Racial/ethnic differences in influenza vaccination coverage in high-risk adults
Racial/ethnic differences in influenza vaccination coverage in high-risk adults
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DOI：
10.2105/ajph.93.12.2074
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发表时间：
2003-12-01
影响因子：
12.7
通讯作者：
Zheng, DY
中科院分区：
文献类型：
--
作者：
Egede, LE;Zheng, DY
目标.本研究确定了高危成人流感疫苗接种的种族/民族差异。我们使用1999年国家健康访谈调查（NHIS）的数据，分析了7655名高危成人的流感疫苗接种数据。我们按年龄对数据进行分层，并使用多元逻辑回归对性别、教育、收入、就业和医疗服务进行调整。控制协变量后，患有糖尿病、慢性心脏病和癌症的白色患者的流感疫苗接种率高于相同条件下的黑人患者。同样，患有2种或2种以上高危疾病的白色患者比相同条件下的黑人患者更有可能接受流感疫苗。高风险人群的流感疫苗接种存在显著的种族/民族差异，错过疫苗接种机会似乎是导致美国流感疫苗接种覆盖率低于最佳水平的原因。
Objectives. This study identified racial/ethnic disparities in influenza vaccination in high-risk adults.Methods. We analyzed data on influenza vaccination in 7655 adults with high-risk conditions, using data from the 1999 National Health Interview Survey (NHIS). We stratified data by age and used multiple logistic regression to adjust for gender, education, income, employment, and health care access.Results. After control for covariates, White patients with diabetes, chronic heart conditions, and cancer had a higher prevalence of influenza vaccination than did Black patients with the same conditions, Similarly, White patients with 2 or more high-risk conditions were more likely to receive the influenza vaccine than Black patients with the same conditions.Conclusions. Significant racial/ethnic differences exist in influenza vaccination of high-risk individuals, and missed vaccination opportunities seem to contribute to the less-than-optimal influenza vaccination coverage in the United States.