Aging services were poised to play an important role in supporting the COVID-19 vaccination rollout for older adults. In this study, we use ordinary least squares regression models of county-level data (N = 3086) to examine if density of aging and disability services is associated with COVID-19 vaccination rates for older adults in rural and urban areas of the United States. We find that net of compositional characteristics, county-level density of aging and disability services is associated with higher older adult vaccination rates. However, in the rural-urban stratified models, this only remained consistently true for rural counties. Given higher risk of COVID-19 mortality for older adults and larger relative shares of older adults in rural areas, rural counties with low vaccination rates should invest in supporting and/or expanding older adult services to facilitate vaccination.

老龄化服务有望在支持老年人接种 COVID-19 疫苗方面发挥重要作用。在本研究中，我们使用县级数据的普通最小二乘回归模型（N= 3086) 以检查老龄化和残疾服务的密度是否与美国农村和城市地区老年人的 COVID-19 疫苗接种率相关。我们发现，扣除构成特征、县级老龄化和残疾服务密度与较高的老年人疫苗接种率相关。然而，在城乡分层模型中，这仅适用于农村县。鉴于老年人 COVID-19 死亡率较高的风险以及农村地区老年人的相对比例较大，疫苗接种率低的农村县应投资支持和/或扩大老年人服务以促进疫苗接种。