Seasonal influenza vaccination coverage among adult populations in the United States, 2005-2011.
Seasonal influenza vaccination coverage among adult populations in the United States, 2005-2011.
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DOI：
10.1093/aje/kwt158
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发表时间：
2013-11-01
影响因子：
5
通讯作者：
Bridges CB
中科院分区：
文献类型：
--
作者：
Lu PJ;Singleton JA;Euler GL;Williams WW;Bridges CB
预防流感最有效的策略是每年接种疫苗。我们使用卡普兰-迈耶生存分析程序分析了2005年至2011年全国健康访谈调查的数据，以估计≥18、18至49、50至、≥65、高危人群和卫生保健人员在2004年至2005年至2010年至2011年期间报告接种疫苗的累积比例。我们比较了每个年龄段和高危人群中按种族/民族划分的疫苗接种覆盖率。18岁≥成人的疫苗接种率从2005-06年度的27.4%增加到2010-11年度的38.1%，平均每年增加2.2%。从2005-06赛季到2010-11赛季，除≥65岁的成年人外，所有被分析群体的覆盖率都增加了10-12个百分点。65岁成人≥的覆盖率为70.2%，50-的覆盖率为43.7%，18-49岁高危人群的覆盖率为36.7%，医护人员的覆盖率为55.8%。在大多数成年亚群中，非西班牙裔黑人和西班牙裔美国人在2010-11赛季的覆盖率明显低于非西班牙裔白人。从2005-06年度到2010-11年度，65岁成年人接种疫苗的覆盖率有所增加，但大多数年龄段的种族和族裔差距仍然很大。需要作出有针对性的努力，以提高复盖率和缩小差距。
The most effective strategy for preventing influenza is annual vaccination. We analyzed data from the 2005-2011 National Health Interview Survey (NHIS) using the Kaplan-Meier survival analysis procedure to estimate the cumulative proportion of persons reporting vaccination in the 2004-05 through 2010-11 seasons for persons ≥18, 18-49, 50-64, ≥65, persons with high-risk conditions, and health care personnel. We compared vaccination coverage by race/ethnicity within each age and high-risk group. Vaccination coverage among adults ≥18 years increased from 27.4% in the 2005-06 season to 38.1% in the 2010-11 season, with an average increase of 2.2% annually. From the 2005-06 to the 2010-11 seasons, coverage increased by 10-12 percentage points for all groups analyzed except for adults aged ≥65 years. Coverage for the 2010-11 season was 70.2% for adults ≥65 years, 43.7% for 50-64 years, 36.7% for 18-49 years with high-risk conditions, and 55.8% for health care personnel. Coverage in the 2010-11 season was significantly lower among non-Hispanic blacks and Hispanics compared with non-Hispanic whites among most of the adult sub-groups. Vaccination coverage among adults <65 years increased from the 2005-06 through the 2010-11 seasons, but substantial racial and ethnic disparities remained in most age groups. Targeted efforts are needed to improve coverage and reduce disparities.
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