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Can routine offering of influenza vaccination in office-based settings reduce racial and ethnic disparities in adult influenza vaccination?
J Gen Intern Med. 2014 Dec; 29(12):1624-30.JG

Abstract

BACKGROUND

Influenza vaccination remains below the federally targeted levels outlined in Healthy People 2020. Compared to non-Hispanic whites, racial and ethnic minorities are less likely to be vaccinated for influenza, despite being at increased risk for influenza-related complications and death. Also, vaccinated minorities are more likely to receive influenza vaccinations in office-based settings and less likely to use non-medical vaccination locations compared to non-Hispanic white vaccine users.

OBJECTIVE

To assess the number of "missed opportunities" for influenza vaccination in office-based settings by race and ethnicity and the magnitude of potential vaccine uptake and reductions in racial and ethnic disparities in influenza vaccination if these "missed opportunities" were eliminated.

DESIGN

National cross-sectional Internet survey administered between March 4 and March 14, 2010 in the United States.

PARTICIPANTS

Non-Hispanic black, Hispanic and non-Hispanic white adults living in the United States (N = 3,418).

MAIN MEASURES

We collected data on influenza vaccination, frequency and timing of healthcare visits, and self-reported compliance with a potential provider recommendation for vaccination during the 2009-2010 influenza season. "Missed opportunities" for seasonal influenza vaccination in office-based settings were defined as the number of unvaccinated respondents who reported at least one healthcare visit in the Fall and Winter of 2009-2010 and indicated their willingness to get vaccinated if a healthcare provider strongly recommended it. "Potential vaccine uptake" was defined as the sum of actual vaccine uptake and "missed opportunities."

KEY RESULTS

The frequency of "missed opportunities" for influenza vaccination in office-based settings was significantly higher among racial and ethnic minorities than non-Hispanic whites. Eliminating these "missed opportunities" could have cut racial and ethnic disparities in influenza vaccination by roughly one half.

CONCLUSIONS

Improved office-based practices regarding influenza vaccination could significantly impact Healthy People 2020 goals by increasing influenza vaccine uptake and reducing corresponding racial and ethnic disparities.

Authors+Show Affiliations

Institute of Health Economics and Management, University of Lausanne, Lausanne, Switzerland, Jurgen.maurer@unil.ch.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25155638

Citation

Maurer, Jürgen, et al. "Can Routine Offering of Influenza Vaccination in Office-based Settings Reduce Racial and Ethnic Disparities in Adult Influenza Vaccination?" Journal of General Internal Medicine, vol. 29, no. 12, 2014, pp. 1624-30.
Maurer J, Harris KM, Uscher-Pines L. Can routine offering of influenza vaccination in office-based settings reduce racial and ethnic disparities in adult influenza vaccination? J Gen Intern Med. 2014;29(12):1624-30.
Maurer, J., Harris, K. M., & Uscher-Pines, L. (2014). Can routine offering of influenza vaccination in office-based settings reduce racial and ethnic disparities in adult influenza vaccination? Journal of General Internal Medicine, 29(12), 1624-30. https://doi.org/10.1007/s11606-014-2965-z
Maurer J, Harris KM, Uscher-Pines L. Can Routine Offering of Influenza Vaccination in Office-based Settings Reduce Racial and Ethnic Disparities in Adult Influenza Vaccination. J Gen Intern Med. 2014;29(12):1624-30. PubMed PMID: 25155638.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Can routine offering of influenza vaccination in office-based settings reduce racial and ethnic disparities in adult influenza vaccination? AU - Maurer,Jürgen, AU - Harris,Katherine M, AU - Uscher-Pines,Lori, Y1 - 2014/08/26/ PY - 2013/12/08/received PY - 2014/07/03/accepted PY - 2014/03/21/revised PY - 2014/8/27/entrez PY - 2014/8/27/pubmed PY - 2015/10/6/medline SP - 1624 EP - 30 JF - Journal of general internal medicine JO - J Gen Intern Med VL - 29 IS - 12 N2 - BACKGROUND: Influenza vaccination remains below the federally targeted levels outlined in Healthy People 2020. Compared to non-Hispanic whites, racial and ethnic minorities are less likely to be vaccinated for influenza, despite being at increased risk for influenza-related complications and death. Also, vaccinated minorities are more likely to receive influenza vaccinations in office-based settings and less likely to use non-medical vaccination locations compared to non-Hispanic white vaccine users. OBJECTIVE: To assess the number of "missed opportunities" for influenza vaccination in office-based settings by race and ethnicity and the magnitude of potential vaccine uptake and reductions in racial and ethnic disparities in influenza vaccination if these "missed opportunities" were eliminated. DESIGN: National cross-sectional Internet survey administered between March 4 and March 14, 2010 in the United States. PARTICIPANTS: Non-Hispanic black, Hispanic and non-Hispanic white adults living in the United States (N = 3,418). MAIN MEASURES: We collected data on influenza vaccination, frequency and timing of healthcare visits, and self-reported compliance with a potential provider recommendation for vaccination during the 2009-2010 influenza season. "Missed opportunities" for seasonal influenza vaccination in office-based settings were defined as the number of unvaccinated respondents who reported at least one healthcare visit in the Fall and Winter of 2009-2010 and indicated their willingness to get vaccinated if a healthcare provider strongly recommended it. "Potential vaccine uptake" was defined as the sum of actual vaccine uptake and "missed opportunities." KEY RESULTS: The frequency of "missed opportunities" for influenza vaccination in office-based settings was significantly higher among racial and ethnic minorities than non-Hispanic whites. Eliminating these "missed opportunities" could have cut racial and ethnic disparities in influenza vaccination by roughly one half. CONCLUSIONS: Improved office-based practices regarding influenza vaccination could significantly impact Healthy People 2020 goals by increasing influenza vaccine uptake and reducing corresponding racial and ethnic disparities. SN - 1525-1497 UR - https://www.unboundmedicine.com/medline/citation/25155638/Can_routine_offering_of_influenza_vaccination_in_office_based_settings_reduce_racial_and_ethnic_disparities_in_adult_influenza_vaccination L2 - https://dx.doi.org/10.1007/s11606-014-2965-z DB - PRIME DP - Unbound Medicine ER -