tetano
Editor, Senior Moderator
J Pediatr Health Care. 2015 Aug 5. pii: S0891-5245(15)00221-7. doi: 10.1016/j.pedhc.2015.06.006. [Epub ahead of print]
[h=1]Reducing Racial Disparities in Influenza Vaccination Among Children With Asthma.[/h] Lin CJ, Nowalk MP, Zimmerman RK, Moehling KK, Conti T, Allred NJ, Reis EC.
[h=3]Abstract[/h] [h=4]INTRODUCTION:[/h] A multifaceted intervention to raise influenza vaccination rates was tested among children with asthma.
[h=4]METHODS:[/h] In a pre/post study design, 18 primary care practices implemented the 4 Pillars Immunization Toolkit along with other strategies. The primary outcome was the difference in influenza vaccination rates at each practice among children with asthma between the baseline year (before the intervention) and at the end of year 2 (after the intervention), both overall and by race (White vs. non-White).
[h=4]RESULTS:[/h] Influenza vaccination rates increased significantly in 13 of 18 practices. The percentage of vaccinated non-White children increased from 46% to 61% (p < .01), and the percentage of vaccinated White children increased from 58% to 65% (p < .001). Likelihood of vaccination was significantly lower for non-White children before the intervention (odds ratio = 0.66; 95% confidence interval = 0.59-0.73; p < .001), but this difference was eliminated after the intervention (odds ratio = 0.95; 95% confidence interval = 0.85-1.05; p = .289).
[h=4]DISCUSSION:[/h] A multi-strategy, evidence-based intervention significantly increased influenza vaccination uptake and reduced racial disparities among children with asthma.
Copyright ? 2015 National Association of Pediatric Nurse Practitioners. All rights reserved.
[h=4]KEYWORDS:[/h] Asthma; children; influenza vaccine; racial disparities
PMID: 26254743 [PubMed - as supplied by publisher]
[h=1]Reducing Racial Disparities in Influenza Vaccination Among Children With Asthma.[/h] Lin CJ, Nowalk MP, Zimmerman RK, Moehling KK, Conti T, Allred NJ, Reis EC.
[h=3]Abstract[/h] [h=4]INTRODUCTION:[/h] A multifaceted intervention to raise influenza vaccination rates was tested among children with asthma.
[h=4]METHODS:[/h] In a pre/post study design, 18 primary care practices implemented the 4 Pillars Immunization Toolkit along with other strategies. The primary outcome was the difference in influenza vaccination rates at each practice among children with asthma between the baseline year (before the intervention) and at the end of year 2 (after the intervention), both overall and by race (White vs. non-White).
[h=4]RESULTS:[/h] Influenza vaccination rates increased significantly in 13 of 18 practices. The percentage of vaccinated non-White children increased from 46% to 61% (p < .01), and the percentage of vaccinated White children increased from 58% to 65% (p < .001). Likelihood of vaccination was significantly lower for non-White children before the intervention (odds ratio = 0.66; 95% confidence interval = 0.59-0.73; p < .001), but this difference was eliminated after the intervention (odds ratio = 0.95; 95% confidence interval = 0.85-1.05; p = .289).
[h=4]DISCUSSION:[/h] A multi-strategy, evidence-based intervention significantly increased influenza vaccination uptake and reduced racial disparities among children with asthma.
Copyright ? 2015 National Association of Pediatric Nurse Practitioners. All rights reserved.
[h=4]KEYWORDS:[/h] Asthma; children; influenza vaccine; racial disparities
PMID: 26254743 [PubMed - as supplied by publisher]