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Identification of Barriers to Influenza Vaccination in Patients with Chronic Obstructive Pulmonary Disease: Analysis of the 2012 Behavioral Risk Factors Surveillance System.
Chronic Obstr Pulm Dis. 2016; 3(3):620-627.CO

Abstract

INTRODUCTION

Patients with chronic obstructive pulmonary disease (COPD) are at increased risk for influenza-related morbidity and mortality. Influenza vaccination is known to decrease influenza incidence, severity, hospitalizations, and mortality. Identification of barriers to influenza vaccination among patients with COPD may aid in efforts to increase vaccination rates. This study aims to identify predictors of influenza vaccination in COPD patients.

METHODS

This study used data from the 2012 Behavioral Risk Factor Surveillance System (BRFSS). Participants with self-reported COPD and receiving an influenza vaccination in the prior 12 months were identified. Independent predictors of the exposure were identified by estimating a parsimonious logistic regression model of influenza vaccination. All analyses were performed using weighted data.

RESULTS

The final study sample consisted of 36,811 COPD participants, with 48.5% of COPD patients reporting having been vaccinated and 51.5% reporting being unvaccinated. A total of 15 independent predictors of influenza vaccination in COPD patients were identified. Negative predictors included predisposing factors (younger age, male gender, household children, black or non-white/non-Hispanic/non-black race/ethnicity, lower education level, heavy alcohol use, current tobacco use) and enabling factors that reflect access to medical care (insurance status, ability to afford care, having a recent check-up). Positive predictors of influenza vaccination included need factors (chronic comorbidities), being a military veteran, or being a former smoker.

CONCLUSIONS

This analysis identifies multiple predictors of influenza vaccination in persons with COPD. Identification of at risk-groups provides the foundation for development of focused efforts to improve influenza vaccination rates in patients with COPD.

Authors+Show Affiliations

Division of Pulmonary, Critical Care, and Sleep Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.Division of Pulmonary and Critical Care Medicine, Massachusetts General Hospital, Boston.Joint Division of Respirology, Department of Medicine, University Health Network and Mount Sinai Hospital, Toronto, Ontario; Canada West Park Healthcare Centre, Toronto, Ontario; Canada Department of Medicine, University of Toronto, Ontario, Canada.Division of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, Massachusetts.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27981230

Citation

Hsu, Douglas J., et al. "Identification of Barriers to Influenza Vaccination in Patients With Chronic Obstructive Pulmonary Disease: Analysis of the 2012 Behavioral Risk Factors Surveillance System." Chronic Obstructive Pulmonary Diseases (Miami, Fla.), vol. 3, no. 3, 2016, pp. 620-627.
Hsu DJ, North CM, Brode SK, et al. Identification of Barriers to Influenza Vaccination in Patients with Chronic Obstructive Pulmonary Disease: Analysis of the 2012 Behavioral Risk Factors Surveillance System. Chronic obstructive pulmonary diseases (Miami, Fla.). 2016;3(3):620-627.
Hsu, D. J., North, C. M., Brode, S. K., & Celli, B. R. (2016). Identification of Barriers to Influenza Vaccination in Patients with Chronic Obstructive Pulmonary Disease: Analysis of the 2012 Behavioral Risk Factors Surveillance System. Chronic Obstructive Pulmonary Diseases (Miami, Fla.), 3(3), 620-627.
Hsu DJ, et al. Identification of Barriers to Influenza Vaccination in Patients With Chronic Obstructive Pulmonary Disease: Analysis of the 2012 Behavioral Risk Factors Surveillance System. Chronic obstructive pulmonary diseases (Miami, Fla.). 2016;3(3):620-627. PubMed PMID: 27981230.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Identification of Barriers to Influenza Vaccination in Patients with Chronic Obstructive Pulmonary Disease: Analysis of the 2012 Behavioral Risk Factors Surveillance System. AU - Hsu,Douglas J, AU - North,Crystal M, AU - Brode,Sarah K, AU - Celli,Bartolome R, PY - 2016/12/17/entrez PY - 2016/12/17/pubmed PY - 2016/12/17/medline KW - COPD KW - chronic obstructive pulmonary disease KW - influenza KW - prevention KW - vaccination SP - 620 EP - 627 JF - Chronic obstructive pulmonary diseases (Miami, Fla.) VL - 3 IS - 3 N2 - INTRODUCTION: Patients with chronic obstructive pulmonary disease (COPD) are at increased risk for influenza-related morbidity and mortality. Influenza vaccination is known to decrease influenza incidence, severity, hospitalizations, and mortality. Identification of barriers to influenza vaccination among patients with COPD may aid in efforts to increase vaccination rates. This study aims to identify predictors of influenza vaccination in COPD patients. METHODS: This study used data from the 2012 Behavioral Risk Factor Surveillance System (BRFSS). Participants with self-reported COPD and receiving an influenza vaccination in the prior 12 months were identified. Independent predictors of the exposure were identified by estimating a parsimonious logistic regression model of influenza vaccination. All analyses were performed using weighted data. RESULTS: The final study sample consisted of 36,811 COPD participants, with 48.5% of COPD patients reporting having been vaccinated and 51.5% reporting being unvaccinated. A total of 15 independent predictors of influenza vaccination in COPD patients were identified. Negative predictors included predisposing factors (younger age, male gender, household children, black or non-white/non-Hispanic/non-black race/ethnicity, lower education level, heavy alcohol use, current tobacco use) and enabling factors that reflect access to medical care (insurance status, ability to afford care, having a recent check-up). Positive predictors of influenza vaccination included need factors (chronic comorbidities), being a military veteran, or being a former smoker. CONCLUSIONS: This analysis identifies multiple predictors of influenza vaccination in persons with COPD. Identification of at risk-groups provides the foundation for development of focused efforts to improve influenza vaccination rates in patients with COPD. SN - 2372-952X UR - https://www.unboundmedicine.com/medline/citation/27981230/Identification_of_Barriers_to_Influenza_Vaccination_in_Patients_with_Chronic_Obstructive_Pulmonary_Disease:_Analysis_of_the_2012_Behavioral_Risk_Factors_Surveillance_System_ L2 - https://doi.org/10.15326/jcopdf.3.3.2015.0156 DB - PRIME DP - Unbound Medicine ER -
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