{"id":192,"date":"2023-08-22T20:05:47","date_gmt":"2023-08-22T20:05:47","guid":{"rendered":"https:\/\/www.merckvaccines.com\/tools-and-resources\/?page_id=192"},"modified":"2025-11-27T15:03:39","modified_gmt":"2025-11-27T15:03:39","slug":"sdoh-adults","status":"publish","type":"page","link":"https:\/\/www.merckvaccines.com\/tools-and-resources\/vaccination-program-tools\/understanding-disparities\/sdoh-adults\/","title":{"rendered":"SDOH &#038; adults"},"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=1765535927' 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=1765535927' media='all' \/>\n\n<div id=\"\" class=\"wp-block-vivid360-hero\"><div class=\"vivid360-hero-container align-left align-top ratio-30-70 horizontal desktop text-align-left is-default-style mobile-is-default-style 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:186px;--mobileMinHeight:292px\"><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_SDOH_AdultHdr.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\/09\/CAT_SDOH_AdultHdr.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\/09\/CAT_SDOH_AdultHdr.webp?w=1440\"\/><img decoding=\"async\" width=\"2270\" height=\"460\" loading=\"lazy\" data-src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2023\/09\/CAT_SDOH_AdultHdr.webp?w=1536\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2023\/09\/CAT_SDOH_AdultHdr.webp?w=1536\" alt=\"\" class=\"hero-image\" style=\"--desktop-focal-x:64%;--desktop-focal-y:50%;--mobile-focal-x:50%;--mobile-focal-y:54%;--tablet-focal-x:64%;--tablet-focal-y:50%\"\/><div class=\"capoverlay-container-desktop right-bottom show custom_margin   label\" style=\"--top-margin:;--bottom-margin:;--left-margin:;--right-margin:10px\"><div class=\"overlay-caption-schema\">Actor Portrayal<\/div><\/div><\/picture><div class=\"hero-wrapper\"><div class=\"hero-content\"><h2 style=\"--headlineFontSize:30;--headlineFontSizeTablet:24px;--headlineFontSizeMobile:22;--headlineLineHeight:45px;--headlineLineHeightTablet:36px;--headlineLineHeightMobile:33px\" class=\"hero-title fontWeightRegular\"><\/h2><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 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=1765535928' media='all' \/>\n\n<div style=\"background-color:transparent;--desktop-spacer:30px;--mobile-spacer:0px;--tablet-spacer:30px\" 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:744px\"><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=1765535927' media='all' \/>\n\n<div class=\"vivid360-heading default-hcp-tablet-fontsize\" id=\"afe831d16-9915-4109-a6c1-465bb5e302a9\"><h1 class=\"has-primary-color has-text-align-center content-width fontWeightRegular mb-0\" style=\"--desktopFontSize:30px;--tabletFontSize:var(--h1FontSizeDesktop);--mobileFontSize:30px;--desktopLineHeightSize:45px;--tabletLineHeightSize:var(--h1LineHeightDesktop);--mobileLineHeightSize:;--tabletAlign:center;--mobileAlign:center\" id=\"\">Impacting the vaccination gap<\/h1><\/div>\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=\"vivid360-heading\" id=\"af3d70c4d-cc69-4335-8f3e-5115ddf92940\"><h2 class=\"has-text-align-center content-width fontWeightRegular\" style=\"--desktopFontSize:24px;--tabletFontSize:24px;--mobileFontSize:24px;--desktopLineHeightSize:36px;--tabletLineHeightSize:36px;--mobileLineHeightSize:;--tabletAlign:center;--mobileAlign:center\" id=\"\">Social determinants of health drive disparities in vaccination uptake within the adult population.<sup>1<\/sup><\/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:50px;--mobile-spacer:38px;--tablet-spacer:50px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a7e2baa4d-92c4-43a1-a4fc-97f741a4d6ff\"><h3 class=\"has-primary-color content-width fontWeightRegular mb-0\" style=\"--desktopFontSize:20px;--tabletFontSize:20px;--mobileFontSize:20px;--desktopLineHeightSize:30px;--tabletLineHeightSize:30px;--mobileLineHeightSize:\" id=\"\"><strong>Impact of SDOH on Adult Influenza Vaccination Uptake<sup>1<\/sup><\/strong><\/h3><\/div>\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 class=\"has-medium-font-size\">Households with limited income, education, and health care access demonstrate lower rates of vaccine coverage.<sup>1<\/sup><\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:48px;--mobile-spacer:10px;--tablet-spacer:48px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>Influenza Vaccination Coverage Among Adults (N=279,590) BRFSS Survey, 2019<sup>1,a<\/sup><\/strong>:<\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:20px;--mobile-spacer:20px;--tablet-spacer:20px\" 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-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<div style=\"background-color:transparent;--desktop-spacer:2px;--mobile-spacer:2px;--tablet-spacer:2px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<p class=\"has-text-align-left has-medium-font-size\"><strong>Household Income<\/strong><\/p>\n\n\n<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=1765535927' media='all' \/>\n\n<div class=\"wp-block-vivid360-image img-container ml-0 mr-0\"><figure class=\"wp-block-vivid360-image is-style-default has-mobile-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"260\" height=\"313\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2024\/01\/CAT_SDoH_AdultBar_L.svg\" alt=\"Household Income of Adults with Vaccination Coverage\" class=\"wp-image-3867  style-noshadow deskHeightAuto deskWidthAuto \" style=\"height:150px;width:125px\" srcset=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/\/2024\/01\/CAT_SDoH_AdultBar_L.svg 260w, https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/\/2024\/01\/CAT_SDoH_AdultBar_L.svg?resize=249,300 249w\" sizes=\"auto, (max-width: 260px) 100vw, 260px\" \/><img decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2024\/01\/CAT_SDoH_AdultBar_L-2.svg\" alt=\"Household Income of Adults with Vaccination Coverage\" class=\"wp-image-3870  style-noshadow mobile-image mobHeightAuto mobWidthAuto \" width=\"260.7\" height=\"267.7\" title=\"\" style=\"height:267.7px;width:260.7px\"\/><\/figure><\/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\" style=\"flex-basis:33.33%\">\n<div style=\"background-color:transparent;--desktop-spacer:2px;--mobile-spacer:32px;--tablet-spacer:2px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<p class=\"has-text-align-left has-medium-font-size\"><strong>Educational Status<\/strong><\/p>\n\n\n\n<div class=\"wp-block-vivid360-image img-container ml-0 mr-0\"><figure class=\"wp-block-vivid360-image is-style-default has-mobile-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"626\" height=\"763\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2025\/07\/Images-1.png?w=626\" alt=\"Educational Status of Adults with Influenza Vaccination\" class=\"wp-image-5966  style-noshadow deskHeightAuto deskWidthAuto \" style=\"height:763px;width:626px\" srcset=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2025\/07\/Images-1.png 626w, https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2025\/07\/Images-1.png?resize=246,300 246w\" sizes=\"auto, (max-width: 626px) 100vw, 626px\" \/><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2025\/07\/Images-1.png\" alt=\"Educational Status of Adults with Influenza Vaccination\" class=\"wp-image-5966  style-noshadow mobile-image mobHeightAuto mobWidthAuto \" width=\"626\" height=\"763\" title=\"\" style=\"height:763px;width:626px\" srcset=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2025\/07\/Images-1.png 626w, https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2025\/07\/Images-1.png?resize=246,300 246w\" sizes=\"auto, (max-width: 626px) 100vw, 626px\" \/><\/figure><\/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\" style=\"flex-basis:33.33%\">\n<div style=\"background-color:transparent;--desktop-spacer:2px;--mobile-spacer:32px;--tablet-spacer:2px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<p class=\"has-text-align-left has-medium-font-size\"><strong>Health Care Access Factors<\/strong><\/p>\n\n\n\n<div class=\"wp-block-vivid360-image\"><div class=\"img-container ml-0 mr-0\"><figure class=\"wp-block-vivid360-image is-style-default has-mobile-image alignleft size-large\"><img decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2025\/07\/2xpng_CAT_SDoH_AdultBar_R_Updated.png\" alt=\"Health Care Access Factors for Adults\" class=\"wp-image-7573  style-noshadow deskHeightAuto deskWidthAuto \" style=\"height:626px;width:522px\"\/><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2025\/07\/2xpng_CAT_SDoH_AdultBar_R_Updated.png\" alt=\"Health Care Access Factors for Adults\" class=\"wp-image-7573  style-noshadow mobile-image mobHeightAuto mobWidthAuto \" width=\"522\" height=\"626\" title=\"\" style=\"height:626px;width:522px\"\/><\/figure><\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:0px;--mobile-spacer:50px;--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=1765535928' 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>BRFSS is a state-based random digit-dialed telephone survey conducted by the CDC among US adults aged \u226518 years which inquires about health conditions and behaviors.<sup>1<\/sup><\/p>\n\n\n\n<p class=\"has-small-font-size\">BRFSS, Behavioral Risk Factor Surveillance System; CDC, Centers for Disease Control and Prevention; Grad, graduate; SDOH, social determinants of health.<\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:64px;--mobile-spacer:80px;--tablet-spacer:64px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a4184bcd8-91c4-4f7f-aa4c-965f802330ee\"><h3 class=\"has-primary-color content-width fontWeightRegular\" style=\"--desktopFontSize:20px;--tabletFontSize:20px;--mobileFontSize:20px;--desktopLineHeightSize:30px;--tabletLineHeightSize:30px;--mobileLineHeightSize:\" id=\"\">Lower influenza vaccination uptake is also exhibited among specific racial and ethnic groups.<sup>2<\/sup><\/h3><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:0px;--mobile-spacer:24px;--tablet-spacer:0px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<p class=\"has-regular-font-size\">During the 2023-2024 flu season, 42.1% of Black (non-Hispanic) and 34.6% of Hispanic adults aged 18 years or older were vaccinated compared to 49.1% of non-Hispanic White adults.<sup>2<\/sup><\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:32px;--mobile-spacer:64px;--tablet-spacer:32px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a2928eb09-2afa-437c-a99f-7c5618a2cf78\"><h4 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:20px;--tabletFontSize:20px;--mobileFontSize:18px;--desktopLineHeightSize:30px;--tabletLineHeightSize:30px;--mobileLineHeightSize:\" id=\"\"><strong>Flu Vaccination Coverage by Racial\/Ethnic Group, Adults 18 Years and Older, United States 2010-2024<sup>2<\/sup><\/strong><\/h4><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:0px;--tablet-spacer:0px;--mobile-spacer:0px;height:0px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"wp-block-vivid360-image img-container ml-0 mr-0\"><figure class=\"wp-block-vivid360-image is-style-default has-mobile-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1023\" height=\"606\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2025\/07\/Row.png?w=1023\" alt=\"\" class=\"wp-image-5970  style-noshadow deskHeightAuto  \" style=\"height:606px;width:1023px\" srcset=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2025\/07\/Row.png 1023w, https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2025\/07\/Row.png?resize=300,178 300w, https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2025\/07\/Row.png?resize=768,455 768w\" sizes=\"auto, (max-width: 1023px) 100vw, 1023px\" \/><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2025\/07\/Row.png\" alt=\"Influenza Vaccination Coverage for Adults by Racial\/Ethnic Group\" class=\"wp-image-5970  style-noshadow mobile-image mobHeightAuto mobWidthAuto \" width=\"385\" height=\"262\" title=\"\" style=\"height:262px;width:385px\"\/><\/figure><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:15px;--mobile-spacer:4px;--tablet-spacer:15px\" 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:1px;--mobileWidth:99%\"\/>\n\n\n\n<p class=\"has-small-font-size\">Data source: Behavioral Risk Factor Surveillance System (BRFSS).<\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:80px;--mobile-spacer:80px;--tablet-spacer:80px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n\n<div class=\"wp-block-columns has-background is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\" style=\"background-color:#f5fafd\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div style=\"background-color:transparent;height:32px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-32\"><\/div>\n\n\n\n<div class=\"wp-block-vivid360-image\"><div class=\"img-container \"><figure class=\"wp-block-vivid360-image is-style-default aligncenter size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/tools-and-resources\/wp-content\/uploads\/sites\/97\/2023\/08\/CAT_Icon_US_Map_MagnifyChart.svg\" alt=\"\" class=\"wp-image-811  style-noshadow  deskWidthAuto \" height=\"150\" style=\"height:150px;width:162px\"\/><\/figure><\/div><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a95ecb828-5ff7-4f37-999f-0d9cfe7a3c20\"><h2 class=\"has-primary-color has-text-align-center content-width fontWeightRegular\" style=\"--desktopFontSize:24px;--tabletFontSize:24px;--mobileFontSize:20px;--desktopLineHeightSize:36px;--tabletLineHeightSize:36px;--mobileLineHeightSize:;--tabletAlign:center;--mobileAlign:center\" id=\"\">See how your state measures up.<\/h2><\/div>\n\n\n\n<div class=\"wp-block-vivid360-button-parent btn-block-container content-width button-justify-center\"><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=1765535927' 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=\"ADULTVAXVIEW (CDC)\" target=\"_blank\" rel=\"#leave-site-modal\" data-design-category=\"button\" data-design-label=\"ADULTVAXVIEW (CDC)\" data-design-module=\"element\" data-event-name=\"element_click\">ADULTVAXVIEW (CDC)<span role=\"img\" aria-label=\"icon-arrow-right\" class=\"icon-arrow-right\"><\/span><\/a><\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;height:32px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-32\"><\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:88px;--mobile-spacer:96px;--tablet-spacer:88px\" 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=\"a5e4142d7-c3e2-496d-a3c1-686848ffc2bb\"><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\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/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=1765535927' 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\">Brewer LI, Ommerborn MJ, Nguyen AL, Clark CR. Structural inequities in seasonal influenza vaccination rates. <em>BMC Public Health<\/em>. 2021;21:1166. doi:10.1186\/s12889-021-11179-9<\/li>\n\n\n\n<li class=\"has-small-font-size\">Centers for Disease Control and Prevention. Flu vaccination coverage, United States, 2023\u201324 influenza season. Published September 20, 2024. Accessed June 4, 2025. https:\/\/www.cdc.gov\/fluvaxview\/coverage-by-season\/2023-2024.html<\/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\n<p><\/p>\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=1769466497' 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:\/\/www.cdc.gov\/adultvaxview\/about\/general-population.html\" 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:\/\/www.cdc.gov\/adultvaxview\/about\/general-population.html\" 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>Households with limited income, education, and health care access demonstrate lower rates of vaccine coverage.1 Influenza Vaccination Coverage Among Adults (N=279,590) BRFSS&#8230;<\/p>\n","protected":false},"author":699,"featured_media":0,"parent":179,"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-192","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Social Determinants of Health (SDOH) and Adults<\/title>\n<meta name=\"description\" content=\"Social Determinants of Health can lead to 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