Rural-Urban Differences in Influenza Vaccination Among Adults in the United States, 2018-2019
Rural-Urban Differences in Influenza Vaccination Among Adults in the United States, 2018-2019
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DOI：
10.2105/ajph.2021.306575
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发表时间：
2022-02-01
影响因子：
12.7
通讯作者：
Ojikutu, Bisola
中科院分区：
文献类型：
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作者：
Jain, Bhav;Paguio, Joseph Alexander;Ojikutu, Bisola
目标.按年龄组、性别和种族提供2018 - 2019年流感季节美国大城市、中小城市和非大城市地区成年人自我报告接受流感疫苗的调整率。我们对2019年全国健康访谈调查中18岁及以上的受访者进行了查询。为了提供全国流感疫苗接种覆盖率的估计值，我们进行了样本加权多变量logistic回归和预测边际模型，同时调整了年龄、性别、种族/民族和城乡家庭指定。加权后，48.1%，46.2%和43.6%的成年人从大都市，中小城市和非大都市地区，分别接受了流感疫苗。此外，在所有年龄组、性别和多种族/民族人群中，从大城市到农村地区，流感疫苗接种状况呈下降趋势。在所有年龄组和男女的成年人中，农村地区自我报告的流感疫苗接种率低于城市地区。利用社区领导人进行健康促进，增加社区卫生保健工作人员，并为提供者提供激励措施，以将流感疫苗接种纳入定期访问，可以扩大流感疫苗的覆盖面。
Objectives. To provide adjusted rates of self-reported receipt of the influenza vaccine in the 2018-2019 flu season among adults in large metropolitan, medium and small metropolitan, and nonmetropolitan areas of the United States by age group, gender, and race.Methods. We queried the 2019 National Health Interview Survey for respondents aged 18 years and older. To provide national estimates of influenza vaccination coverage, we performed sample-weighted multivariable logistic regressions and predicted marginal modeling while adjusting for age, gender, race/ ethnicity, and urban-rural household designation.Results. After weighting, 48.1%, 46.2%, and 43.6% of adults from large metropolitan, small and medium metropolitan, and nonmetropolitan areas, respectively, received the influenza vaccine. Additionally, there was a trend toward declining influenza vaccination status from large metropolitan to rural areas in all age groups, both genders, and multiple racial/ethnic groups.Conclusions. Self-reported influenza vaccination rates were lower in rural than in urban areas among adults of all age groups and both genders. Using community leaders for health promotion, augmentation of the community health care workforce, and provision of incentives for providers to integrate influenza vaccination in regular visits may expand influenza vaccine coverage.