-spacer:25px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-medium-font-size\"><strong>When it comes to certain vaccination rates, some communities continue to lag behind.<sup>2-4<\/sup><br><\/strong><\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>According to data provided by the US Department of Health and Human Services:<\/p>\n\n\n<link rel='stylesheet' id='vivid360-list-css-css' href='https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/list\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div class=\"vivid-block-list content-width  default-list block-9d5d0bb6-7def-456b-bd6c-4caf7d14c261\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-9d5d0bb6-7def-456b-bd6c-4caf7d14c261\"><ul class=\"first-level\"><li>During 2021-2022, 30% of Hispanic American adults were less likely to have received certain recommended vaccines, compared to non-Hispanic Whites.<sup>2<\/sup><\/li><li>For children up to 24 months born during 2020-2021, coverage with most childhood vaccines was lower among Black, Hispanic, and American Indian or Alaska Native children living below the federal poverty level.<sup>5,6,a<\/sup><\/li><\/ul><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:0px;--mobile-spacer:40px;--tablet-spacer:0px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top has-background is-layout-flow wp-block-column-is-layout-flow\" style=\"background-color:#f5fafd\">\n<div class=\"wp-block-columns is-not-stacked-on-mobile mb-0 mt-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"column-wrapper _dc68ff8c-315a-4395-8033-e7e1ef18ed3b is-layout-flow wp-block-column-is-layout-flow\"><style>\n\t\t\t\t@media (min-width: 1024px) {\n\t\t\t\t\t.column-wrapper {\n\t\t\t\t\t\tdisplay: contents;\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t\t@media (max-width: 1024px) {\n\t\t\t\t\t#block-dc68ff8c-315a-4395-8033-e7e1ef18ed3b,\n\t\t\t\t\t._dc68ff8c-315a-4395-8033-e7e1ef18ed3b {\n\t\t\t\t\t\tdisplay: contents;\n\t\t\t\t\t\t\n\t\t\t\t\t}\n\t\t\t\t\t.wp-block-columns:not(.is-not-stacked-on-mobile)>.column-wrapper {\n\t\t\t\t\t\tflex-basis: 100% !important;\n\t\t\t\t\t}\n\t\t\t\t\t.column-wrapper .wp-block-column {\n\t\t\t\t\t\torder: inherit;\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t\t@media (max-width: 767px) {\n\t\t\t\t\t#block-dc68ff8c-315a-4395-8033-e7e1ef18ed3b,\n\t\t\t\t\t._dc68ff8c-315a-4395-8033-e7e1ef18ed3b {\n\t\t\t\t\t\tflex-basis: 41px !important;display: unset !important;\n\t\t\t\t\t\t\n\t\t\t\t\t}\n\t\t\t\t\t.column-wrapper .wp-block-column {\n\t\t\t\t\t\torder: inherit;\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t\t<\/style><div class=\"wp-block-column\" style=\"flex-basis:12px\"><\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:363px\">\n<div style=\"background-color:transparent;--desktop-spacer:54px;--mobile-spacer:50px;--tablet-spacer:54px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"vivid360-heading default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"ac251f410-dcb9-4533-a9a9-6aff4f9df752\"><h2 class=\"has-text-align-left content-width fontWeightRegular\" style=\"--desktopFontSize:24px;--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:36px;--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:;--tabletAlign:left;--mobileAlign:left\" id=\"\"><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">Now more than ever, it\u2019s critical to examine and address underlying SDOH that create challenges to vaccination access and acceptance.<sup>7<\/sup><\/mark><\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:54px;--mobile-spacer:50px;--tablet-spacer:54px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n<\/div>\n\n\n\n<div class=\"column-wrapper _634ddc5e-ecc2-4e09-8935-00da82331732 is-layout-flow wp-block-column-is-layout-flow\"><style>\n\t\t\t\t@media (min-width: 1024px) {\n\t\t\t\t\t.column-wrapper {\n\t\t\t\t\t\tdisplay: contents;\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t\t@media (max-width: 1024px) {\n\t\t\t\t\t#block-634ddc5e-ecc2-4e09-8935-00da82331732,\n\t\t\t\t\t._634ddc5e-ecc2-4e09-8935-00da82331732 {\n\t\t\t\t\t\tdisplay: contents;\n\t\t\t\t\t\t\n\t\t\t\t\t}\n\t\t\t\t\t.wp-block-columns:not(.is-not-stacked-on-mobile)>.column-wrapper {\n\t\t\t\t\t\tflex-basis: 100% !important;\n\t\t\t\t\t}\n\t\t\t\t\t.column-wrapper .wp-block-column {\n\t\t\t\t\t\torder: inherit;\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t\t@media (max-width: 767px) {\n\t\t\t\t\t#block-634ddc5e-ecc2-4e09-8935-00da82331732,\n\t\t\t\t\t._634ddc5e-ecc2-4e09-8935-00da82331732 {\n\t\t\t\t\t\tflex-basis: 41px !important;display: unset !important;\n\t\t\t\t\t\t\n\t\t\t\t\t}\n\t\t\t\t\t.column-wrapper .wp-block-column {\n\t\t\t\t\t\torder: inherit;\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t\t<\/style><div class=\"wp-block-column\" style=\"flex-basis:12px\"><\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:0px;--mobile-spacer:25px;--tablet-spacer:0px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-separator-css-css' href='https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/separator\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<hr class=\"wp-block-vivid360-separator has-text-color has-background has-medium-gray-background-color has-medium-gray-color mobileWidth\" style=\"height:2px;--mobileWidth:99%\"\/>\n\n\n\n<p class=\"has-small-font-size\"><sup>a<\/sup>The National Immunization Survey-Child (NIS-Child) uses random-digit-dialing to identify US households with children ages 19-35 months. A telephone survey is conducted with the parent or guardian who is most knowledgeable about the child\u2019s immunization history, and consent is requested to contact the child\u2019s vaccination providers. If consent is granted, a questionnaire is mailed to all the child\u2019s vaccine providers to obtain vaccination information, which is synthesized to create the child\u2019s comprehensive vaccination history. Data were collected for 28,688 children.<sup>5<\/sup><\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:85px;--mobile-spacer:48px;--tablet-spacer:85px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"abb13ea87-7e3e-49b1-b381-a73291c7a3b3\"><h2 class=\"has-primary-color content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\">The non-medical factors that influence health outcomes<\/h2><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:8px;--mobile-spacer:24px;--tablet-spacer:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<p>SDOH are the conditions in which people are born, grow, work, live, worship, and age, and the wider set of forces and systems shaping the circumstances of daily life.<sup>8<\/sup><br><br><\/p>\n\n\n\n<p>Acting at the individual, community, and systemic levels, SDOH can contribute to a wide range of health inequities and disparities for your patients.<sup>9,10<\/sup><br><br><\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:16px;--mobile-spacer:8px;--tablet-spacer:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<p><strong>Examples of SDOH<sup>10<\/sup>:<\/strong><\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:0px;--mobile-spacer:16px;--tablet-spacer:0px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"vivid-block-list content-width  default-list block-843e9f26-eafd-4212-80f7-9ca7dea6c63f\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-843e9f26-eafd-4212-80f7-9ca7dea6c63f\"><ul class=\"first-level\"><li>Access to nutritious foods and physical activity opportunities<\/li><li>Education, job opportunities, and income<\/li><li>Language and literacy skills<\/li><li>Polluted air and water<\/li><li>Discrimination and violence<\/li><li>Safe housing, transportation, and neighborhoods<\/li><\/ul><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:60px;--mobile-spacer:24px;--tablet-spacer:60px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\"><link rel='stylesheet' id='vivid360-image-css-css' href='https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/image\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div class=\"wp-block-vivid360-image img-container mr-0 ml-0\"><figure class=\"wp-block-vivid360-image is-style-default size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2023\/10\/CAT_SDoH_Domains_Chart_C_V2-2.svg\" alt=\"Social Determinants of Health\" class=\"wp-image-2098  style-noshadow deskHeightAuto deskWidthAuto \" width=\"158\" height=\"150\" style=\"height:150px;width:158px\" srcset=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/\/2023\/10\/CAT_SDoH_Domains_Chart_C_V2-2.svg 843w, https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/\/2023\/10\/CAT_SDoH_Domains_Chart_C_V2-2.svg?resize=300,285 300w, https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/\/2023\/10\/CAT_SDoH_Domains_Chart_C_V2-2.svg?resize=768,731 768w\" sizes=\"auto, (max-width: 158px) 100vw, 158px\" \/><figcaption class=\"caption-align-center\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\"> SDOH Domains<sup>10<\/sup><\/mark><\/strong><\/figcaption><\/figure><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:407px\"><link rel='stylesheet' id='vivid360-card-css-css' href='https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/card\/css\/style.min.css?ver=1773241827' media='all' \/>\n\n<div id=\"\" class=\"wp-block-vivid360-card aeb544de2-f97d-4067-933e-aab3bd9b1781 vivid360-block-card has-text-align-left hasBoxShadow card-horizontal has-white-color has-primary-border-color has-white-background-color full-page-width\" style=\"border-width:1px;border-style:;border-radius:5px\"><div class=\"card-media align-center\"><i role=\"img\" aria-label=\"\" aria-hidden=\"true\" class=\"icon-external-link has-white-color has-primary-background-color\"><\/i><\/div><div class=\"card-content\"><div class=\"card-content-wrap\"><h3 class=\"card-header fontWeightRegular\"><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">Learn more about SDOH<\/mark><\/h3><div class=\"card-desc has-regular-font-size\">\n<p><\/p>\n\n\n\n<div class=\"wp-block-vivid360-button-parent btn-block-container content-width button-justify-left\"><link rel='stylesheet' id='vivid360-button-block-css-css' href='https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/button\/css\/style.min.css?ver=1766071753' media='all' \/>\n<link rel='stylesheet' id='vivid360-button-parent-block-css-css' href='https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/button-parent\/css\/style.min.css?ver=6.8.5' media='all' \/>\n\n<div class=\"vivid360-button-block fullWidth-mobile\"><a class=\"btn primary primary-regular has-icon icon-right  #leave-site-modal\" role=\"button\" style=\"font-size:14px;letter-spacing:0.86px;border-radius:4px;border-style:solid;justify-content:space-between;text-align:left;width:100%\" href=\"#leave-site-modal\" title=\"VISIT HEALTH.GOV\" target=\"_self\" rel=\"#leave-site-modal\" data-design-category=\"button\" data-design-label=\"VISIT HEALTH.GOV\" data-design-module=\"element\" data-event-name=\"element_click\">VISIT HEALTH.GOV<span role=\"img\" aria-label=\"icon-arrow-right\" class=\"icon-arrow-right\"><\/span><\/a><\/div>\n<\/div>\n<\/div><\/div><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:56px;--mobile-spacer:0px;--tablet-spacer:56px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n<\/div>\n\n\n\n<div id=\"\" class=\"wp-block-vivid360-hero\"><div class=\"vivid360-hero-container align-center align-middle ratio-50-50 horizontal mobile text-align-center has-white-color has-primary-background-color is-split-style split-image-right mobile-is-split-style mobile-split-image-top mobile-uses-custom-styles\" style=\"border-width:0;border-style:solid;border-top-left-radius:0;border-top-right-radius:0;border-bottom-right-radius:0;border-bottom-left-radius:0\"><div class=\"wide_screens hidden\" data-value=\"default\"><\/div><picture><source media=\"(max-width: 767px)\" srcset=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2023\/08\/CAT_Pediatrician_Doctor_Check_Up_Baby_CC.webp?w=767\"\/><source media=\"(min-width: 768px) and (max-width: 1024px)\" srcset=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2023\/08\/CAT_Pediatrician_Doctor_Check_Up_Baby_CC.webp?w=1024\"\/><source media=\"(min-width: 1025px) and (max-width:1440px)\" srcset=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2023\/08\/CAT_Pediatrician_Doctor_Check_Up_Baby_CC.webp?w=1440\"\/><img decoding=\"async\" width=\"1136\" height=\"656\" loading=\"lazy\" data-src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2023\/08\/CAT_Pediatrician_Doctor_Check_Up_Baby_CC.webp?w=1600\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2023\/08\/CAT_Pediatrician_Doctor_Check_Up_Baby_CC.webp?w=1600\" alt=\"\" class=\"hero-image\" style=\"--desktop-focal-x:50%;--desktop-focal-y:50%;--mobile-focal-x:50%;--mobile-focal-y:50%;--tablet-focal-x:50%;--tablet-focal-y:50%\"\/><div class=\"capoverlay-container-mobile right-bottom show    label\" style=\"--top-margin:;--bottom-margin:;--left-margin:;--right-margin:\"><div class=\"overlay-caption-schema\">Actor Portrayal<\/div><\/div><\/picture><div class=\"hero-wrapper\"><div class=\"hero-content\"><h2 style=\"--headlineFontSize:30px;--headlineFontSizeTablet:24px;--headlineFontSizeMobile:24px;--headlineLineHeight:45px;--headlineLineHeightTablet:36px;--headlineLineHeightMobile:30px\" class=\"hero-title fontWeightRegular\">You can make a difference<\/h2><p class=\"hero-description\"><\/p><div class=\"hero-btn-group\"><\/div><div class=\"hero-caption\"><\/div><\/div><\/div><\/div><div class=\"hero-caption-2mobile\"><\/div><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:936px\">\n<div style=\"background-color:transparent;--desktop-spacer:90px;--mobile-spacer:48px;--tablet-spacer:90px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-top is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top has-background is-layout-flow wp-block-column-is-layout-flow\" style=\"background-color:#f5fafd\">\n<div class=\"wp-block-columns is-not-stacked-on-mobile mb-0 mt-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"column-wrapper _72cf4486-c87b-4083-a722-a5a40b842326 is-layout-flow wp-block-column-is-layout-flow\"><style>\n\t\t\t\t@media (min-width: 1024px) {\n\t\t\t\t\t.column-wrapper {\n\t\t\t\t\t\tdisplay: contents;\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t\t@media (max-width: 1024px) {\n\t\t\t\t\t#block-72cf4486-c87b-4083-a722-a5a40b842326,\n\t\t\t\t\t._72cf4486-c87b-4083-a722-a5a40b842326 {\n\t\t\t\t\t\tdisplay: contents;\n\t\t\t\t\t\t\n\t\t\t\t\t}\n\t\t\t\t\t.wp-block-columns:not(.is-not-stacked-on-mobile)>.column-wrapper {\n\t\t\t\t\t\tflex-basis: 100% !important;\n\t\t\t\t\t}\n\t\t\t\t\t.column-wrapper .wp-block-column {\n\t\t\t\t\t\torder: inherit;\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t\t@media (max-width: 767px) {\n\t\t\t\t\t#block-72cf4486-c87b-4083-a722-a5a40b842326,\n\t\t\t\t\t._72cf4486-c87b-4083-a722-a5a40b842326 {\n\t\t\t\t\t\tflex-basis: 17px !important;display: unset !important;\n\t\t\t\t\t\t\n\t\t\t\t\t}\n\t\t\t\t\t.column-wrapper .wp-block-column {\n\t\t\t\t\t\torder: inherit;\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t\t<\/style><div class=\"wp-block-column mb-0 mt-0\" style=\"flex-basis:12px\"><\/div><\/div>\n\n\n\n<div class=\"wp-block-column mb-0 mt-0 is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:363px\">\n<div style=\"background-color:transparent;--desktop-spacer:73px;--mobile-spacer:40px;--tablet-spacer:73px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a2cb8855e-80cc-4eef-a648-91cbc74d1f2a\"><h3 class=\"has-primary-color has-text-align-left content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:;--tabletAlign:left;--mobileAlign:left\" id=\"\">Outside of clinical care, SDOH are estimated to account for up to 80% of the modifiable contributors to healthy outcomes for a population.<sup>8,11,b<\/sup><\/h3><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:73px;--mobile-spacer:40px;--tablet-spacer:73px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n<\/div>\n\n\n\n<div class=\"column-wrapper _df9a0aba-43af-4b4f-a26c-1ef672a07c98 is-layout-flow wp-block-column-is-layout-flow\"><style>\n\t\t\t\t@media (min-width: 1024px) {\n\t\t\t\t\t.column-wrapper {\n\t\t\t\t\t\tdisplay: contents;\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t\t@media (max-width: 1024px) {\n\t\t\t\t\t#block-df9a0aba-43af-4b4f-a26c-1ef672a07c98,\n\t\t\t\t\t._df9a0aba-43af-4b4f-a26c-1ef672a07c98 {\n\t\t\t\t\t\tdisplay: contents;\n\t\t\t\t\t\t\n\t\t\t\t\t}\n\t\t\t\t\t.wp-block-columns:not(.is-not-stacked-on-mobile)>.column-wrapper {\n\t\t\t\t\t\tflex-basis: 100% !important;\n\t\t\t\t\t}\n\t\t\t\t\t.column-wrapper .wp-block-column {\n\t\t\t\t\t\torder: inherit;\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t\t@media (max-width: 767px) {\n\t\t\t\t\t#block-df9a0aba-43af-4b4f-a26c-1ef672a07c98,\n\t\t\t\t\t._df9a0aba-43af-4b4f-a26c-1ef672a07c98 {\n\t\t\t\t\t\tflex-basis: 17px !important;display: unset !important;\n\t\t\t\t\t\t\n\t\t\t\t\t}\n\t\t\t\t\t.column-wrapper .wp-block-column {\n\t\t\t\t\t\torder: inherit;\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t\t<\/style><div class=\"wp-block-column\" style=\"flex-basis:12px\"><\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-columns mb-0 mt-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column mb-0 mt-0 is-layout-flow wp-block-column-is-layout-flow\">\n<div style=\"background-color:transparent;--desktop-spacer:0px;--mobile-spacer:20px;--tablet-spacer:0px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<p><strong>Learn more about the impact of SDOH and how this information can help you address vaccination gaps in your practice<\/strong>:<\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:8px;--mobile-spacer:8px;--tablet-spacer:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"vivid-block-list content-width  default-list block-8170dc0f-6606-4962-a8ae-09ac7dc39e38\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-8170dc0f-6606-4962-a8ae-09ac7dc39e38\"><ul class=\"first-level\"><li>Take time to identify and understand examples of disparities in vaccination rates among both the <a href=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/vaccination-program-tools\/understanding-disparities\/sdoh-children\/\">pediatric<\/a> and <a href=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/vaccination-program-tools\/understanding-disparities\/sdoh-adults\/\">adult<\/a> populations within your state.<\/li><li>Discover <a href=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/vaccination-program-tools\/understanding-disparities\/sdoh-vaccine-hesitancy\/\">how SDOH influence<\/a> parental decisions about vaccination.<\/li><li><a href=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/vaccination-program-tools\/understanding-disparities\/sdoh-hcps\/\">Learn about tailored interventions<\/a> that address barriers to vaccination.<\/li><\/ul><\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:70px;--mobile-spacer:45px;--tablet-spacer:70px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div id=\"\" class=\"wp-block-vivid360-card a2bb19030-6768-456d-ae2c-6f4672526d37 vivid360-block-card has-text-align-left hasBoxShadow card-horizontal has-primary-color has-primary-border-color has-white-background-color full-page-width padding-left-right15\" style=\"border-width:1px;border-style:solid;border-radius:5px\"><div class=\"card-media \"><i role=\"img\" aria-label=\"\" aria-hidden=\"true\" class=\"icon-heart-outline has-white-color has-primary-background-color\"><\/i><\/div><div class=\"card-content\"><div class=\"card-content-wrap\"><h4 class=\"card-header fontWeightRegular\"><strong>More ways to help<\/strong><\/h4><p class=\"card-link entire-card left\"><a class=\"\" href=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/vaccination-program-tools\/understanding-disparities\/sdoh-hcps\/\" role=\"button\" style=\"border-radius:4px\" title=\"More ways to help\" target=\"_self\" rel=\"noopener\" data-design-category=\"link\" data-design-label=\"More ways to help\" data-design-module=\"element\">More ways to help<\/a><\/p><\/div><div class=\"has-primary-color\"><div class=\"card-icon-right\"><i role=\"link\" aria-label=\"\" aria-hidden=\"true\" class=\"icon-arrow-right\"><\/i><\/div><\/div><\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:80px;--mobile-spacer:18px;--tablet-spacer:80px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<hr class=\"wp-block-vivid360-separator has-text-color has-background has-medium-gray-background-color has-medium-gray-color mobileWidth\" style=\"height:2px;--mobileWidth:99%\"\/>\n\n\n\n<p class=\"has-small-font-size\"><sup>b<\/sup>The County Health Rankings (CHR) model developed by the University of Wisconsin Population Health Institute in collaboration with the Robert Wood Johnson Foundation, delineates the underlying modifiable determinants of health and groups them into four main categories (with associated weights): healthy behaviors (30%), physical environment (10%), social and economic factors (40%), and clinical care (20%).<sup>11<\/sup><\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:96px;--mobile-spacer:88px;--tablet-spacer:96px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<hr class=\"wp-block-vivid360-separator has-text-color has-background has-black-background-color has-black-color mobileWidth\" style=\"height:1px;--mobileWidth:99%\"\/>\n\n\n\n<div class=\"vivid360-heading\" id=\"a153cc788-3436-4b1d-8a6a-f9a24e4e3f74\"><h3 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:16px;--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:16px;--desktopLineHeightSize:24px;--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>References<\/strong><\/h3><\/div>\n\n\n<link rel='stylesheet' id='vivid360-list-parent-css-css' href='https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/list-parent\/css\/style.css?ver=1766071753' media='all' \/>\n\n<div class=\"vivid-block-list2 content-width  \">\n<ol style=\"--listBulletColor:#333\" class=\"list-bullet-color\">\n<li class=\"has-small-font-size\">Centers for Disease Control and Prevention. Talking with parents about vaccines. Reviewed August 9, 2024. Accessed November 1, 2024. https:\/\/www.cdc.gov\/vaccines-children\/hcp\/conversation-tips\/index.html<\/li>\n\n\n\n<li class=\"has-small-font-size\">US Department of Health and Human Services Office of Minority Health. Immunizations and Hispanic\/Latino Americans. Last reviewed October 2025. Accessed October 7, 2025. https:\/\/minorityhealth.hhs.gov\/immunizations-and-hispaniclatino-americans<\/li>\n\n\n\n<li class=\"has-small-font-size\">US Department of Health and Human Services Office of Minority Health. Immunizations and Black\/African Americans. Last reviewed February 2025. Accessed June 4, 2025. https:\/\/minorityhealth.hhs.gov\/immunizations-and-blackafrican-americans<\/li>\n\n\n\n<li class=\"has-small-font-size\">US Department of Health and Human Services Office of Minority Health. Immunizations and Asian Americans. Last reviewed June 2025. Accessed October 7, 2025. https:\/\/minorityhealth.hhs.gov\/immunizations-and-asian-americans<\/li>\n\n\n\n<li class=\"has-small-font-size\">Hill HA, Yankey D, Elam-Evans LD, et al. Decline in vaccination coverage by age 24 months and vaccination inequities among children born in 2020 and 2021 \u2014 National Immunization Survey-Child, United States, 2021-2023. MMWR Morb Mortal Wkly Rep. 2024;73(38):844-853. doi: http:\/\/dx.doi.org\/10.15585\/mmwr.mm7338a3<\/li>\n\n\n\n<li class=\"has-small-font-size\">Hill HA, Yankey D, Elam-Evans LD, et al. Decline in vaccination coverage by age 24 months and vaccination inequities among children born in 2020 and 2021 \u2014 National Immunization Survey-Child, United States, 2021-2023. Supplementary tables 1-2. <em>MMWR Morb Mortal Wkly Rep<\/em>. 2024;73(38):844-853. doi:http:\/\/dx.doi.org\/10.15585\/mmwr.mm7338a3<\/li>\n\n\n\n<li class=\"has-small-font-size\">Sangster AV, Barratt JM. Towards ending immunization inequity.&nbsp;<em>Vaccines<\/em> (Basel). 2021;9(12):1378. doi:10.3390\/vaccines9121378<\/li>\n\n\n\n<li class=\"has-small-font-size\">Centers for Disease Control and Prevention. Social determinants of health (SDOH). Published January 17, 2024. Accessed June 4, 2025. https:\/\/www.cdc.gov\/about\/priorities\/why-is-addressing-sdoh-important.html<\/li>\n\n\n\n<li class=\"has-small-font-size\">American Hospital Association. Societal factors that influence health. Accessed June 4, 2025. https:\/\/www.aha.org\/societal-factors-influence-health-framework-hospitals<\/li>\n\n\n\n<li class=\"has-small-font-size\">Healthy People 2030. Social determinants of health. Accessed June 4, 2025. https:\/\/health.gov\/healthypeople\/priority-areas\/social-determinants-health<\/li>\n\n\n\n<li class=\"has-small-font-size\">Hood, CM, Gennuso KP, Swain GR, Catlin BB. County health rankings: relationships between determinant factors and health outcomes.&nbsp;<em>Am J Prev Med<\/em>.&nbsp;2016;50(2):129-135. doi:10.1016\/j.amepre.2015.08.024<\/li>\n<\/ol>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:56px;--mobile-spacer:48px;--tablet-spacer:56px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n<\/div>\n\n\n<link rel='stylesheet' id='vivid360-modal-css-css' href='https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/modal\/css\/style.min.css?ver=1770643873' media='all' \/>\n\n<div class=\"wp-block-vivid360-modal\"><div><div class=\"vivid360-modal-block-container is-style-passive-modal-two-btn\"><div class=\"vivid360-modal-trigger-container\"><span id=\"inlineTrigger\" role=\"link\" data-design-module=\"modal\" data-design-category=\"link\" class=\"vivid360-modal-trigger vivid360-modal-trigger-hide\">leave-site-modal<\/span><\/div><div class=\"vivid360-modal-container null\"><div class=\"vivid360-modal\"><div class=\"vivid360-modal-content-area\"><a class=\"vivid360-modal-close-modal-span\" role=\"button\" aria-label=\"modal popup close\"><i class=\"icon-close\"><\/i><\/a><div class=\"modal-flex-container\"><div class=\"vivid360-modal-label-container  title-left\" style=\"--titleColor:#00857c\"><h2><strong>By clicking on this link, you will be leaving this site.<\/strong><\/h2><\/div><div class=\"vivid360-modal-content-container has-regular-font-size\">\n<p>This link will take you to a site outside of Merck &amp; Co., Inc.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p>Merck does not review or control the content of any <span class=\"no-wrap-text\">non-Merck<\/span> site. Merck does not endorse and is not responsible for the accuracy, content, practices, or standards of any <span class=\"no-wrap-text\">non-Merck<\/span> site.<\/p>\n<\/div><div class=\"vivid360-modal-button-container desktop-container\"><div class=\"vivid360-button-block\"><a class=\"btn secondary secondary-regular btn-confirm  vivid360-modal-dismiss-button\" role=\"button\" style=\"font-size:14px;border-style:solid;border-color:#00857c;color:#00857c\" href=\"#!\" title=\"Cancel\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Cancel\" data-design-module=\"element\">Cancel<\/a><\/div><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-dismissive  vivid360-modal-action-button\" role=\"button\" style=\"font-size:14px;border-style:solid;border-color:#00857c;background-color:#00857c\" href=\"https:\/\/odphp.health.gov\/healthypeople\/priority-areas\/social-determinants-health\" title=\"Proceed\" target=\"_blank\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Proceed\" data-design-module=\"element\">Proceed<\/a><\/div><\/div><\/div><\/div><div class=\"vivid360-modal-button-container mobile-container \"><div class=\"vivid360-button-block\"><a class=\"btn secondary secondary-regular btn-confirm  vivid360-modal-dismiss-button\" role=\"button\" style=\"font-size:14px;border-style:solid;border-color:#00857c;color:#00857c\" href=\"#!\" title=\"Cancel\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Cancel\" data-design-module=\"element\">Cancel<\/a><\/div><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-dismissive  vivid360-modal-action-button\" role=\"button\" style=\"font-size:14px;border-style:solid;border-color:#00857c;background-color:#00857c\" href=\"https:\/\/odphp.health.gov\/healthypeople\/priority-areas\/social-determinants-health\" title=\"Proceed\" target=\"_blank\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Proceed\" data-design-module=\"element\">Proceed<\/a><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>When it comes to certain vaccination rates, some communities continue to lag behind.2-4 According to data provided by the US Department of&#8230;<\/p>\n","protected":false},"author":699,"featured_media":0,"parent":11,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_trash_the_other_posts":false,"editor_notices":[],"footnotes":""},"ga4_page_audience":[],"ga4_page_birn_id":[],"ga4_page_branding":[225],"ga4_page_businessunit":[231],"ga4_page_campaign":[],"ga4_page_content_purpose":[246],"ga4_page_customer_journey_stage":[282],"ga4_page_customer_specialty":[326],"ga4_page_experience":[],"ga4_page_indication":[],"ga4_page_material_intent":[435],"ga4_page_product":[533],"ga4_page_region":[662],"ga4_page_therapeuticarea":[707],"class_list":["post-179","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Understanding Social Determinants of Health (SDOH) and Vaccination Disparities<\/title>\n<meta name=\"description\" content=\"Now more than ever, 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