Reducing Racial Disparities in Influenza Vaccination Among Children with Asthma

Details

• Alternative Title:
  J Pediatr Health Care
• Personal Author:
  Lin, Chyongchiou Jeng ; Nowalk, Mary Patricia ; Zimmerman, Richard K. ; Moehling, Krissy K. ; Conti, Tracey ; Allred, Norma J. ; Reis, Evelyn C.
• Description:
  Introduction
  
  A multi-faceted intervention to raise influenza vaccination rates was tested among children with asthma.
  
  Methods
  
  In a pre-post design, eighteen 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 during the baseline year (pre-intervention) and at the end of year 2 (post intervention), both overall and by race (white vs. non-white).
  
  Results
  
  Influenza vaccination rates increased significantly in 13 of 18 practices. The percent of vaccinated non-white children increased from 46% to 61% (P<0.01) and the percent of vaccinated white children increased from 58% to 65% (P<0.001). Likelihood of vaccination was significantly lower for non-white children pre-intervention (OR=0.66, 95%CI=0.59–0.73; P<0.001), but this difference was eliminated post intervention (OR=0.95, 95%CI=0.85–1.05; P=.289).
  
  Discussion
  
  A multi-strategy, evidence-based intervention significantly increased influenza vaccination uptake and reduced racial disparities among children with asthma.
  
  
• Subjects:
  Adolescent Asthma Child Child, Preschool Female Health Promotion Health Status Disparities Humans Immunization Programs Infant Influenza, Human Influenza Vaccines Male Primary Health Care Vaccination Vulnerable Populations

  More +
• Source:
  J Pediatr Health Care. 30(3):208-215.
• Pubmed ID:
  26254743
• Pubmed Central ID:
  PMC4744151
• Document Type:
  Journal Article
• Funding:
  U01 IP000321/IP/NCIRD CDC HHS/United States ; UL1 RR024153/RR/NCRR NIH HHS/United States ; UL1 TR000005/TR/NCATS NIH HHS/United States ; UL1TR000005/TR/NCATS NIH HHS/United States
• Place as Subject:
  United States
• Volume:
  30
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:4a95b4116f1887b24d06137a8603263959bb118047711d5daef964e5110fa1df
• Download URL:
  https://stacks.cdc.gov/view/cdc/40992/cdc_40992_DS1.pdf
• File Type:
  [PDF - 83.70 KB ]