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Reducing Racial Disparities in Influenza Vaccination Among Children with Asthma
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  • Description:

    A multi-faceted intervention to raise influenza vaccination rates was tested among children with asthma.


    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).


    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).


    A multi-strategy, evidence-based intervention significantly increased influenza vaccination uptake and reduced racial disparities among children with asthma.

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  • 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
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