Influenza vaccination of recommended adult populations, US, 1989-2005
Influenza vaccination of recommended adult populations, US, 1989-2005
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DOI：
10.1016/j.vaccine.2008.01.040
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发表时间：
2008-03-25
期刊：
影响因子：
5.5
通讯作者：
Singleton, James A.
中科院分区：
文献类型：
--
作者：
Lu, Pengjun;Bridges, Carolyn B.;Singleton, James A.
目的：评估美国推荐成人人群的流感疫苗接种覆盖率。方法：分析了1989年至2005年全国健康访谈调查（NHIS）的数据，加权以反映平民，非机构化的美国人口，以确定年龄≥ 65岁的人，高危人群，卫生保健工作者（HCW），孕妇和与至少一名被确定为流感感染并发症高危人群的家庭生活的人。我们分层的种族/民族的数据，以确定种族/民族difficulties.Results：所有的疫苗接种覆盖水平。建议的成人接种人数在2004年达到高峰，然后在2005年下降，原因是2004-2005年疫苗短缺。65岁以上成年人的覆盖率从1989年的30.1%（95%置信区间[CI]：28.8-31.3）增加到2004年的70.0%（68.0-71.5）。2004年，覆盖率为40.7%（39.0-42.5）50-64岁的所有成年人，27.2%（24.6-29.9）对于18-49岁的高风险成年人，43.2%卫生保健工作者的死亡率为39.9- 46.6%，有高风险家庭成员的18-64岁非高风险成年人为21.1%（19.1- 23.4%），孕妇为14.4%（8.8- 22.9%）。在每一个建议的成年人亚组，疫苗接种覆盖率是较高的非西班牙裔白人相比，少数groups.Conclusions：到1997年，流感疫苗接种覆盖率已超过国家2000年的目标60%的人年龄≥ 65岁，但到2004年仍然湿[低于国家2010年的目标90%。针对其他群体的流感疫苗接种覆盖率也远远低于2000年和2010年健康人群的覆盖率，即18-64岁高危人群、卫生保健工作者和孕妇的60%。需要采取协调一致的努力，提高提供者对成人免疫标准的采用，提高公众认识，稳定疫苗供应，以提高推荐人群的流感疫苗接种率，并减少种族和民族差异。爱思唯尔有限公司出版
Objective: To assess influenza vaccination coverage among recommended adult populations in the United States.Methods: Data from the 1989 to 2005 National Health Interview Surveys (NHISs), weighted to reflect the civilian, non-institutionalized U.S. population, were analyzed to determine self-reported levels of influenza vaccination among persons aged >= 65 years, persons with high-risk conditions, health care workers (HCW), pregnant women, and persons Living in households with at least one identified person at high risk of complications from influenza infection. We stratified data by race/ethnicity to identify racial/ethnic disparities.Results: Vaccination coverage levels among all. recommended adult populations peaked in 2004, then declined in 2005 in association with the 2004-2005 vaccine shortage. Coverage for adults 65 years of age increased from 30.1% (95% confidence interval [Cl]: 28.8-31.3) in 1989 to 70.0% (68.0-71.5) in 2004. In 2004, coverage was 40.7% (39.0-42.5) for all adults 50-64 years, 27.2% (24.6-29.9) for adults aged 18-49 years with high-risk conditions, 43.2% (39.9-46.6) for health care workers, 21.1% (19.1-23.4) for non-high-risk adults aged 18-64 years with a high-risk household member, and 14.4% (8.8-22.9) for pregnant women. Among each of the recommended adult sub-groups, vaccination coverage was higher for non-Hispanic whites compared to minority groups.Conclusions: By 1997, influenza vaccination coverage had exceeded the national 2000 objective of 60% among persons aged >= 65 years, but by 2004 still remains wet[ below the national 2010 target of 90%. Coverage levels for other groups targeted for influenza vaccination also are far short of the Healthy People 2000 and 2010 goats of 60% for persons aged 18-64 years with high-risk conditions, health care workers, and pregnant women. A concerted effort to increase provider adoption of standards for adult immunization, public awareness, and stable vaccine supplies are needed to improve influenza vaccination rates among recommended groups, and to reduce racial and ethnic disparities. Published by Elsevier Ltd.