Can Routine Offering of Influenza Vaccination in Office-Based Settings Reduce Racial and Ethnic Disparities in Adult Influenza Vaccination?

Maurer, Jürgen; Harris, Katherine M.; Uscher‐Pines, Lori

doi:10.1007/s11606-014-2965-z

Cited by 25 publications

(22 citation statements)

References 19 publications

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“…Possible strategies for increasing vaccination rates and reducing corresponding racial and ethnic disparities include but are not limited to improving patients’ knowledge, attitudes, beliefs and access to vaccination on the demand side [48], and encouraging providers to recommend influenza vaccination to patients, especially among racial and ethnic minorities, on the supply side [49]. Interventions on the supply side may be more promising because these patients tend to have more interactions with health care providers than healthy adults and minorities are more likely to be vaccinated in office-based setting [48].…”

Section: Discussionmentioning

confidence: 99%

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Racial and Ethnic Disparities in Influenza Vaccination among Adults with Chronic Medical Conditions Vary by Age in the United States

Qiao

Brown

et al. 2017

PLoS ONE

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BackgroundPeople living with chronic health conditions exhibit higher risk for developing severe complications from influenza according to the Centers for Diseases Control and Prevention. Although racial and ethnic disparities in influenza vaccination have been documented, it has not been comprehensively determined whether similar disparities are present among the adult population with at least one such condition.ObjectiveTo study if racial and ethnic disparities in relation to influenza vaccination are present in adults suffering from at least one chronic condition and if such inequalities differ between age groups.MethodsThe Medical Expenditure Panel Survey (2011–2012) was used to study the adult population (age ≥18) who had at least one chronic health condition. Baseline differences in population traits across racial and ethnic groups were identified using a chi-square test. This was conducted among various age groups. In addition, survey logistic regression was utilized to produce odds ratios of receiving influenza vaccination annually between racial and ethnic groups.ResultsThe total sample consisted of 15,499 adults living with at least one chronic health condition. The numbers of non-Hispanic whites (whites), non-Hispanic blacks (blacks), and Hispanics were 8,658, 3,585, and 3,256, respectively. Whites (59.93%) were found to have a higher likelihood of self-reporting their receipt of the influenza vaccine in comparison to the black (48.54%) and Hispanic (48.65%) groups (P<0.001). When examining persons aged 50–64 years and ≥65 years, it was noted that the black (54.99%, 62.72%) and Hispanic (53.54%, 64.48%) population had lower rates of influenza vaccine coverage than the white population (59.22%, 77.89) (both P<0.0001). No significant differences between whites and the blacks or Hispanics were found among the groups among adults between 18 and 49 inclusive (P>0.05). After controlling for patient characteristics, the difference in influenza vaccine coverage between whites and the minority groups were no longer significant for adults aged 50–64 years. However, the difference were still statistically significant for those aged ≥65 years.ConclusionsIn the United States, there are significant disparities in influenza vaccination by race and ethnicity for adults over 65 years with at least one chronic health condition. Future research is needed to help develop more targeted interventions to address these issues and improve influenza vaccination rates.

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Section: Discussionmentioning

confidence: 99%

“…Interventions on the supply side may be more promising because these patients tend to have more interactions with health care providers than healthy adults and minorities are more likely to be vaccinated in office-based setting [48]. …”

Section: Discussionmentioning

confidence: 99%

Racial and Ethnic Disparities in Influenza Vaccination among Adults with Chronic Medical Conditions Vary by Age in the United States

Qiao

Brown

et al. 2017

PLoS ONE

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“…2 The authors conclude that improved office-based practices could improve vaccine uptake and reduce disparities. Are they right?…”

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confidence: 99%

Tackling Disparities in Influenza Vaccination in Primary Care: It Takes a Team

Fiscella

2014

J GEN INTERN MED

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“…Parents are not expected to know the recommended vaccination schedule. Instead, it appears that system issues as a lack of outreach, incomplete health records, not flagging vaccines due at visits, availability of vaccine (identified in 8%) and provider variables (awareness of recommended childhood vaccine schedules, failure to review vaccine records, and ordering and administration of recommended vaccine (s) at all visits) are the main sources of low uptake of influenza, and likely other, vaccine in this setting [23][24][25].…”

Section: Discussionmentioning

confidence: 99%

Influenza vaccine: Delayed vaccination schedules and missed opportunities in children under 2 years old

Gentile

Juárez

Hernández

et al. 2015

Vaccine

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Can Routine Offering of Influenza Vaccination in Office-Based Settings Reduce Racial and Ethnic Disparities in Adult Influenza Vaccination?

Abstract: Improved office-based practices regarding influenza vaccination could significantly impact Healthy People 2020 goals by increasing influenza vaccine uptake and reducing corresponding racial and ethnic disparities.

Cited by 25 publications

References 19 publications

Racial and Ethnic Disparities in Influenza Vaccination among Adults with Chronic Medical Conditions Vary by Age in the United States

Racial and Ethnic Disparities in Influenza Vaccination among Adults with Chronic Medical Conditions Vary by Age in the United States

Tackling Disparities in Influenza Vaccination in Primary Care: It Takes a Team

Influenza vaccine: Delayed vaccination schedules and missed opportunities in children under 2 years old

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