Tags

Type your tag names separated by a space and hit enter

Racial/ethnic differences in influenza vaccination in the Veterans Affairs Healthcare System.
Am J Prev Med. 2006 Nov; 31(5):375-82.AJ

Abstract

BACKGROUND

Racial/ethnic differences in influenza vaccination exist among elderly adults despite nearly universal Medicare health insurance coverage. Overall influenza vaccination prevalence in the Veterans Affairs (VA) Healthcare System is higher than in the general population; however, it is not known whether racial/ethnic differences exist among older adults receiving VA healthcare. Racial/ethnic differences in influenza vaccination in VA were assessed, and barriers to and facilitators of influenza vaccination were examined among veteran outpatients aged 50 years and older.

METHODS

A random sample of 121,738 veterans receiving care at VA outpatient clinics during the 2003-2004 influenza season completed the mailed Survey of Health Experiences of Patients (77% response rate). Multivariate logistic regression was used to examine associations among race/ethnicity and influenza vaccination prevalence, barriers, and facilitators. Analyses were conducted during 2005 and 2006.

RESULTS

Based on unadjusted prevalences, non-Hispanic blacks, Hispanics, and American Indian/Alaskan Natives were significantly less likely to be vaccinated for influenza compared to non-Hispanic whites (71%, 79%, and 74%, respectively, vs 82%). After adjustment for age, gender, marital status, education level, employment, having a primary care provider, confidence and/trust in provider, and health status, only non-Hispanic blacks remained significantly less likely to be vaccinated compared to non-Hispanic whites (75% vs 81%). Influenza vaccination barriers and facilitators varied by race/ethnic group.

CONCLUSIONS

Compared to non-Hispanic whites, non-Hispanic blacks were less likely to receive influenza vaccination in the VA healthcare system during the 2003-2004 influenza season. Although these differences were small, results suggest the need for further study and culturally informed interventions.

Authors+Show Affiliations

Veterans Affairs National Center for Health Promotion and Disease Prevention-NCP, Durham, North Carolina 27705, USA. straits-troster@biac.duke.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17046408

Citation

Straits-Tröster, Kristy A., et al. "Racial/ethnic Differences in Influenza Vaccination in the Veterans Affairs Healthcare System." American Journal of Preventive Medicine, vol. 31, no. 5, 2006, pp. 375-82.
Straits-Tröster KA, Kahwati LC, Kinsinger LS, et al. Racial/ethnic differences in influenza vaccination in the Veterans Affairs Healthcare System. Am J Prev Med. 2006;31(5):375-82.
Straits-Tröster, K. A., Kahwati, L. C., Kinsinger, L. S., Orelien, J., Burdick, M. B., & Yevich, S. J. (2006). Racial/ethnic differences in influenza vaccination in the Veterans Affairs Healthcare System. American Journal of Preventive Medicine, 31(5), 375-82.
Straits-Tröster KA, et al. Racial/ethnic Differences in Influenza Vaccination in the Veterans Affairs Healthcare System. Am J Prev Med. 2006;31(5):375-82. PubMed PMID: 17046408.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Racial/ethnic differences in influenza vaccination in the Veterans Affairs Healthcare System. AU - Straits-Tröster,Kristy A, AU - Kahwati,Leila C, AU - Kinsinger,Linda S, AU - Orelien,Jean, AU - Burdick,Mary B, AU - Yevich,Steven J, Y1 - 2006/09/25/ PY - 2006/02/27/received PY - 2006/05/17/revised PY - 2006/07/07/accepted PY - 2006/10/19/pubmed PY - 2007/2/14/medline PY - 2006/10/19/entrez SP - 375 EP - 82 JF - American journal of preventive medicine JO - Am J Prev Med VL - 31 IS - 5 N2 - BACKGROUND: Racial/ethnic differences in influenza vaccination exist among elderly adults despite nearly universal Medicare health insurance coverage. Overall influenza vaccination prevalence in the Veterans Affairs (VA) Healthcare System is higher than in the general population; however, it is not known whether racial/ethnic differences exist among older adults receiving VA healthcare. Racial/ethnic differences in influenza vaccination in VA were assessed, and barriers to and facilitators of influenza vaccination were examined among veteran outpatients aged 50 years and older. METHODS: A random sample of 121,738 veterans receiving care at VA outpatient clinics during the 2003-2004 influenza season completed the mailed Survey of Health Experiences of Patients (77% response rate). Multivariate logistic regression was used to examine associations among race/ethnicity and influenza vaccination prevalence, barriers, and facilitators. Analyses were conducted during 2005 and 2006. RESULTS: Based on unadjusted prevalences, non-Hispanic blacks, Hispanics, and American Indian/Alaskan Natives were significantly less likely to be vaccinated for influenza compared to non-Hispanic whites (71%, 79%, and 74%, respectively, vs 82%). After adjustment for age, gender, marital status, education level, employment, having a primary care provider, confidence and/trust in provider, and health status, only non-Hispanic blacks remained significantly less likely to be vaccinated compared to non-Hispanic whites (75% vs 81%). Influenza vaccination barriers and facilitators varied by race/ethnic group. CONCLUSIONS: Compared to non-Hispanic whites, non-Hispanic blacks were less likely to receive influenza vaccination in the VA healthcare system during the 2003-2004 influenza season. Although these differences were small, results suggest the need for further study and culturally informed interventions. SN - 0749-3797 UR - https://www.unboundmedicine.com/medline/citation/17046408/Racial/ethnic_differences_in_influenza_vaccination_in_the_Veterans_Affairs_Healthcare_System_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0749-3797(06)00274-1 DB - PRIME DP - Unbound Medicine ER -