Change in settings for early-season influenza vaccination among US adults, 2012 to 2013.
Change in settings for early-season influenza vaccination among US adults, 2012 to 2013.
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2012 年至 2013 年美国成年人早期流感疫苗接种环境的变化。
DOI：
10.1016/j.pmedr.2016.07.004
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发表时间：
2016
影响因子：
2.8
通讯作者：
Cowan,AnneE
中科院分区：
文献类型：
--
作者：
Clark,SarahJ;Gebremariam,Acham;Cowan,AnneE
建议在非医疗环境中接种疫苗，作为增加获得季节性流感疫苗的一项战略。为了评估早期流感疫苗接种环境的变化，我们分析了来自全国互联网流感调查的数据。采用卡方检验评估接种地点应答者特征的双变量比较。采用多项逻辑回归来比较2012年与2013年在医疗、零售和移动环境中接种疫苗的预测概率。在2012年和2013年，医疗机构的疫苗接种更有可能发生在老年人、慢性病患者和高中以下教育程度的成年人中。与2012年相比，2013年18-64岁无慢性疾病的成年人在医疗环境中接种疫苗的可能性较低，在零售或移动环境中接种疫苗的可能性较高。18-64岁患有慢性疾病的成年人接种流感疫苗的地点没有变化。与2012年相比，2013年老年人在医疗环境中接种疫苗的可能性较低，在零售环境中接种疫苗的可能性较高。非医疗环境继续在成人流感疫苗接种中发挥越来越大的作用，特别是对无慢性疾病的成年人和老年人。零售和移动环境应继续被视为确保广泛获得流感疫苗接种的重要机制。
Vaccination in non-medical settings is recommended as a strategy to increase access to seasonal influenza vaccine. To evaluate change in early-season influenza vaccination setting, we analyzed data from the National Internet Flu Survey. Bivariate comparison of respondent characteristics by location of vaccination was assessed using chi-square tests. Multinomial logistic regression was performed to compare the predicted probability of being vaccinated in medical, retail, and mobile settings in 2012 vs 2013. In both 2012 and 2013, vaccination in medical settings was more likely among elderly adults, those with chronic conditions, and adults with a high school education or less. Adults 18–64 without a chronic condition had a lower probability of vaccination in the medical setting, and higher probability of vaccination in a retail or mobile setting, in 2013 compared to 2012. Adults 18–64 with a chronic condition had no change in their location of flu vaccination. Elderly adults had a lower probability of vaccination in the medical setting, and higher probability of vaccination in a retail setting, in 2013 compared to 2012. Non-medical settings continue to play an increasing role in influenza vaccination of adults, particularly for adults without a chronic condition and elderly adults. Retail and mobile settings should continue to be viewed as important mechanisms to ensure broad access to influenza vaccination.