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Abstract
There is a dearth of information about COVID-19 vaccination to guide prevention efforts among sexual and gender minority (SGM) adolescents, who experience inequitable healthcare access. This study assessed associations between sociodemographic factors, including having a chronic illness, and being fully vaccinated, defined as receiving two doses, among 274 SGM adolescents located in eight Deep South states. Adjusted analysis showed having a paid job (OR=2.35; 95% CI:(1.23, 4.46)) was associated with an increased likelihood of being fully vaccinated, and prior homelessness (OR= 0.43; 95% CI: (0.19, 0.95)) and living in a household receiving increased number of forms of government assistance (OR=0.66; 95% CI: (0.5, 0.87)) was associated with a decreased likelihood of being fully vaccinated. Public health officials should customize mitigation strategies towards helping homeless SGM adolescents and increase education on how vaccination is crucial for adolescents with specific chronic conditions.