Trends in racial/ethnic disparities in influenza vaccination coverage among adults during the 2007-08 through 2011-12 seasons.
Trends in racial/ethnic disparities in influenza vaccination coverage among adults during the 2007-08 through 2011-12 seasons.
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DOI：
10.1016/j.ajic.2014.03.021
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发表时间：
2014-07
影响因子：
4.9
通讯作者：
Singleton JA
中科院分区：
文献类型：
--
作者：
Lu PJ;O'Halloran A;Bryan L;Kennedy ED;Ding H;Graitcer SB;Santibanez TA;Meghani A;Singleton JA
建议所有≥6个月的人每年接种流感疫苗。本研究的目的是评估美国成人流感疫苗接种覆盖率的种族/民族差异趋势。我们分析了2007-2012年全国健康访谈调查（NHIS）和行为风险因素监测系统（BRFSS）的数据，使用Kaplan-Meier生存分析程序评估了2007-08年至2011-12年流感疫苗接种季节中年龄、医疗状况和种族/族裔群体的流感疫苗接种覆盖率。在2011- 2012年流感季节，在大多数成人亚组中，非西班牙裔黑人和西班牙裔人的流感疫苗接种覆盖率明显低于非西班牙裔白人，18-49岁的成年人与其他年龄组相比差异较小。根据NHIS，从2007-08年到2011-12年，大多数成人亚组的非西班牙裔白人、非西班牙裔黑人和西班牙裔成年人的疫苗接种覆盖率显著增加（趋势检验：p<0.05）。从2007-08赛季到2011-12赛季，种族/少数民族和非西班牙裔白人之间的覆盖率差距保持在相似的水平，NHIS和BRFSS的结果也相似。从2007-08年到2011-12年，大多数种族/族裔群体的流感疫苗接种覆盖率有所增加，但在大多数年龄组中仍然存在重大的种族和族裔差异。需要有针对性的努力来提高覆盖率和缩小差距。
Annual influenza vaccination is recommended for all persons ≥6 months. The objective of this study is to assess trends in racial/ethnic disparities in influenza vaccination coverage among adults in the United States. We analyzed data from the 2007-2012 National Health Interview Survey (NHIS) and Behavioral Risk Factor Surveillance System (BRFSS) using the Kaplan-Meier survival analysis procedure to assess influenza vaccination coverage by age, presence of medical conditions, and racial/ethnic groups during the 2007-08 through 2011-12 seasons. During the 2011-12 season, influenza vaccination coverage was significantly lower among non-Hispanic blacks and Hispanics compared with non-Hispanic whites among most of the adult sub-groups, with smaller disparities observed for adults 18-49 years compared to other age groups. Vaccination coverage for non-Hispanic white, non-Hispanic black, and Hispanic adults increased significantly from the 2007-08 through the 2011-12 season for most of the adult sub-groups based on NHIS (test for trend: p<0.05). Coverage gaps between racial/ethnic minorities and non-Hispanic white persisted at similar levels from the 2007-08 through the 2011-12 season, with similar results from NHIS and BRFSS. Influenza vaccination coverage among most racial/ethnic groups increased from the 2007-08 through the 2011-12 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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