Increasing Vaccine Confidence in Rural Communities of South-Central Kentucky

Resources for community leaders and healthcare professionals to increase vaccine confidence and provide infectious respiratory disease education in rural communities of south-central Kentucky.

Rural Health & Infectious Respiratory Disease

Living in a rural community brings many benefits—access to nature, privacy, a strong sense of community, and more. However, rural communities often experience a higher burden from many diseases, including chronic lung disease, like COPD, and cancer. Adults having one or more of these medical conditions are at increased risk for severe illness, complications, hospitalization and death from respiratory viruses like the flu, COVID-19 and RSV. Rural communities are also less likely to receive recommended vaccinations to help protect themselves and their families from serious illness1

The information and resources on this webpage are designed to help community leaders have meaningful conversations with rural community members about the importance of vaccinations.

Addressing Health Equity

The Office of Disease Prevention and Health Promotion’s Healthy People 2030 initiative is the nation’s 10-year plan for addressing critical public health priorities. One of Healthy People 2030’s overarching goals is to “eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all.” Learn more about how Healthy People 2030 plans to achieve health equity.

What is health equity?

Health equity is the opportunity for everyone to reach their full health potential, regardless of their social, economic or environmental circumstances.

What is a health disparity?

A health disparity is a type of health difference that is closely linked with social, economic, or environmental disadvantages. Health disparities affect populations who have systematically experienced greater obstacles to their health, such as rural communities. Rural communities experience several health disparities compared to their urban counterparts such as higher rates of chronic illness and lower vaccination rates. This is due to numerous factors including limited access to healthcare and physician shortages.

Vaccine Confidence and Rural Kentucky

Vaccine confidence is the belief that vaccines work, are safe and are part of a trustworthy medical system. The decision to get vaccinated is influenced by many factors including cultural, social, individual, community, political and other factors.

Vaccination data in the state of Kentucky show that:

40.1% of everyone aged 6 months and older received a flu vaccine during the 2022-2023 virus season.
11.6% of adults aged 60+ received an RSV vaccine as of February 2024.
10.6% of adults aged 18+ received an updated COVID-19 vaccine as of February 2024.

What are factors contributing to lower vaccine confidence in Kentucky?

  • Circulation of vaccine mis- and disinformation
  • Lack of credible information 
  • Low health literacy
  • Social determinants of health that serve as barriers to vaccinations such as lack of transportation and healthcare coverage

Community Leaders as Trusted Messengers

Healthcare organizations and community leaders play a crucial role as trusted messengers for rural community members. 

  • Healthcare professionals
  • Community health workers or patient advocates
  • Pharmacists
  • Social workers
  • Agricultural leaders
  • Faith leaders
  • Community organization leaders, and more
  • Addressing health misinformation 
  • Creating a safe space for individuals to voice their questions and concerns about vaccinations
  • Providing factual, credible information about vaccinations (you can utilize the below resources)
  • Connecting those who are curious about vaccinations with a healthcare provider or the American Lung Association’s Lung HelpLine

Getting to “Yes” for Routine Vaccines – Toolkit for Community Leaders

The American Lung Association has partnered with the Kentucky Rural Health Association and Immunization Coalition of Kentucky to develop a vaccination education toolkit Getting to "Yes" for Routine Vaccines to support community leaders and healthcare professionals address vaccine hesitancy and increase vaccine confidence in rural communities of south-central Kentucky. 

Toolkit for Community Leaders

The Lung Association conducted a needs assessment with community organizations that serve south-central Kentucky to gain feedback on beliefs, knowledge, gaps in education and barriers to care that influence rural community members’ decision to get vaccinated. The responses from this needs assessment informed the creation of the Getting to “Yes” for Routine Vaccines toolkit which is specifically tailored for rural communities in south-central Kentucky and includes:

  • Infectious respiratory disease education
  • Effective communication strategies
  • Motivators in getting vaccinated
  • Personal story from a local healthcare professional
  • Tips for addressing barriers to care
  • Educational resources

Download Toolkit

Educational Resources

Download, save or print the resources included within the Getting to "Yes" for Routine Vaccines toolkit for use within the community.

American Lung Association Resources

Anyone can get sick with an infectious respiratory disease, but individuals with certain underlying medical conditions or risk factors are at higher risk for serious illness. Some infectious respiratory diseases can cause long-term illness, existing chronic health conditions to worsen, hospitalization and death. Learn more about three common vaccine-preventable diseases:

Influenza (Flu)

Influenza is a seasonal virus that starts in fall and continues to spring. Flu symptoms often appear suddenly and can become severe.
Learn More about Flu

Respiratory Syncytial Virus (RSV)

RSV is a common respiratory virus that can infect anyone, but can become severe for infants, older adults, and individuals with compromised immune systems.
Learn More about RSV

COVID-19

Everyone is at risk for getting and spreading COVID-19, but some individuals are at higher risk for serious illness than others. Sometimes, additional treatment or supportive care is required.
Learn More about COVID-19

Vaccination Disparities Among Hispanic/Latino Communities in Kentucky

Additional health disparities exist within rural populations of Kentucky. In 2022, only 38.7% of Hispanic/Latino adults living in Kentucky received a flu vaccine in the past 12 months compared to 44.7% of white adults5. The Lung Association has educational materials available in Spanish:

  1. CDC. (2024e, May 14). About Rural Health. Rural Health. https://www.cdc.gov/rural-health/php/about/index.html
  2. CDC. (2022, July 1). What is health equity? Centers for Disease Control and Prevention. https://www.cdc.gov/healthequity/whatis/index.html
  3. University of Kentucky Center of Excellence in Rural Health. (2022). Kentucky Physician Report 2022 (pp. 11–19). https://medicine.uky.edu/sites/default/files/inline-files/2023%20KBML%20Update%20%282022%20Data%29.pdf
  4. Americas Health Rankings. (2022e). Explore Multiple Chronic Conditions in Kentucky. America’s Health Rankings. https://www.americashealthrankings.org/explore/measures/CHC/KY
  5. American Lung Association. (2023a). Kentucky Among Highest COPD Rates in the Country; New State Briefs Highlight Opportunities to Improve. Lung.org. https://www.lung.org/media/press-releases/copd-ky
  6. CDC. (2023a). Most Recent Asthma State Data. Centers for Disease Control and Prevention. https://www.cdc.gov/asthma/most_recent_data_states.htm
  7. Americas Health Rankings. (2022b). Explore Diabetes in Kentucky | AHR. America’s Health Rankings. https://www.americashealthrankings.org/explore/measures/Diabetes/KY
  8. Americas Health Rankings. (2022a). Explore Cardiovascular Diseases in Kentucky | AHR. America’s Health Rankings. https://www.americashealthrankings.org/explore/measures/CVD/KY
  9. Americas Health Rankings. Explore Rural Population in Kentucky | AHR. America’s Health Rankings, www.americashealthrankings.org/explore/measures/pct_rural_b/KY.
  10. CDC. (2024d, May 1). Vaccine Administration and Coverage by Jurisdiction (IIS), United States | CDC. Www.cdc.gov. https://www.cdc.gov/vaccines/imz-managers/coverage/covidvaxview/interactive/adult-administration-coverage-jurisdiction.html
  11. CDC. (2023b). Results for General Population Influenza Vaccination Coverage | FluVaxView | Seasonal Influenza (Flu) | CDC. Www.cdc.gov. https://www.cdc.gov/flu/fluvaxview/interactive-general-population.htm
  12. CDC. (2024c, April 2). Respiratory Syncytial Virus (RSV) Vaccination Coverage, Adults 60 years and older, United States | CDC. Www.cdc.gov. https://www.cdc.gov/vaccines/imz-managers/coverage/rsvvaxview/adults-60yrs-older.html
  13. Americas Health Rankings. (2022c). Explore Flu Vaccination in Kentucky | AHR. America’s Health Rankings. https://www.americashealthrankings.org/explore/measures/flu_vaccine/KY?population=flu_vaccine_Black
  14. Americas Health Rankings. (2022d). Explore Flu Vaccination in Kentucky | AHR. America’s Health Rankings. https://www.americashealthrankings.org/explore/measures/flu_vaccine/KY?population=flu_vaccine_Hispanic
  15. CDC. (2024a, March 1). Risk Factors for Severe Illness from Respiratory Viruses | Respiratory Illnesses | CDC. Www.cdc.gov. https://www.cdc.gov/respiratory-viruses/risk-factors/index.html
  16. American Lung Association. (n.d.-a). Learn About Asthma | American Lung Association. Www.lung.org. https://www.lung.org/lung-health-diseases/lung-disease-lookup/asthma/learn-about-asthma
  17. American Lung Association. (n.d.-b). Learn About COPD. Www.lung.org. https://www.lung.org/lung-health-diseases/lung-disease-lookup/copd/learn-about-copd#:~:text=Chronic%20obstructive%20pulmonary%20disease%20(COPD
  18. CDC. (2020, August 21). Learn what could be triggering your asthma attacks. Centers for Disease Control and Prevention. https://www.cdc.gov/asthma/triggers.html#:~:text=Infections%20linked%20to%20influenza%20(flu
  19. American Lung Association. (2023b, May 23). Preventing Flare-Ups. Www.lung.org. https://www.lung.org/lung-health-diseases/lung-disease-lookup/copd/living-with-copd/prevent-flare-ups#:~:text=Respiratory%20Infections%2C%20such%20as%20a
  20. American Lung Association . (2019). What Causes Pneumonia? | American Lung Association. Lung.org. https://www.lung.org/lung-health-diseases/lung-disease-lookup/pneumonia/what-causes-pneumonia
  21. American Lung Association. (2022, November 17). Learn About Pneumonia. Lung.org; American Lung Association . https://www.lung.org/lung-health-diseases/lung-disease-lookup/pneumonia/learn-about-pneumonia
  22. American Lung Association. (n.d.-c). Vaccines that Protect Against Respiratory Disease. Www.lung.org. https://www.lung.org/lung-health-diseases/wellness/vaccines
  23. Silberman, Susan. The National Council on Aging. Www.ncoa.org, 21 Apr. 2022, www.ncoa.org/article/the-inequities-in-the-cost-of-chronic-disease-why-it-matters-for-older-adults.

Page last updated: November 20, 2024

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