Details:

Alternative Title:
Am J Med
Personal Author:
Lu, Peng-jun ; O’Halloran, Alissa ; Ding, Helen ; Srivastav, Anup ; Williams, Walter W.
Lu, Peng-jun ; O’Halloran, Alissa ; Ding, Helen ; Srivastav, Anup ; Williams, Walter W. Less -
Description:
Background

Since 1960, the Advisory Committee on Immunization Practices (ACIP) has recommended influenza vaccination for adults with certain high-risk conditions because of increased risk for complications from influenza infection. We assessed national influenza vaccination among persons 18-64 years with high-risk conditions.

Methods

We analyzed data from the 2012 and 2013 National Health Interview Survey (NHIS). The Kaplan-Meier survival analysis procedure was used to estimate the cumulative proportion of influenza vaccination among adults 18-64 years with high-risk conditions. Potential missed opportunities for influenza vaccination were also evaluated. Multivariable logistic regression and predictive marginal analyses were conducted to identify factors independently associated with vaccination.

Results

Overall, 39.9 million adults 18-64 years (18.9%) had at least one high-risk condition. For adults 18-64 years with high-risk conditions, overall influenza vaccination coverage was 49.5%. Coverage among adults 50-64 years was significantly higher compared with those 18-49 years (59.3% vs. 39.0%; p<0.05). Among adults 18-64 years, coverage was 46.2% for those with chronic lung diseases, 50.5% for those with heart disease, 58.0% for those with diabetes, 62.5% for those with renal disease, and 56.4% for those with cancer. Overall, 90.1% reported at least one visit to a health care setting where vaccination could have been provided. Among adults 18-64 years with high-risk conditions, older age, being female, Hispanic ethnicity or Asian race, having one or more physician visits, a regular physician for health care, health insurance, and having ever received pneumococcal vaccination were independently associated with a higher likelihood of influenza vaccination. Being widowed/divorced/separated or never married and not being employed were independently associated with a lower likelihood of influenza vaccination

Conclusions

Influenza vaccination coverage varies substantially by age and high-risk conditions but remains low. Approximately 50% of those with high-risk conditions remain unvaccinated. Healthcare providers should ensure they routinely assess influenza vaccination status, recommend and offer vaccines to those with high-risk conditions.


Subjects:
[+]
Adult Age Distribution Female Health Care Surveys Humans Influenza, Human Influenza Vaccines Male Middle Aged Patient Acceptance Of Health Care Risk Factors Socioeconomic Factors United States Young Adult
Keywords:
[+]
Adults Coverage High-risk Conditions Influenza Vaccine Vaccination
Source:
Am J Med. 129(6):636.e1-636.e11
Pubmed ID:
26551981
Pubmed Central ID:
PMC5831078
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHSUnited States/
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:509d5e6ec5917cde16c026b875096a4460d19437c4797700106a6b1f7e0875cd
Download URL:
https://stacks.cdc.gov/view/cdc/52148/cdc_52148_DS1.pdf
File Type:

Supporting Files

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