Influenza vaccination is the primary way to prevent influenza, yet influenza vaccination coverage remains low in the United States. Previous studies have shown that children residing in rural areas have less access to healthcare and lower vaccination coverage for some vaccines. Influenza vaccination coverage among children 6 months–17 years by rural/urban residence during the 2011–12 through 2018–19 influenza seasons was examined using National Immunization Survey-Flu data. The Council of American Survey Research Organizations response rates for National Immunization Survey-Flu ranged from 48% to 65% (2011–12 through the 2017–18 seasons) for the landline sample and 20%–39% (2011–12 through the 2018–19 seasons) for the cellular telephone sample. Children residing in rural areas had influenza vaccination coverage that ranged from 7.9 (2012–13 season) to 12.6 (2016–17 season) percentage points lower than children residing in urban areas, and ranged from 4.5 (2012–13 season) to 7.4 (2016–17 season) percentage points lower than children residing in suburban areas. The differences in influenza vaccination coverage among rural, suburban, and urban children were consistent over the eight seasons studied. Lower influenza vaccination coverage was observed among rural children regardless of child’s age, mother’s education, household income, or number of children under 18 years of age in the household. Rural versus urban and suburban differences in influenza vaccination coverage remained statistically significant while adjusting for selected sociodemographic characteristics. A better understanding of the reasons for lower childhood influenza vaccination coverage for children in rural and suburban areas is needed.

流感疫苗接种是预防流感的主要方法，但是在美国，流感疫苗接种率仍然很低。先前的研究表明，居住在农村地区的儿童获得医疗保健的机会较少，某些疫苗的疫苗接种率较低。使用国家免疫调查流感数据对2011-12到2018-19流感季节期间农村/城市居民在6个月至17岁的儿童中的流感疫苗接种范围进行了检查。美国调查研究组织理事会对全国免疫调查流感的回应率范围为48％至65％（2011-12至2017-18赛季）和20％-39％（2011-12至2018年） –19个季节）以获取蜂窝电话样本。农村地区的儿童接种流感疫苗的覆盖范围为7。比居住在市区的儿童低9（2012-13赛季）至12.6（2016-17赛季）个百分点，范围比居住在市区的儿童低4.5（2012-13赛季）至7.4（2016-17赛季）个百分点郊区。在研究的八个季节中，农村，郊区和城市儿童的流感疫苗接种覆盖率的差异是一致的。农村儿童的流感疫苗接种率较低，无论其年龄，母亲的教育程度，家庭收入或家庭中18岁以下儿童的数量如何。在对选定的社会人口学特征进行调整后，流感疫苗接种覆盖率的城乡差异仍具有统计学意义。