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Predictors of influenza vaccination in HIV-infected patients in the United States, 1990-2002.
J Infect Dis. 2007 Aug 01; 196(3):339-46.JI

Abstract

BACKGROUND

Although annual influenza vaccination of human immunodeficiency virus (HIV)-infected patients has been recommended in the United States since the early 1990s, vaccine coverage in this population is reported to be low. The objectives of the present study were to assess trends in influenza vaccination coverage in HIV-infected patients and to determine predictors of influenza vaccination.

METHODS

We analyzed data from the medical records of 51,021 HIV-infected patients from 10 US cities observed in a longitudinal cohort study between 1990 and 2002. Using multivariate logistic regression, we determined predictors of influenza vaccination for both the pre-highly active antiretroviral therapy (HAART) and HAART eras.

RESULTS

Vaccination coverage increased from 28.5% in the 1990 to 41.6% in the 2002 influenza season. Vaccine coverage increased with increasing age and frequency of medical visits. In the HAART era, persons prescribed antiretroviral therapy were more likely and those with higher viral loads and lower CD4 T cell counts were less likely to have received influenza vaccine.

CONCLUSIONS

Although influenza vaccination coverage in this population has increased in recent years, it is well below the Healthy People 2010 target of 60%. Efforts should be undertaken to increase influenza vaccination in HIV-infected persons.

Authors+Show Affiliations

Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. kxg7@cdc.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17597447

Citation

Gallagher, Kathleen M., et al. "Predictors of Influenza Vaccination in HIV-infected Patients in the United States, 1990-2002." The Journal of Infectious Diseases, vol. 196, no. 3, 2007, pp. 339-46.
Gallagher KM, Juhasz M, Harris NS, et al. Predictors of influenza vaccination in HIV-infected patients in the United States, 1990-2002. J Infect Dis. 2007;196(3):339-46.
Gallagher, K. M., Juhasz, M., Harris, N. S., & Teshale, E. H. (2007). Predictors of influenza vaccination in HIV-infected patients in the United States, 1990-2002. The Journal of Infectious Diseases, 196(3), 339-46.
Gallagher KM, et al. Predictors of Influenza Vaccination in HIV-infected Patients in the United States, 1990-2002. J Infect Dis. 2007 Aug 1;196(3):339-46. PubMed PMID: 17597447.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Predictors of influenza vaccination in HIV-infected patients in the United States, 1990-2002. AU - Gallagher,Kathleen M, AU - Juhasz,Marta, AU - Harris,Norma S, AU - Teshale,Eyasu H, AU - ,, Y1 - 2007/06/19/ PY - 2006/09/22/received PY - 2007/02/02/accepted PY - 2007/6/29/pubmed PY - 2007/8/30/medline PY - 2007/6/29/entrez SP - 339 EP - 46 JF - The Journal of infectious diseases JO - J. Infect. Dis. VL - 196 IS - 3 N2 - BACKGROUND: Although annual influenza vaccination of human immunodeficiency virus (HIV)-infected patients has been recommended in the United States since the early 1990s, vaccine coverage in this population is reported to be low. The objectives of the present study were to assess trends in influenza vaccination coverage in HIV-infected patients and to determine predictors of influenza vaccination. METHODS: We analyzed data from the medical records of 51,021 HIV-infected patients from 10 US cities observed in a longitudinal cohort study between 1990 and 2002. Using multivariate logistic regression, we determined predictors of influenza vaccination for both the pre-highly active antiretroviral therapy (HAART) and HAART eras. RESULTS: Vaccination coverage increased from 28.5% in the 1990 to 41.6% in the 2002 influenza season. Vaccine coverage increased with increasing age and frequency of medical visits. In the HAART era, persons prescribed antiretroviral therapy were more likely and those with higher viral loads and lower CD4 T cell counts were less likely to have received influenza vaccine. CONCLUSIONS: Although influenza vaccination coverage in this population has increased in recent years, it is well below the Healthy People 2010 target of 60%. Efforts should be undertaken to increase influenza vaccination in HIV-infected persons. SN - 0022-1899 UR - https://www.unboundmedicine.com/medline/citation/17597447/Predictors_of_influenza_vaccination_in_HIV_infected_patients_in_the_United_States_1990_2002_ L2 - https://academic.oup.com/jid/article-lookup/doi/10.1086/519165 DB - PRIME DP - Unbound Medicine ER -