tetano
Editor, Senior Moderator
Am J Infect Control. 2014 Mar 14. pii: S0196-6553(13)01425-9. doi: 10.1016/j.ajic.2013.12.006. [Epub ahead of print]
Relationship between local family physician supply and influenza vaccination after controlling for individual and neighborhood effects.
Gai Y1, Gu NY2.
Author information
Abstract
BACKGROUND:
Family physicians (FPs) play an important role in influenza vaccination. We investigated how local FP supply is associated with influenza vaccination, controlling for both individual-level and county-level characteristics.
METHODS:
The 2008-2010 individual-level data from the Behavioral Risk Factor Surveillance System were merged with county-level data from the Area Resource File (n = 985,157). Multivariate logistic analyses were performed to predict influenza vaccination using the number of FPs per 1000 population as the key predictor, adjusting for individual-level demographic, socioeconomic, and health information, as well as county-level racial composition and income level. Additional analyses were performed across racial/ethnic and employment status categories.
RESULTS:
Increasing local FP supply was associated with higher odds (adjusted odds ratio [aOR], 1.58; 95% confidence interval [CI], 1.49-1.67) and varied across racial/ethnic groups (Hispanic: aOR, 2.05, 95% CI, 1.55-2.72; non-Hispanic white: aOR, 1.57, 95% CI, 1.48-1.66; non-Hispanic black: aOR, 1.49, 95% CI, 1.18-1.89), employment status categories, and county types.
CONCLUSIONS:
FP supply was significantly associated with influenza vaccination. The association was greatest among those who were Hispanic, residing in a rural area, or out of work. Our findings lend support to initiatives aimed at increasing the FP supply, particularly among disadvantaged populations.
Copyright ? 2014 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.
KEYWORDS:
Area Resource Files, Behavioral Risk Factor Surveillance System, Contextual and neighborhood characteristics, Family physician shortage, Health care disparity
PMID:
24630702
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/24630702
Relationship between local family physician supply and influenza vaccination after controlling for individual and neighborhood effects.
Gai Y1, Gu NY2.
Author information
Abstract
BACKGROUND:
Family physicians (FPs) play an important role in influenza vaccination. We investigated how local FP supply is associated with influenza vaccination, controlling for both individual-level and county-level characteristics.
METHODS:
The 2008-2010 individual-level data from the Behavioral Risk Factor Surveillance System were merged with county-level data from the Area Resource File (n = 985,157). Multivariate logistic analyses were performed to predict influenza vaccination using the number of FPs per 1000 population as the key predictor, adjusting for individual-level demographic, socioeconomic, and health information, as well as county-level racial composition and income level. Additional analyses were performed across racial/ethnic and employment status categories.
RESULTS:
Increasing local FP supply was associated with higher odds (adjusted odds ratio [aOR], 1.58; 95% confidence interval [CI], 1.49-1.67) and varied across racial/ethnic groups (Hispanic: aOR, 2.05, 95% CI, 1.55-2.72; non-Hispanic white: aOR, 1.57, 95% CI, 1.48-1.66; non-Hispanic black: aOR, 1.49, 95% CI, 1.18-1.89), employment status categories, and county types.
CONCLUSIONS:
FP supply was significantly associated with influenza vaccination. The association was greatest among those who were Hispanic, residing in a rural area, or out of work. Our findings lend support to initiatives aimed at increasing the FP supply, particularly among disadvantaged populations.
Copyright ? 2014 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.
KEYWORDS:
Area Resource Files, Behavioral Risk Factor Surveillance System, Contextual and neighborhood characteristics, Family physician shortage, Health care disparity
PMID:
24630702
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/24630702