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Racial and ethnic disparities in vaccination coverage among adult populations in the U.S

Abstract Introduction Reducing racial/ethnic disparities in immunization rates is a compelling public health goal. Disparities in childhood vaccination rates have not been observed in recent years for most vaccines. The objective of this study is to assess adult vaccination by race/ethnicity in the... Full description

Journal Title: Vaccine 2015, Vol.33, p.D83-D91
Main Author: Lu, Peng-jun
Other Authors: O’Halloran, Alissa , Williams, Walter W , Lindley, Megan C , Farrall, Susan , Bridges, Carolyn B
Format: Electronic Article Electronic Article
Language: English
Subjects:
Age
Quelle: Alma/SFX Local Collection
Publisher: Netherlands: Elsevier Ltd
ID: ISSN: 0264-410X
Link: https://www.ncbi.nlm.nih.gov/pubmed/26615174
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recordid: cdi_proquest_miscellaneous_1762370060
title: Racial and ethnic disparities in vaccination coverage among adult populations in the U.S
format: Article
creator:
  • Lu, Peng-jun
  • O’Halloran, Alissa
  • Williams, Walter W
  • Lindley, Megan C
  • Farrall, Susan
  • Bridges, Carolyn B
subjects:
  • Adolescent
  • Adult
  • Adults
  • African Americans - statistics & numerical data
  • Age
  • Allergy and Immunology
  • Analysis
  • Asian people
  • Disease
  • Ethnic Groups - statistics & numerical data
  • Ethnicity
  • European Continental Ancestry Group - statistics & numerical data
  • Female
  • Health Status Disparities
  • Health Surveys
  • Hispanic Americans
  • Hispanic Americans - statistics & numerical data
  • Human papillomavirus
  • Humans
  • Immunization
  • Influenza
  • Influenza Vaccines
  • Insurance, Health
  • Logistics
  • Male
  • Medical research
  • Medicine, Experimental
  • Middle Aged
  • Pneumococcal Vaccines
  • Preventive Health Services - statistics & numerical data
  • Public health
  • Race
  • Skin cancer
  • Socioeconomic Factors
  • Streptococcus pneumoniae
  • Studies
  • Tetanus
  • United States
  • Vaccination
  • Vaccination - statistics & numerical data
  • Vaccines
  • Young Adult
ispartof: Vaccine, 2015, Vol.33, p.D83-D91
description: Abstract Introduction Reducing racial/ethnic disparities in immunization rates is a compelling public health goal. Disparities in childhood vaccination rates have not been observed in recent years for most vaccines. The objective of this study is to assess adult vaccination by race/ethnicity in the U.S. Methods The 2012 National Health Interview Survey was analyzed in 2014 to assess adult vaccination by race/ethnicity for five vaccines routinely recommended for adults: influenza, tetanus, pneumococcal (two vaccines), human papilloma virus, and zoster vaccines. Multivariable logistic regression analysis was performed to identify factors independently associated with all adult vaccinations. Results Vaccination coverage was significantly lower among non-Hispanic blacks, Hispanics, and non-Hispanic Asians compared with non-Hispanic whites, with only a few exceptions. Age, sex, education, health insurance, usual place of care, number of physician visits in the past 12 months, and health insurance were independently associated with receipt of most of the examined vaccines. Racial/ethnic differences narrowed, but gaps remained after taking these factors into account. Conclusions Racial and ethnic differences in vaccination levels narrow when adjusting for socioeconomic factors analyzed in this survey, but are not eliminated, suggesting that other factors that are associated with vaccination disparities are not measured by the National Health Interview Survey and could also contribute to the differences in coverage. Additional efforts, including systems changes to ensure routine assessment and recommendations for needed vaccinations among adults for all racial/ethnic groups, are essential for improving vaccine coverage.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0264-410X
fulltext: fulltext
issn:
  • 0264-410X
  • 1873-2518
url: Link


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descriptionAbstract Introduction Reducing racial/ethnic disparities in immunization rates is a compelling public health goal. Disparities in childhood vaccination rates have not been observed in recent years for most vaccines. The objective of this study is to assess adult vaccination by race/ethnicity in the U.S. Methods The 2012 National Health Interview Survey was analyzed in 2014 to assess adult vaccination by race/ethnicity for five vaccines routinely recommended for adults: influenza, tetanus, pneumococcal (two vaccines), human papilloma virus, and zoster vaccines. Multivariable logistic regression analysis was performed to identify factors independently associated with all adult vaccinations. Results Vaccination coverage was significantly lower among non-Hispanic blacks, Hispanics, and non-Hispanic Asians compared with non-Hispanic whites, with only a few exceptions. Age, sex, education, health insurance, usual place of care, number of physician visits in the past 12 months, and health insurance were independently associated with receipt of most of the examined vaccines. Racial/ethnic differences narrowed, but gaps remained after taking these factors into account. Conclusions Racial and ethnic differences in vaccination levels narrow when adjusting for socioeconomic factors analyzed in this survey, but are not eliminated, suggesting that other factors that are associated with vaccination disparities are not measured by the National Health Interview Survey and could also contribute to the differences in coverage. Additional efforts, including systems changes to ensure routine assessment and recommendations for needed vaccinations among adults for all racial/ethnic groups, are essential for improving vaccine coverage.
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13Health Status Disparities
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abstractAbstract Introduction Reducing racial/ethnic disparities in immunization rates is a compelling public health goal. Disparities in childhood vaccination rates have not been observed in recent years for most vaccines. The objective of this study is to assess adult vaccination by race/ethnicity in the U.S. Methods The 2012 National Health Interview Survey was analyzed in 2014 to assess adult vaccination by race/ethnicity for five vaccines routinely recommended for adults: influenza, tetanus, pneumococcal (two vaccines), human papilloma virus, and zoster vaccines. Multivariable logistic regression analysis was performed to identify factors independently associated with all adult vaccinations. Results Vaccination coverage was significantly lower among non-Hispanic blacks, Hispanics, and non-Hispanic Asians compared with non-Hispanic whites, with only a few exceptions. Age, sex, education, health insurance, usual place of care, number of physician visits in the past 12 months, and health insurance were independently associated with receipt of most of the examined vaccines. Racial/ethnic differences narrowed, but gaps remained after taking these factors into account. Conclusions Racial and ethnic differences in vaccination levels narrow when adjusting for socioeconomic factors analyzed in this survey, but are not eliminated, suggesting that other factors that are associated with vaccination disparities are not measured by the National Health Interview Survey and could also contribute to the differences in coverage. Additional efforts, including systems changes to ensure routine assessment and recommendations for needed vaccinations among adults for all racial/ethnic groups, are essential for improving vaccine coverage.
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pubElsevier Ltd
pmid26615174
doi10.1016/j.vaccine.2015.09.031