Correlates of seasonal flu vaccination among US home health aides

Correlates of seasonal flu vaccination among US home health aides
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DOI:
10.1016/j.vaccine.2012.10.108
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发表时间:
2013-01-02
期刊:
影响因子:
5.5
通讯作者:
Reme, Silje E.
Reme, Silje E.
中科院分区:
医学3区
文献类型:
--
作者:
Caban-Martinez, Alberto Juan;Arlinghaus, Anna;Reme, Silje E.

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简介:家庭保健助理(HAS)接受的培训有限,并接触到许多易受流感病毒影响的老年患者。方法:我们分析了2007年美国国家家庭健康辅助调查的数据,这是一个具有全国代表性的样本,报告了职业状况、工作和人口特征以及接受季节性流感疫苗的情况(n=3377)。结果:在所有类型的HAS中,季节性流感疫苗接种量较低(43.9%)。在对社会人口学指标(即年龄、性别、种族和健康保险)进行调整后,家庭健康、家庭护理、临终关怀和个人护理服务人员报告接受季节性流感疫苗的可能性明显低于有执照的护理助理(调整后的优势比,AOR=0.42,95%CI[0.20-0.85];0.41,[0.17-0.99];0.50,[0.26-0.97]和0.53,[0.26-0.99]。结论:需要有针对性的有效的疫苗接种活动,以提高家庭保健助理的疫苗接种率。(C)2012爱思唯尔有限公司。保留所有权利。
Introduction: Home health aides (HAs) receive limited training and reach many older patient populations highly susceptible to influenza virus. We sought to examine socio-demographic correlates of seasonal flu vaccination receipt among HAs.Methods: We analyzed data from the 2007 U.S. National Home Health Aide Survey, a nationally representative sample of HAs reporting on occupational status, job and demographic characteristics and receipt of seasonal flu vaccine (n=3377).Results: Seasonal flu vaccine receipt was low among all types of HAs (43.9%). After adjustment for socio-demographic indicators (i.e. age, gender, race and health insurance), home health, home care, hospice and personal care attendants were significantly less likely to report receiving seasonal flu vaccine as compared to licensed nursing assistants (adjusted odds ratio, AOR = 0.42, 95% CI [0.20-0.85]; 0.41, [0.17-0.99]; 0.50, [0.26-0.97], and 0.53, [0.26-0.99], respectively).Conclusion: Targeted effective vaccination campaigns are needed to improve vaccination rates among home health aides. (C) 2012 Elsevier Ltd. All rights reserved.