Influenza vaccination coverage among adults with diabetes, United States, 2007-08 through 2017-18 seasons.
Influenza vaccination coverage among adults with diabetes, United States, 2007-08 through 2017-18 seasons.
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DOI：
10.1016/j.vaccine.2020.08.008
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发表时间：
2020-09-29
期刊：
影响因子：
5.5
通讯作者：
Williams, Walter W.
中科院分区：
文献类型：
--
作者：
Hung, Mei-Chuan;Lu, Peng-jun;Srivastav, Anup;Cheng, Yiling J.;Williams, Walter W.
糖尿病与流感的住院、发病和死亡风险较高相关。我们评估了2007-08年至2017-18年流感季节期间≥18岁糖尿病成人的流感疫苗接种覆盖率，并确定了与2017-18年流感季节期间疫苗接种独立相关的因素。我们分析了2007-2018年国家健康访谈调查的数据，使用Kaplan-Meier生存分析来估计季节性流感疫苗接种覆盖率。进行多变量logistic回归，以检查糖尿病是否与过去12个月内自我报告的流感疫苗接种独立相关，并使用2017-18年数据确定与糖尿病成人疫苗接种独立相关的因素。在2007-08年至2017-18年流感季节期间，年龄≥18岁的糖尿病成人的流感疫苗接种覆盖率为62.6%至64.8%。在2017-18年流感季节，糖尿病成人（64.8%）的覆盖率明显高于非糖尿病成人（43.9%）。在控制其他因素后，糖尿病与疫苗接种率的增加独立相关。在成年糖尿病患者中，生活在贫困水平或以上，有更多的医生接触，有通常的地方进行医疗保健，失业与疫苗接种率增加独立相关; 18-64岁和非西班牙裔黑人与疫苗接种率下降独立相关。尽管对糖尿病患者接种流感疫苗提出了具体建议，但超过三分之一的糖尿病成人未接种疫苗。需要有针对性的努力，以提高成人糖尿病患者的流感疫苗接种覆盖率。
Diabetes is associated with higher risk of hospitalization, morbidity, and mortality from influenza. We assessed influenza vaccination coverage among adults aged ≥18 years with diabetes during the 2007–08 through 2017–18 influenza seasons and identified factors independently associated with vaccination during the 2017–18 season. We analyzed data from the 2007–2018 National Health Interview Surveys, using Kaplan-Meier survival analysis to estimate season-specific influenza vaccination coverage. Multivariable logistic regression was conducted to examine whether diabetes was independently associated with self-reported influenza vaccination in the past 12 months and identify factors independently associated with vaccination among adults with diabetes using the 2017–18 data. During the 2007–08 through 2017–18 influenza seasons, influenza vaccination coverage among adults aged ≥18 years with diabetes ranged from 62.6% to 64.8%. In the 2017–18 influenza season, coverage was significantly higher among adults with diabetes (64.8%) compared with those without diabetes (43.9%). Having diabetes was independently associated with an increased prevalence of vaccination after controlling for other factors. Among adults with diabetes, living at or above poverty level, having more physician contacts, having usual place for health care, and being unemployed were independently associated with increased prevalence of vaccination; being 18–64 years and non-Hispanic black were independently associated with decreased prevalence of vaccination. Despite specific recommendations for influenza vaccination among people with diabetes, more than one-third of adults with diabetes are unvaccinated. Targeted efforts are needed to increase influenza vaccination coverage among adults with diabetes.
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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：
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通讯作者：
Bardenheier, Barbara H.
影响因子：
7.2
作者：
Bowlin, SJ;Morrill, BD;Pearson, TA
通讯作者：
Pearson, TA
影响因子：
16.2
作者：
Egede, LE
通讯作者：
Egede, LE
影响因子：
16.2
作者：
Cefalu, William T.;Berg, Erika Gebel;Robinson, Shamera
通讯作者：
Robinson, Shamera