Identifying Associations Between Influenza Vaccination Status and Access, Beliefs, and Sociodemographic Factors Among the Uninsured Population in Suffolk County, NY
Identifying Associations Between Influenza Vaccination Status and Access, Beliefs, and Sociodemographic Factors Among the Uninsured Population in Suffolk County, NY
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DOI：
10.1007/s10900-020-00873-1
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发表时间：
2020-06-30
影响因子：
5.9
通讯作者：
Phillips, Jedan
中科院分区：
文献类型：
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作者：
Chen, George;Kazmi, Masooma;Phillips, Jedan
季节性流感每年继续给美国带来巨大的医疗保健和经济负担。本研究评估了未参保人群的流感疫苗接种率，确定了免费流感疫苗的需求，并分析了疫苗接种状况与获取、信仰和社会人口因素的关系。石溪外展和医学教育（SB之家）免费诊所向居住在纽约州萨福克县的18岁以上没有保险的患者免费提供流感疫苗接种。2018年10月至2019年2月期间访问SB HOME的所有患者都接受了10分钟的匿名调查，评估人口统计学特征、健康状况自我评估、2017-2018年和2018-2019年流感季节期间的疫苗接种情况、获得免费流感疫苗的意愿以及对流感疫苗的信念和障碍。分析采用描述性统计、配对检验和chi(2)检验，显著性阈值p < 0.05。共有102名参与者接受了调查，其中80%被认为是西班牙裔/拉丁裔。大多数与会者对流感疫苗持积极态度。尽管有这些积极的态度，72%的人报告说在2017-2018年流感季节没有接种流感疫苗，常见的原因是害怕因流感疫苗而生病，成本高，不知道在哪里接种疫苗。在2018-2019年流感季节，60%的参与者选择在SB HOME接受免费流感疫苗，对流感疫苗持积极态度的参与者更有可能接受免费疫苗。害怕因接种流感疫苗而生病仍然是参与者拒绝免费接种流感疫苗的最常见原因。只有17%的参与者愿意以30美元的市场价格接种疫苗，而如果疫苗免费提供，这一比例为76%。我们的研究强调，在没有保险的人群中，需要方便和负担得起的流感疫苗，尽管认识到接种流感疫苗的好处，但他们无法克服某些障碍。在地方社区一级阐明和针对没有保险的人口所特有的障碍，可以改善以提高疫苗接种率为中心的公共卫生战略。
Seasonal influenza continues to impose a substantial healthcare and economic burden in the United States each year. This study assessed influenza vaccination rates among the uninsured population, determined the need for free flu vaccines, and analyzed associations of vaccination status with access, beliefs, and sociodemographic factors. Stony Brook Outreach and Medical Education (SB HOME) free clinic offers free flu vaccinations to uninsured patients over the age of 18 living in Suffolk County, New York. All patients visiting SB HOME between October 2018 and February 2019 were offered a 10-min anonymous survey assessing demographic characteristics, self-evaluation of health status, vaccination status during the 2017-2018 and 2018-2019 flu seasons, willingness to obtain a free flu vaccine, and beliefs and barriers surrounding flu vaccines. Analysis consisted of descriptive statistics, pairedttests, and chi(2)tests using a significance threshold of p < 0.05. A total of 102 participants were surveyed, 80% of whom identified as Hispanic/Latino. The majority of participants expressed positive attitudes towards the influenza vaccine. Despite these positive attitudes, 72% reported not receiving the influenza vaccination during the 2017-2018 flu season, the commonly cited reasons being fear of getting sick from the flu vaccine, high cost, and not knowing where to get the vaccine. During the 2018-2019 flu season 60% of participants elected to receive a free flu shot at SB HOME, and participants with positive attitudes towards flu vaccines were more likely to accept the vaccine when offered at no cost. Fear of getting sick from the flu vaccine remained the most common reason for participants declining a free flu vaccine. Only 17% of participants would seek vaccination at the market price of $30, compared to the 76% who would if the vaccine was offered for free. Our study highlights the need for convenient and affordable access to the flu vaccine among uninsured populations, who despite recognizing the benefits of receiving the flu vaccine are unable to overcome certain barriers. Elucidating and targeting barriers specific to uninsured populations at the local community level may improve public health strategies centered on increasing vaccination rates.