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Association between health insurance coverage and uptake of seasonal influenza vaccine in Brazos County, Texas

tetano

Editor, Senior Moderator
Vaccine. 2020 Jan 31. pii: S0264-410X(20)30044-X. doi: 10.1016/j.vaccine.2020.01.029. [Epub ahead of print] [h=1]Association between health insurance coverage and uptake of seasonal influenza vaccine in Brazos County, Texas.[/h]
Akpalu Y[SUP]1[/SUP], Sullivan SJ[SUP]1[/SUP], Regan AK[SUP]2[/SUP].
[h=3]Author information[/h]

[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Lack of health insurance may limit access to influenza vaccination, resulting in higher risk of infection.
[h=4]METHODS:[/h] The Brazos County Health Department obtained medical records summarizing vaccination and health insurance status of all influenza cases occurring in December 2017 (n = 417). The odds of influenza vaccination were estimated for those with public or private health insurance as compared to uninsured individuals using multivariate logistic regression analysis adjusted for age and race.
[h=4]RESULTS:[/h] Health insurance coverage among Brazos County residents with influenza was 62.4%. Public and private health insurance was associated with higher odds of influenza vaccination compared to no insurance (aOR: 2.05; 95% CI: 1.00-4.21 and aOR: 1.77; 95% CI: 1.07-2.92, respectively), particularly among adults 18-64 years of age.
[h=4]CONCLUSIONS:[/h] Influenza vaccination is strongly associated with health insurance. Expansion of programs that facilitate access to health services or provide free influenza vaccines may improve influenza prevention among the uninsured.
Copyright ? 2020 Elsevier Ltd. All rights reserved.


[h=4]KEYWORDS:[/h] Health insurance; Influenza vaccine; Vaccination; Vaccination coverage

PMID: 32008878 DOI: 10.1016/j.vaccine.2020.01.029
 
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