Predictors of flu vaccination among urban Hispanic children and adults.
Predictors of flu vaccination among urban Hispanic children and adults.
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DOI：
10.1136/jech.2009.099879
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发表时间：
2012-03
影响因子：
6.3
通讯作者：
Larson EL
中科院分区：
文献类型：
--
作者：
Cohen B;Ferng YH;Wong-McLoughlin J;Jia H;Morse SS;Larson EL
流感疫苗对预防感染是有效的，但在美国的覆盖率仍然很低，特别是在少数种族/少数民族中。这项研究调查了在纽约曼哈顿一个以西班牙裔为主的社区接种流感疫苗的相关因素。家庭在2006-2007年和2007-2008年流感季节被招募。对主要家庭受访者进行访谈，以确定所有家庭成员对流感传播/治疗和疫苗接种状况的了解以及人口统计信息。5岁以下儿童接种率为47.3%，5 - 17岁为39.3%，18 - 49岁为15.3%，50 - 64岁为31.0%，≥65岁成人为37.1%；5岁以下儿童占53.1%，5 - 17岁占43.6%，18 - 49岁占19.5%，50 - 64岁占34.1%，65岁以上占34.3%。对于儿童而言，年龄较小、患有慢性呼吸道疾病（如哮喘）以及主要应答者对流感的了解程度较高与接种疫苗呈正相关。在成年人中，女性、年龄较大、受过高等教育、对流感有更多的初级应答者知识、在美国出生和患有慢性呼吸道疾病与接种疫苗呈正相关。不接种疫苗最常见的原因是认为流感疫苗是不必要的或无效的。提高城市西班牙裔社区疫苗接种水平的可能方法包括提高卫生知识水平，提供低成本疫苗接种，并鼓励提供者利用其他办公室访问作为向患者提及疫苗接种的机会。本研究注册于http://ClinicalTrials.gov （NCT00448981）。
Flu vaccination is effective for preventing infection, but coverage levels in the USA remain low—especially among racial/ethnic minorities. This study examines factors associated with flu vaccination in a predominantly Hispanic community in Manhattan, New York. Households were recruited during the 2006–2007 and 2007–2008 flu seasons. Primary household respondents were interviewed to determine knowledge of flu transmission/treatment and vaccination status and demographic information for all household members. Vaccination coverage was 47.3% among children <5, 39.3% among 5–17-year-olds, 15.3% among 18–49-year-olds, 31.0% among 50–64-year-olds and 37.1% among adults ≥65 in year 1; and 53.1% among children <5, 43.6% among 5–17-year-olds, 19.5% among 18–49-year-olds, 34.1% among 50–64-year-olds and 34.3% among adults ≥65 in year 2. For children, younger age, having a chronic respiratory condition (eg, asthma), and greater primary respondent knowledge of flu were positively associated with vaccination. Among adults, female gender, older age, higher education, greater primary respondent knowledge of flu, having been born in the USA and having a chronic respiratory condition were positively associated with vaccination. The most common reasons cited for not being vaccinated were the beliefs that flu vaccination was unnecessary or ineffective. Possible methods for increasing vaccination levels in urban Hispanic communities include improving health literacy, making low-cost vaccination available and encouraging providers to use other office visits as opportunities to mention vaccination to patients. This study is registered at http://ClinicalTrials.gov (NCT00448981).
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影响因子：
8
作者：
Coffin, Susan E.;Zaoutis, Theoklis E.;Keren, Ron
通讯作者：
Keren, Ron
影响因子：
2.5
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