Where adults reported receiving influenza vaccination in the United States
Where adults reported receiving influenza vaccination in the United States
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DOI：
10.1016/j.ajic.2005.03.016
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发表时间：
2005-12-01
影响因子：
4.9
通讯作者：
Iwane, MK
中科院分区：
文献类型：
--
作者：
Singleton, JA;Poel, A;Iwane, MK
背景：65岁及以下高风险成人的流感疫苗接种覆盖率仍然低得令人无法接受。本研究评估的位置，美国成年人接受流感（流感）疫苗接种和传统和非传统的疫苗接种设置发挥在流感疫苗delivery.Methods的相对作用：我们分析了数据类型的设置，在最后一次流感疫苗接种收到，报告的成年受访者1999年的行为风险因素监测系统，分层的年龄组和医疗条件。我们使用多变量logistic回归来确定与非传统疫苗接种settings.Results相关的因素：在1998-1999年，报告的流感疫苗接种覆盖率为19%的人年龄在18-49岁，36%的人年龄在50-64岁，67%的人年龄≥ 65岁。据报告，18岁以上的人接种的流感疫苗有70%是在医生办公室和其他传统场所接种的。在非传统环境（如工作场所、商店）接种疫苗。社区中心）更有可能为年轻，健康，就业，白色，受过大学教育的成年人谁没有最近的例行checkup.Conclusion：医生应提供疫苗接种服务的每一个机会增加获得疫苗接种服务在非传统的设置应被视为另一种战略，在追求国家疫苗接种覆盖率的目标。
Background: Influenza vaccination coverage remains unacceptably low among persons aged 65 years and younger high-risk adults. This study assessed locations at which US adults receive influenza (flu) vaccinations and the relative roles that traditional and nontraditional vaccination settings play in influenza vaccine delivery.Methods: We analyzed data on types of settings at which last flu shot was received, reported by adult respondents to the 1999 Behavioral Risk Factor Surveillance System, stratified by age group and medical condition. We used multivariable logistic regression to identify factors associated with nontraditional vaccination settings.Results: In 1998-1999, reported influenza vaccination coverage was 19% for persons aged 18-49 years, 36% for persons aged 50-64 years, and 67% for persons aged >= 65 years. Seventy percent of flu shots received by persons aged >= 18 years were reportedly administered in doctors' offices and other traditional settings. Vaccination in nontraditional settings (eg, workplace, stores. community centers) was more likely for young, healthy, employed, white, college-educated adults who had not had a recent routine checkup.Conclusion: Physicians should offer vaccination services at every opportunity Increasing access to vaccination services in nontraditional settings should be considered as another strategy in pursuit of national vaccination coverage objectives.