Determinants of influenza vaccination among high-risk Black and White adults |
| |
| Affiliation: | 1. Department of Family Science, School of Public Health, University of Maryland, 4200 Valley Drive, College Park, MD 20742-2611, United States;2. Maryland Center for Health Equity, University of Maryland, College Park, MD, United States;3. Center for Health and Risk Communication (Emeritus), University of Georgia, Athens, GA, United States;4. Department of Human Development and Quantitative Methods, University of Maryland, College Park, MD, United States;1. Department of Psychiatry, The Ohio State University Wexner Medical Center, Columbus, OH 43210, United States;2. The Institute for Behavioral Medicine Research, The Ohio State University Wexner Medical Center, Columbus, OH 43210, United States;3. Department of Psychology, The Ohio State University, Columbus, OH 43210, United States;4. Department of Obstetrics and Gynecology, The Ohio State University Wexner Medical Center, Columbus, OH 43210, United States;1. University of Michigan School of Public Health, Department of Epidemiology, 1415 Washington Heights, Ann Arbor, MI 48109, USA;2. Influenza Division, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, USA;1. Texas Children''s Hospital, Houston;2. Baylor College of Medicine, Houston;3. Texas Children''s Pavilion for Women, Houston;4. Seattle Children''s Research Institute, Seattle, Wash;5. University of Washington School of Medicine, Seattle, Wash;1. Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA;2. National Vaccine Program Office, US Department of Health and Human Services, Washington, DC;1. Beijing Center for Disease Prevention and Control, Beijing 100013, PR China;2. School of Public Health, Peking University, Beijing 100191, PR China;3. School of Public Health of Columbia University, NY 10032, USA;1. School of Family Life, Brigham Young University, Provo, Utah;2. Institute for Child Development and Family Relations, California State University, San Bernardino, California |
| |
| Abstract: | BackgroundAdults with chronic conditions are at much greater risk of influenza-related morbidity and mortality, yet flu vaccine uptake remains suboptimal. Research focused on the high-risk population has been limited, particularly related to racial disparities in vaccination. We explore a broad range of demographic, racial, and psychosocial factors to identify predictors of vaccination among high-risk adults, with a focus on identify differences between Black and White adults.MethodsWe conducted an online survey in March 2015, utilizing international research firm GfK’s KnowledgePanel, for a nationally representative sample of Black and White adults (≥18, USA) and limited analysis adults with high-risk of influenza-related complications. Using two-way ANOVA, we assessed demographic, racial, and psychosocial predictors across vaccine uptake in the past five years and across racial group.Results424 (52.2%) Black and 388 (47.8%) White respondents with high-risk complications completed the survey. 383 (47.3%) reported vaccination annually, 99 (12.2%) most years, 104 (12.9%) once/twice, and 223 (27.6%) never. ANOVA confirmed significant differences in vaccine behavior for most demographic predictors (except education), all racial factors (including racial fairness, experiences of discrimination, etc.), and most psychosocial factors (including vaccine attitudes, trust in the vaccine, etc.). ANOVA confirmed significant differences for most factors by race. We observed significant interaction effects between race and vaccine behavior for subjective social status, access to medical care, knowledge of vaccine recommendations, vaccine attitudes, perceived side effect risks, descriptive norms, subjective norms, flu vaccine hesitancy, and flu vaccine confidence, thus implying racial differences in the connection between vaccine uptake and key demographic, racial, and psychosocial factors.ConclusionsThis study provides a novel examination of flu vaccine behavior among high-risk Blacks and Whites that identified factors influencing vaccine uptake. We found significant differences by race. Health care professionals can use this information to more effectively target high-risk adults during flu season. |
| |
| Keywords: | United States Influenza vaccination High-risk population Chronic conditions Racial disparities African Americans |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
