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Rates and correlates of influenza vaccination among HIV-infected adults in the HIV Outpatient Study (HOPS), USA, 1999-2008.
Prev Med. 2011 Jul-Aug; 53(1-2):89-94.PM

Abstract

BACKGROUND

We sought to describe rates of vaccination among HIV-infected adults in care and identify factors associated with vaccination.

METHODS

Using data abstracted from medical records of participants in the HIV Outpatient Study (HOPS) during 8 influenza seasons (1999-2008) and negative binomial models with generalized estimating equation methods, we examined factors associated with increased prevalence of annual influenza vaccination.

RESULTS

Among active patients, 25.8% to 43.3% were vaccinated for influenza each year (annual mean=35%, test for trend p=0.71). Vaccination rates peaked in October and November of each season and decreased sharply thereafter. In multivariable analysis, patients who were male (67.2%), non-Hispanic white (70%) or Hispanic (66%), had lower HIV viral loads (73.5%), were prescribed antiretroviral treatment (72.7%), or had a greater number of clinical encounters per year (86.7%) were more likely to receive influenza vaccination.

DISCUSSION

The decreased likelihood of vaccination among women and non-Hispanic black patients suggests the need for focused efforts to reduce disparities. Increasing patient and clinician education on the importance of universal vaccination, and ensuring that vaccination activities continue in HIV clinics during the later months of the influenza season may improve influenza vaccine coverage.

Authors+Show Affiliations

Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, USA. mvd8@cdc.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

21569791

Citation

Durham, Marcus D., et al. "Rates and Correlates of Influenza Vaccination Among HIV-infected Adults in the HIV Outpatient Study (HOPS), USA, 1999-2008." Preventive Medicine, vol. 53, no. 1-2, 2011, pp. 89-94.
Durham MD, Buchacz K, Armon C, et al. Rates and correlates of influenza vaccination among HIV-infected adults in the HIV Outpatient Study (HOPS), USA, 1999-2008. Prev Med. 2011;53(1-2):89-94.
Durham, M. D., Buchacz, K., Armon, C., Patel, P., Wood, K., & Brooks, J. T. (2011). Rates and correlates of influenza vaccination among HIV-infected adults in the HIV Outpatient Study (HOPS), USA, 1999-2008. Preventive Medicine, 53(1-2), 89-94. https://doi.org/10.1016/j.ypmed.2011.04.015
Durham MD, et al. Rates and Correlates of Influenza Vaccination Among HIV-infected Adults in the HIV Outpatient Study (HOPS), USA, 1999-2008. Prev Med. 2011 Jul-Aug;53(1-2):89-94. PubMed PMID: 21569791.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Rates and correlates of influenza vaccination among HIV-infected adults in the HIV Outpatient Study (HOPS), USA, 1999-2008. AU - Durham,Marcus D, AU - Buchacz,Kate, AU - Armon,Carl, AU - Patel,Pragna, AU - Wood,Kathy, AU - Brooks,John T, AU - ,, Y1 - 2011/05/04/ PY - 2010/12/17/received PY - 2011/04/25/revised PY - 2011/04/26/accepted PY - 2011/5/17/entrez PY - 2011/5/17/pubmed PY - 2011/12/14/medline SP - 89 EP - 94 JF - Preventive medicine JO - Prev Med VL - 53 IS - 1-2 N2 - BACKGROUND: We sought to describe rates of vaccination among HIV-infected adults in care and identify factors associated with vaccination. METHODS: Using data abstracted from medical records of participants in the HIV Outpatient Study (HOPS) during 8 influenza seasons (1999-2008) and negative binomial models with generalized estimating equation methods, we examined factors associated with increased prevalence of annual influenza vaccination. RESULTS: Among active patients, 25.8% to 43.3% were vaccinated for influenza each year (annual mean=35%, test for trend p=0.71). Vaccination rates peaked in October and November of each season and decreased sharply thereafter. In multivariable analysis, patients who were male (67.2%), non-Hispanic white (70%) or Hispanic (66%), had lower HIV viral loads (73.5%), were prescribed antiretroviral treatment (72.7%), or had a greater number of clinical encounters per year (86.7%) were more likely to receive influenza vaccination. DISCUSSION: The decreased likelihood of vaccination among women and non-Hispanic black patients suggests the need for focused efforts to reduce disparities. Increasing patient and clinician education on the importance of universal vaccination, and ensuring that vaccination activities continue in HIV clinics during the later months of the influenza season may improve influenza vaccine coverage. SN - 1096-0260 UR - https://www.unboundmedicine.com/medline/citation/21569791/Rates_and_correlates_of_influenza_vaccination_among_HIV_infected_adults_in_the_HIV_Outpatient_Study__HOPS__USA_1999_2008_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0091-7435(11)00168-X DB - PRIME DP - Unbound Medicine ER -