tetano
Editor, Senior Moderator
Am J Med. 2015 Nov 6. pii: S0002-9343(15)01036-0. doi: 10.1016/j.amjmed.2015.10.031. [Epub ahead of print]
[h=1]Uptake of influenza vaccination and missed opportunities among adults with high-risk conditions, United States, 2013.[/h] Lu PJ[SUP]1[/SUP], O'Halloran A[SUP]2[/SUP], Ding H[SUP]3[/SUP], Srivastav A[SUP]2[/SUP], Williams WW[SUP]4[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Since 1960, the Advisory Committee on Immunization Practices (ACIP) has recommended influenza vaccination for adults with certain high-risk conditions because of increased risk for complications from influenza infection. We assessed national influenza vaccination among persons 18-64 years with high-risk conditions.
[h=4]METHODS:[/h] We analyzed data from the 2012 and 2013 National Health Interview Survey (NHIS). The Kaplan-Meier survival analysis procedure was used to estimate the cumulative proportion of influenza vaccination among adults 18-64 years with high-risk conditions. Potential missed opportunities for influenza vaccination were also evaluated. Multivariable logistic regression and predictive marginal analyses were conducted to identify factors independently associated with vaccination.
[h=4]RESULTS:[/h] Overall, 39.9 million adults 18-64 years (18.9%) had at least one high-risk condition. For adults 18-64 years with high-risk conditions, overall influenza vaccination coverage was 49.5%. Coverage among adults 50-64 years was significantly higher compared with those 18-49 years (59.3% vs. 39.0%; p<0.05). Among adults 18-64 years, coverage was 46.2% for those with chronic lung diseases, 50.5% for those with heart disease, 58.0% for those with diabetes, 62.5% for those with renal disease, and 56.4% for those with cancer. Overall, 90.1% reported at least one visit to a health care setting where vaccination could have been provided. Among adults 18-64 years with high-risk conditions, older age, being female, Hispanic ethnicity or Asian race, having one or more physician visits, a regular physician for health care, health insurance, and having ever received pneumococcal vaccination were independently associated with a higher likelihood of influenza vaccination. Being widowed/divorced/separated or never married and not being employed were independently associated with a lower likelihood of influenza vaccination.
[h=4]CONCLUSIONS:[/h] Influenza vaccination coverage varies substantially by age and high-risk conditions but remains low. Approximately 50% of those with high-risk conditions remain unvaccinated. Healthcare providers should ensure they routinely assess influenza vaccination status, recommend and offer vaccines to those with high-risk conditions.
Copyright ? 2015 Elsevier Inc. All rights reserved.
[h=4]KEYWORDS:[/h] adults; coverage; high-risk conditions; influenza vaccine; vaccination
PMID: 26551981 [PubMed - as supplied by publisher]
[h=1]Uptake of influenza vaccination and missed opportunities among adults with high-risk conditions, United States, 2013.[/h] Lu PJ[SUP]1[/SUP], O'Halloran A[SUP]2[/SUP], Ding H[SUP]3[/SUP], Srivastav A[SUP]2[/SUP], Williams WW[SUP]4[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Since 1960, the Advisory Committee on Immunization Practices (ACIP) has recommended influenza vaccination for adults with certain high-risk conditions because of increased risk for complications from influenza infection. We assessed national influenza vaccination among persons 18-64 years with high-risk conditions.
[h=4]METHODS:[/h] We analyzed data from the 2012 and 2013 National Health Interview Survey (NHIS). The Kaplan-Meier survival analysis procedure was used to estimate the cumulative proportion of influenza vaccination among adults 18-64 years with high-risk conditions. Potential missed opportunities for influenza vaccination were also evaluated. Multivariable logistic regression and predictive marginal analyses were conducted to identify factors independently associated with vaccination.
[h=4]RESULTS:[/h] Overall, 39.9 million adults 18-64 years (18.9%) had at least one high-risk condition. For adults 18-64 years with high-risk conditions, overall influenza vaccination coverage was 49.5%. Coverage among adults 50-64 years was significantly higher compared with those 18-49 years (59.3% vs. 39.0%; p<0.05). Among adults 18-64 years, coverage was 46.2% for those with chronic lung diseases, 50.5% for those with heart disease, 58.0% for those with diabetes, 62.5% for those with renal disease, and 56.4% for those with cancer. Overall, 90.1% reported at least one visit to a health care setting where vaccination could have been provided. Among adults 18-64 years with high-risk conditions, older age, being female, Hispanic ethnicity or Asian race, having one or more physician visits, a regular physician for health care, health insurance, and having ever received pneumococcal vaccination were independently associated with a higher likelihood of influenza vaccination. Being widowed/divorced/separated or never married and not being employed were independently associated with a lower likelihood of influenza vaccination.
[h=4]CONCLUSIONS:[/h] Influenza vaccination coverage varies substantially by age and high-risk conditions but remains low. Approximately 50% of those with high-risk conditions remain unvaccinated. Healthcare providers should ensure they routinely assess influenza vaccination status, recommend and offer vaccines to those with high-risk conditions.
Copyright ? 2015 Elsevier Inc. All rights reserved.
[h=4]KEYWORDS:[/h] adults; coverage; high-risk conditions; influenza vaccine; vaccination
PMID: 26551981 [PubMed - as supplied by publisher]