Evaluating equitable access based on sociodemographic predictors of nirmatrelvir-ritonavir use during the first year of availability in Ontario, Canada: A population-based ecological study

Key Points

• The aim is to evaluate access to nirmatrelvir-ritonavir based on sociodemographic factors across Ontario neighborhoods.
• Conducted a province-wide ecological study
• Analyzed nirmatrelvir-ritonavir dispensing patterns
• Examined associations with income and education levels
• Found small inequities in dispensing by income and education
• Lower income neighborhoods had less access to nirmatrelvir-ritonavir
• Results emphasize the need for addressing barriers to access during pandemics