Can Routine Offering of Influenza Vaccination in Office-Based Settings Reduce Racial and Ethnic Disparities in Adult Influenza Vaccination?
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Influenza vaccination remains below the federally targeted levels outlined in Healthy People 2020. Compared to non-Hispanic whites, racial and ethnic minorities are less likely to be vaccinated for influenza, despite being at increased risk for influenza-related complications and death. Also, vaccinated minorities are more likely to receive influenza vaccinations in office-based settings and less likely to use non-medical vaccination locations compared to non-Hispanic white vaccine users.
To assess the number of “missed opportunities” for influenza vaccination in office-based settings by race and ethnicity and the magnitude of potential vaccine uptake and reductions in racial and ethnic disparities in influenza vaccination if these “missed opportunities” were eliminated.
National cross-sectional Internet survey administered between March 4 and March 14, 2010 in the United States.
Non-Hispanic black, Hispanic and non-Hispanic white adults living in the United States (N = 3,418).
We collected data on influenza vaccination, frequency and timing of healthcare visits, and self-reported compliance with a potential provider recommendation for vaccination during the 2009–2010 influenza season. “Missed opportunities” for seasonal influenza vaccination in office-based settings were defined as the number of unvaccinated respondents who reported at least one healthcare visit in the Fall and Winter of 2009–2010 and indicated their willingness to get vaccinated if a healthcare provider strongly recommended it. “Potential vaccine uptake” was defined as the sum of actual vaccine uptake and “missed opportunities.”
The frequency of “missed opportunities” for influenza vaccination in office-based settings was significantly higher among racial and ethnic minorities than non-Hispanic whites. Eliminating these “missed opportunities” could have cut racial and ethnic disparities in influenza vaccination by roughly one half.
Improved office-based practices regarding influenza vaccination could significantly impact Healthy People 2020 goals by increasing influenza vaccine uptake and reducing corresponding racial and ethnic disparities.
KEY WORDSinfluenza vaccination racial and ethnic disparities healthcare provider behavior
- 2.Thompson MG, Shay DK, Zhou H, et al. Estimates of deaths associated with seasonal influenza—United States, 1976–2007. MMWR. 2010;59(33):1057–62.Google Scholar
- 4.U.S. Centers for Disease Control and Prevention. Self-reported influenza vaccination coverage trends 1989–2008 among adults by age group, risk group, race/ethnicity, health-care worker status, and pregnancy status, United States, National Health Interview Survey (NHIS). Available online at: http://www.cdc.gov/flu/pdf/professionals/nhis89_08fluvaxtrendtab.pdf (accessed 4 July 2014).
- 5.U.S. Centers for Disease Control and Prevention. March Flu Vaccination Coverage United States, 2011–12 Influenza Season. Available online at: http://www.cdc.gov/flu/pdf/fluvaxview/national-flu-survey-mar2012.pdf (accessed 4 July 2014).
- 13.U.S. Centers for Disease Control and Prevention. Place of Influenza Vaccination Among Adults --- United States, 2010–11 Influenza Season. MMWR 2011;60(23):781–785.Google Scholar
- 16.U.S. Centers for Disease Control and Prevention. Increasing adult vaccination rates: What works: Strategies list. Available online at: http://www2a.cdc.gov/vaccines/ed/whatworks/strategies_list.asp (accessed 4 July 2014)
- 18.GfK. KnowledgePanel Available online at: http://www.gfk.com/Documents/GfK-KnowledgePanel.pdf (accessed 4 July 2014).
- 19.Knowledge Networks. Overview of KnowledgePanel statistical weighting protocol. 11 Nov 2009. Available at: www.knowledgenetworks.com/ganp/docs/KN-Weighting-Synopsis.pdf (accessed 4 July 2014).
- 20.U.S. Centers for Disease Control and Prevention. CDC health disparities and inequalities report—United States, 2011. MMWR. 2011;60(Suppl):1–113.Google Scholar
- 26.Knowledge Networks. GfK bibliography: Articles and presentations based on GfK’s collected panel data, analysis or methodology. Available at: http://www.knowledgenetworks.com/ganp/docs/KN-Bibliography.pdf (accessed 4 July 2014)
- 27.U.S. Department of Health and Human Services. Healthy People 2020. 2020 Topics & Objectives. Immunization and Infectious Diseases. Available online at: http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicId=23 (accessed 4 July 2014).
- 29.U.S. Centers for Disease Control and Prevention. Prevention and control of influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2010. MMWR. 2010;59(No. RR-8):1–62.Google Scholar
- 33.Escarce JJ. Racial and ethnic disparities in access to and quality of health care. Robert Wood Johnson Foundation, Research Synthesis Report No. 12 2007:1–32.Google Scholar