Association between number of physician visits and influenza vaccination coverage among diabetic adults with access to care
Association between number of physician visits and influenza vaccination coverage among diabetic adults with access to care
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DOI：
10.2337/diacare.26.9.2562
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发表时间：
2003-09-01
期刊：
影响因子：
16.2
通讯作者：
Egede, LE
中科院分区：
文献类型：
--
作者：
Egede, LE
目的-糖尿病成年人接种流感疫苗的比例低于理想水平。本研究确定了在过去的12个月内，医生访问的数量和流感疫苗接种糖尿病成人与访问到护理的可能性之间的关系。研究设计和方法-1,807糖尿病成人与访问到护理的数据在1999年全国健康调查（NHIS）进行了分析。流感疫苗接种率由医生就诊次数决定。Logistic回归用于确定医生就诊次数和流感疫苗接种覆盖率之间的独立关联，控制年龄，性别，种族/民族，教育，收入，就业人口普查地区和合并症。STATA被用于分析，以解释复杂的抽样设计NHIS.RESULTS -总体而言，56%的受试者接受了流感疫苗。按医生访视次数划分的接种比例如下：35%（未访视）、47%（1-3次访视）、58%（4-9次访视）和61%（≥ 10次访视）。与没有看医生的人相比，看过4-9次医生的人（比值比[OR] 2.61）和看过10次以上医生的人（2.96）更有可能接种疫苗。然而，在控制协变量后，只有大于或等于10次访问（2.34）的人更有可能被vaccination.CONCLUSIONS -在这个具有全国代表性的样本中，糖尿病成年人反复就诊并获得护理与流感疫苗接种覆盖率的适度增加相关。在校正分析中，流感疫苗接种的几率与医生就诊的次数没有显著相关性，除了那些就诊次数大于或等于10次的人。
OBJECTIVE - The proportion of diabetic adults that receives the influenza vaccine is less than ideal. This study determined the relationship between the number of physician visits in the previous 12 months and the likelihood of influenza vaccination among diabetic adults with access to care.RESEARCH DESIGN AND METHODS - Data on 1,807 diabetic adults with access to care in the 1999 National Health Inter-view Survey (NHIS) were analyzed. Prevalence of influenza vaccination was determined by number of physician visits. Logistic regression was used to determine the independent association between number of physician visits and influenza vaccination coverage, controlling for age, sex, race/ethnicity, education, income, employment census region, and comorbidity. STATA was used for analyses to account for the complex sampling design of NHIS.RESULTS - Overall, 56% of subjects received the influenza vaccine. Proportions vaccinated by number of physician visits were as follows: 35% (no visit), 47% (1-3 visits), 58% (4-9 visits), and 61% (greater than or equal to10 visits). Compared with people with no physician visit, people with 4-9 visits (odds ratio [OR] 2.61) and greater than or equal to10 visits (2.96) were significantly more likely to be vaccinated. However, after controlling for covariates, only people with greater than or equal to10 visits (2.34) were significantly more likely to be vaccinated.CONCLUSIONS - In this nationally representative sample, repeated physician visits by diabetic adults with access to care were associated with only modest increases in influenza vaccination coverage. In adjusted analysis, odds of influenza vaccination were not significantly associated with number of physician visits, except in people with greater than or equal to10 visits.