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Influenza and pneumococcal vaccination in older veterans: results from the behavioral risk factor surveillance system.
J Am Geriatr Soc. 2006 Feb; 54(2):217-23.JA

Abstract

OBJECTIVES

To compare influenza and pneumococcal vaccination rates of older veterans with those of nonveterans and to compare vaccination rates of veterans who receive care at U.S. Department of Veterans Affairs (VA) medical centers with those of veterans who do not.

DESIGN

Cross-sectional population-based study.

SETTING

United States and territories.

PARTICIPANTS

Persons aged 65 and older who participated in the 2003 Behavioral Risk Factor Surveillance System.

MEASUREMENTS

Telephone survey of sociodemographics factors, including veteran status and VA care, health and behavioral characteristics, and influenza and pneumococcal vaccine use.

RESULTS

Thirty percent of adults aged 65 and older were veterans, and 21% of veterans reported receiving care at VA health facilities. Veterans, especially VA users, were older and described poorer self-perceived health than nonveterans. Influenza and pneumococcal vaccination rates were higher for veterans than for nonveterans (74% vs 68% and 68% vs 63%, respectively, P < .001 for both) and for VA users than non-VA users (80% vs 72% and 81% vs 64%, respectively, P < .001 for both). For veterans, VA care was independently associated with influenza (odds ratio (OR) = 1.8, 95% confidence interval (CI) = 1.5-2.2) and pneumococcal (OR = 2.4, 95% CI = 2.0-2.9) vaccine use after adjusting for sociodemographics factors, perceived health status, diabetes mellitus, asthma, and smoking. Current smoking and black race were independent predictors of low influenza vaccine uptake.

CONCLUSION

VA care was associated with improved influenza and pneumococcal vaccine coverage, although vaccination rates for all elderly veterans fell short of Healthy People 2010 goals. Increased efforts to reach undervaccinated groups, particularly blacks and smokers, are warranted.

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Authors+Show Affiliations

Chi RC
Division of Gerontology and Geriatric Medicine, Department of Medicine, School of Medicine, University of Washington, Seattle, Washington, USA. rchi@u.washington.edu
Reiber GE
No affiliation info available
Neuzil KM
No affiliation info available

MeSH

AgedCooperative BehaviorCross-Sectional StudiesFemaleHumansInfluenza VaccinesInfluenza, HumanMalePneumococcal InfectionsPneumococcal VaccinesPopulation SurveillancePrognosisRetrospective StudiesRisk FactorsSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsVaccinationVeterans

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

16460371

Citation

Chi, Ru-Chien, et al. "Influenza and Pneumococcal Vaccination in Older Veterans: Results From the Behavioral Risk Factor Surveillance System." Journal of the American Geriatrics Society, vol. 54, no. 2, 2006, pp. 217-23.
Chi RC, Reiber GE, Neuzil KM. Influenza and pneumococcal vaccination in older veterans: results from the behavioral risk factor surveillance system. J Am Geriatr Soc. 2006;54(2):217-23.
Chi, R. C., Reiber, G. E., & Neuzil, K. M. (2006). Influenza and pneumococcal vaccination in older veterans: results from the behavioral risk factor surveillance system. Journal of the American Geriatrics Society, 54(2), 217-23.
Chi RC, Reiber GE, Neuzil KM. Influenza and Pneumococcal Vaccination in Older Veterans: Results From the Behavioral Risk Factor Surveillance System. J Am Geriatr Soc. 2006;54(2):217-23. PubMed PMID: 16460371.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Influenza and pneumococcal vaccination in older veterans: results from the behavioral risk factor surveillance system. AU - Chi,Ru-Chien, AU - Reiber,Gayle E, AU - Neuzil,Kathleen M, PY - 2006/2/8/pubmed PY - 2006/3/24/medline PY - 2006/2/8/entrez SP - 217 EP - 23 JF - Journal of the American Geriatrics Society JO - J Am Geriatr Soc VL - 54 IS - 2 N2 - OBJECTIVES: To compare influenza and pneumococcal vaccination rates of older veterans with those of nonveterans and to compare vaccination rates of veterans who receive care at U.S. Department of Veterans Affairs (VA) medical centers with those of veterans who do not. DESIGN: Cross-sectional population-based study. SETTING: United States and territories. PARTICIPANTS: Persons aged 65 and older who participated in the 2003 Behavioral Risk Factor Surveillance System. MEASUREMENTS: Telephone survey of sociodemographics factors, including veteran status and VA care, health and behavioral characteristics, and influenza and pneumococcal vaccine use. RESULTS: Thirty percent of adults aged 65 and older were veterans, and 21% of veterans reported receiving care at VA health facilities. Veterans, especially VA users, were older and described poorer self-perceived health than nonveterans. Influenza and pneumococcal vaccination rates were higher for veterans than for nonveterans (74% vs 68% and 68% vs 63%, respectively, P < .001 for both) and for VA users than non-VA users (80% vs 72% and 81% vs 64%, respectively, P < .001 for both). For veterans, VA care was independently associated with influenza (odds ratio (OR) = 1.8, 95% confidence interval (CI) = 1.5-2.2) and pneumococcal (OR = 2.4, 95% CI = 2.0-2.9) vaccine use after adjusting for sociodemographics factors, perceived health status, diabetes mellitus, asthma, and smoking. Current smoking and black race were independent predictors of low influenza vaccine uptake. CONCLUSION: VA care was associated with improved influenza and pneumococcal vaccine coverage, although vaccination rates for all elderly veterans fell short of Healthy People 2010 goals. Increased efforts to reach undervaccinated groups, particularly blacks and smokers, are warranted. SN - 0002-8614 UR - https://www.unboundmedicine.com/medline/citation/16460371/Influenza_and_pneumococcal_vaccination_in_older_veterans:_results_from_the_behavioral_risk_factor_surveillance_system_ L2 - https://doi.org/10.1111/j.1532-5415.2005.00577.x DB - PRIME DP - Unbound Medicine ER -