Impact of Health Insurance Status on Vaccination Coverage Among Adult Populations
Impact of Health Insurance Status on Vaccination Coverage Among Adult Populations
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DOI：
10.1016/j.amepre.2014.12.008
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发表时间：
2015-06-01
影响因子：
5.5
通讯作者：
Williams, Walter W.
中科院分区：
文献类型：
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作者：
Lu, Peng-jun;O'Halloran, Alissa;Williams, Walter W.
导言：保险不足是儿童接种疫苗的一个障碍。按保险状况分列的18岁以上成年人的疫苗接种信息有限。本研究评估了2012年美国18岁以上成年人的疫苗接种覆盖率，包括健康保险状况和获得护理的特征。方法：2014年分析了2012年全国健康访谈调查数据，以估计7种常规推荐疫苗的健康保险状况对18岁以上成年人的疫苗接种覆盖率。18岁以上无健康保险或有健康保险的成年人的流感疫苗接种覆盖率分别为14.4%和44.3%; 18-64岁高危人群的肺炎球菌疫苗接种覆盖率分别为9.8%和23.0%;破伤风和白喉类毒素覆盖率（年龄>= 18岁）分别为53.2%和64.5%;破伤风、白喉和无细胞百日咳（Tdap）覆盖率（年龄>= 18岁）为8.4%对15.7%;甲型肝炎（HepA）覆盖率（18-49岁）分别为16.6%和19.8%; B型肝炎（HepB）覆盖率（年龄18-49岁）分别为27.5%和38.0%;带状疱疹覆盖率（年龄>= 60岁）分别为6.1%和20.8%;人乳头瘤病毒（HPV）覆盖率（18-26岁女性）分别为20.9%和39.8%。此外，疫苗接种覆盖率不同的保险类型，受访者是否有一个定期的医生，和医生contacts.Conclusions的数量：总体而言，年龄≥ 18岁的成年人的疫苗接种覆盖率较低的未投保人群。需要实施有效的战略，以帮助提高18岁以上成年人，特别是没有医疗保险的成年人的疫苗接种覆盖率。爱思唯尔公司出版美国预防医学杂志（American Journal of Preventive Medicine）
Introduction: Underinsurance is a barrier to vaccination among children. Information on vaccination among adults aged >= 18 years by insurance status is limited. This study assesses vaccination coverage among adults aged >= 18 years in the U.S. in 2012 by health insurance status and access to care characteristics.Methods: The 2012 National Health Interview Survey data were analyzed in 2014 to estimate vaccination coverage among adults aged >= 18 years by health insurance status for seven routinely recommended vaccines.Results: Influenza vaccination coverage among adults aged >= 18 years without or with health insurance was 14.4% versus 44.3%, respectively; pneumococcal vaccination coverage among adults aged 18-64 years with high-risk conditions was 9.8% versus 23.0%; tetanus and diphtheria toxoid (Td) coverage (age >= 18 years) was 53.2% versus 64.5%; tetanus, diphtheria, and acellular pertussis (Tdap) coverage (age >= 18 years) was 8.4% versus 15.7%; hepatitis A (HepA) coverage (age 18-49 years) was 16.6% versus 19.8%; hepatitis B (HepB) coverage (age 18-49 years) was 27.5% versus 38.0%; shingles coverage (age >= 60 years) was 6.1% versus 20.8%; and human papillomavirus (HPV) coverage (women aged 18-26 years) was 20.9% versus 39.8%. In addition, vaccination coverage differed by insurance type, whether respondents had a regular physician, and number of physician contacts.Conclusions: Overall, vaccination coverage among adults aged >= 18 years is lower among uninsured populations. Implementation of effective strategies is needed to help improve vaccination coverage among adults aged >= 18 years, especially those without health insurance. Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine