Influenza and Pneumococcal Vaccination Among Native American Elders in a Primary Care Practice

Brief report: Risk factors for pneumococcal vaccine refusal in adults

“…Prior refusals of pneumococcal vaccine, refusal of health maintenance tests, and nonreceipt of flu vaccination were other significant predictors of pneumococcal vaccine refusal. This finding suggests the existence of a subgroup of patients who are less compliant with preventive services, which may be because of limited knowledge of or misinformation about the intervention offered, distrust, previous negative experiences, and co‐morbidities like depression and anxiety 4,15–17 …”

Comorbidity of Alcohol Abuse and Dependence with Medical Conditions in 2 American Indian Reservation Communities

“…The association of pneumonia with abuse and dependence may be explained, in part, by the observation that alcohol consumption is a risk factor for not receiving pneumococcal and influenza vaccinations among AIs (Buchwald et al, 2000) as the association of both infectious and noninfectious lung diseases with alcohol consumption in the general population (Stein, 1999).…”

“…Previous studies conducted among AIs have described alcohol use as one of several risk factors associated with specific health problems such as cardiovascular, respiratory, renal, neurological, or metabolic conditions (Blackmer and Marshall, 1999;Buchwald et al, 2000;Counts et al, 1984;DeStefano et al, 1979;Fabsitz et al, 1999;FagotCampagna et al, 1999;Frey et al, 1998;Helgeson et al, 1993;Howard, 1996;Hoy et al, 1993;Jacobsson et al, 1993;Welty et al, 1995). None, however, have focused on the association with serious alcohol problems as formally defined by the Diagnostic and Statistical Manual (DSM) of the American Psychiatric Association (APA, 1994), namely, alcohol abuse or dependence.…”

Predictors of Meningococcal Vaccination Among University Students

“…22 Studies have also found that other lifestyle factors, such as tobacco and alcohol use, were negatively associated with vaccination, a finding we did not confirm in this study. [23][24] Although researchers have found that education increases vaccine acceptance, 25,26 we did not examine meningococcal education as a predictor of vaccination. However, in 2003, the state of Minnesota passed a law requiring that all colleges and universities provide information on meningococcal disease and vaccination to students who live in oncampus housing.…”