Details:

Alternative Title:
J Am Med Dir Assoc
Publisher's site:
http://dx.doi.org/10.1016/j.jamda.2017.05.002
Personal Author:
Black, Carla L. ; Williams, Walter W. ; Arbeloa, Inaki ; Kordic, Natasa ; Yang, Lindsay ; ... More +
Black, Carla L. ; Williams, Walter W. ; Arbeloa, Inaki ; Kordic, Natasa ; Yang, Lindsay ; MaCurdy, Tom ; Worrall, Chris ; Kelman, Jeffrey A. Less -
Description:
Background

Institutionalized adults are at increased risk of morbidity and mortality from influenza and pneumococcal infection. Influenza and pneumococcal vaccination have been shown to be effective in reducing hospitalization and deaths due to pneumonia and influenza in this population.

Objective

Assess trends in influenza vaccination coverage among U.S. nursing home residents from the 2005–06 through 2014–15 influenza seasons and trends in pneumococcal vaccination coverage from 2006–2014 among U.S. nursing home residents, by state and demographic characteristics.

Methods

Data were analyzed from the Centers for Medicare and Medicaid Services’ (CMS) Minimum Data Set (MDS). Influenza and pneumococcal vaccination status were assessed for all residents of CMS-certified nursing homes using data reported to the MDS by all certified facilities.

Results

Influenza vaccination coverage increased from 71.4% in the 2005–06 influenza season to 75.7% in the 2014–15 influenza season and pneumococcal vaccination coverage increased from 67.4% in 2006 to 78.4% in 2014. Vaccination coverage varied by state, with influenza vaccination coverage ranging from 50.0% to 89.7% in the 2014–15 influenza season and pneumococcal vaccination coverage ranging from 55.0% to 89.7% in 2014. Non-Hispanic black and Hispanic residents had lower coverage compared with non-Hispanic white residents for both vaccines, and these disparities persisted over time.

Conclusion

Influenza and pneumococcal vaccination among U.S. nursing home residents remains suboptimal. Nursing home staff should employ strategies such as provider reminders and standing orders to facilitate offering vaccination to all residents along with culturally-appropriate vaccine promotion to increase vaccination coverage among this vulnerable population.


Subject:
[+]
Adolescent Adult Aged Aged, 80 And Over Datasets As Topic Female Humans Influenza, Human Influenza Vaccines Male Middle Aged Nursing Homes Pneumococcal Vaccines Pneumonia Vaccination Coverage Young Adult
Source:
J Am Med Dir Assoc. 18(8):735.e1-735.e14
Pubmed ID:
28623156
Pubmed Central ID:
PMC5751715
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Name as Subject:
Centers for Medicare and Medicaid Services (U.S.)
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:e333d2e8fc232bca66c1e04b313f3d0c918dec4498d19ac4bd7a48f07ffb207b
Download URL:
https://stacks.cdc.gov/view/cdc/50739/cdc_50739_DS1.pdf
File Type:

Supporting Files

• 	NIHMS926295-supplement-supplement_1.pdf	pdf
  	nihms926295.nxml	xml

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