Determinants of influenza vaccination among high-risk Black and White adults.
Determinants of influenza vaccination among high-risk Black and White adults.
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DOI：
10.1016/j.vaccine.2017.10.083
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发表时间：
2017-12-18
期刊：
影响因子：
5.5
通讯作者：
Hancock GR
中科院分区：
文献类型：
--
作者：
Crouse Quinn S;Jamison AM;Freimuth VS;An J;Hancock GR
患有慢性病的成年人患流感相关发病和死亡的风险要大得多，但流感疫苗的接种率仍然不理想。针对高危人群的研究有限，特别是与疫苗接种方面的种族差异相关的研究。我们探索了广泛的人口、种族和社会心理因素，以确定高危成年人接种疫苗的预测因素，重点是确定黑人和白人成年人之间的差异。我们于 2015 年 3 月利用国际研究公司 GfK 的 KnowledgePanel 进行了一项在线调查，针对全国范围内具有代表性的黑人和白人成年人（≥18 岁，美国）样本以及流感相关并发症高风险成年人进行了有限分析。使用双向方差分析，我们评估了过去五年中跨种族群体的疫苗接种情况的人口、种族和社会心理预测因素。 424 名 (52.2%) 患有高危并发症的黑人和 388 名 (47.8%) 白人受访者完成了调查。 383 人 (47.3%) 每年报告接种疫苗，99 人 (12.2%) 多数人每年接种疫苗，104 人 (12.9%) 一次/两次，223 人 (27.6%) 从未接种。方差分析证实了大多数人口预测因素（教育除外）、所有种族因素（包括种族公平、歧视经历等）和大多数社会心理因素（包括疫苗态度、对疫苗的信任等）的疫苗行为存在显着差异。方差分析证实了大多数因素在种族方面存在显着差异。我们观察到种族和疫苗行为之间对主观社会地位、获得医疗保健的机会、对疫苗建议的了解、疫苗态度、感知的副作用风险、描述性规范、主观规范、流感疫苗犹豫和流感疫苗信心之间存在显着的相互作用影响，因此暗示疫苗接种与关键人口、种族和心理社会因素之间的关系存在种族差异。这项研究对高危黑人和白人的流感疫苗行为进行了新颖的检查，确定了影响疫苗接种的因素。我们发现种族之间存在显着差异。医疗保健专业人员可以利用这些信息在流感季节更有效地针对高危成年人。
Adults with chronic conditions are at much greater risk of influenza-related morbidity and mortality, yet flu vaccine uptake remains suboptimal. Research focused on the high-risk population has been limited, particularly related to racial disparities in vaccination. We explore a broad range of demographic, racial, and psychosocial factors to identify predictors of vaccination among high-risk adults, with a focus on identify differences between Black and White adults. We conducted an online survey in March 2015, utilizing international research firm GfK’s KnowledgePanel, for a nationally representative sample of Black and White adults (≥18, USA) and limited analysis adults with high-risk of influenza-related complications. Using two-way ANOVA, we assessed demographic, racial, and psychosocial predictors across vaccine uptake in the past five years and across racial group. 424 (52.2%) Black and 388 (47.8%) White respondents with high-risk complications completed the survey. 383 (47.3%) reported vaccination annually, 99 (12.2%) most years, 104 (12.9%) once/twice, and 223 (27.6%) never. ANOVA confirmed significant differences in vaccine behavior for most demographic predictors (except education), all racial factors (including racial fairness, experiences of discrimination, etc.), and most psychosocial factors (including vaccine attitudes, trust in the vaccine, etc.). ANOVA confirmed significant differences for most factors by race. We observed significant interaction effects between race and vaccine behavior for subjective social status, access to medical care, knowledge of vaccine recommendations, vaccine attitudes, perceived side effect risks, descriptive norms, subjective norms, flu vaccine hesitancy, and flu vaccine confidence, thus implying racial differences in the connection between vaccine uptake and key demographic, racial, and psychosocial factors. This study provides a novel examination of flu vaccine behavior among high-risk Blacks and Whites that identified factors influencing vaccine uptake. We found significant differences by race. Health care professionals can use this information to more effectively target high-risk adults during flu season.
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美国患有慢性疾病的成年人在流感疫苗接种方面的种族和民族差异因年龄而异
影响因子：
3.7
作者：
Lu D;Qiao Y;Brown NE;Wang J
通讯作者：
Wang J
DOI：
10.1016/j.amjmed.2015.10.031
发表时间：
2016-06
期刊：
The American journal of medicine
影响因子：
--
作者：
Lu PJ;O'Halloran A;Ding H;Srivastav A;Williams WW
通讯作者：
Williams WW
影响因子：
5.5
作者：
Lu, Pengjun;Bridges, Carolyn B.;Singleton, James A.
通讯作者：
Singleton, James A.
影响因子：
4.9
作者：
Lu PJ;O'Halloran A;Bryan L;Kennedy ED;Ding H;Graitcer SB;Santibanez TA;Meghani A;Singleton JA
通讯作者：
Singleton JA
影响因子：
9.3
作者：
Remschmidt, Cornelius;Wichmann, Ole;Harder, Thomas
通讯作者：
Harder, Thomas