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Racial/Ethnic Disparities in Influenza Vaccination Coverage Among US Adolescents, 2010-2016.
Public Health Rep. 2018 11; 133(6):667-676.PH

Abstract

OBJECTIVE

Although research suggests racial/ethnic disparities in influenza vaccination and mortality rates, few studies have examined racial/ethnic trends among US adolescents. We used national cross-sectional data to determine (1) trends in influenza vaccination rates among non-Hispanic white (hereinafter, white), non-Hispanic black (hereinafter, black), and Hispanic adolescents over time and (2) whether influenza vaccination rates among adolescents varied by race/ethnicity.

METHODS

We analyzed provider-reported vaccination histories for 2010-2016 from the National Immunization Survey-Teen. We used binary logistic regression models to determine trends in influenza vaccination rates by race/ethnicity for 117 273 adolescents, adjusted for sex, age, health insurance, physician visit in the previous 12 months, vaccination facility type, poverty status, maternal education level, children in the household, maternal marital status, maternal age, and census region of residence. We calculated adjusted probabilities for influenza vaccination for each racial/ethnic group, adjusted for the same demographic characteristics.

RESULTS

Compared with white adolescents, Hispanic adolescents had higher odds (adjusted odds ratio [aOR] = 1.11; 95% confidence interval [CI], 1.06-1.16) and black adolescents had lower odds (aOR = 0.95; 95% CI, 0.90-1.00) of vaccination. Compared with white adolescents, Hispanic adolescents had significantly higher adjusted probabilities of vaccination for 2011-2013 (2011: 0.22, P < .001; 2012: 0.23, P < .001; 2013: 0.26, P < .001). Compared with white adolescents, black adolescents had significantly lower probabilities of vaccination for 2016 (2016: 0.21, P < .001).

CONCLUSIONS

Targeted interventions are needed to improve adolescent influenza vaccination rates and reduce racial/ethnic disparities in adolescent vaccination coverage.

Authors+Show Affiliations

1 Department of Sociology, Pepper Institute on Aging and Public Policy, Florida State University, Tallahassee, FL, USA.1 Department of Sociology, Pepper Institute on Aging and Public Policy, Florida State University, Tallahassee, FL, USA.1 Department of Sociology, Pepper Institute on Aging and Public Policy, Florida State University, Tallahassee, FL, USA.1 Department of Sociology, Pepper Institute on Aging and Public Policy, Florida State University, Tallahassee, FL, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30300560

Citation

Webb, Noah S., et al. "Racial/Ethnic Disparities in Influenza Vaccination Coverage Among US Adolescents, 2010-2016." Public Health Reports (Washington, D.C. : 1974), vol. 133, no. 6, 2018, pp. 667-676.
Webb NS, Dowd-Arrow B, Taylor MG, et al. Racial/Ethnic Disparities in Influenza Vaccination Coverage Among US Adolescents, 2010-2016. Public Health Rep. 2018;133(6):667-676.
Webb, N. S., Dowd-Arrow, B., Taylor, M. G., & Burdette, A. M. (2018). Racial/Ethnic Disparities in Influenza Vaccination Coverage Among US Adolescents, 2010-2016. Public Health Reports (Washington, D.C. : 1974), 133(6), 667-676. https://doi.org/10.1177/0033354918805720
Webb NS, et al. Racial/Ethnic Disparities in Influenza Vaccination Coverage Among US Adolescents, 2010-2016. Public Health Rep. 2018;133(6):667-676. PubMed PMID: 30300560.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Racial/Ethnic Disparities in Influenza Vaccination Coverage Among US Adolescents, 2010-2016. AU - Webb,Noah S, AU - Dowd-Arrow,Benjamin, AU - Taylor,Miles G, AU - Burdette,Amy M, Y1 - 2018/10/09/ PY - 2018/10/10/pubmed PY - 2019/2/27/medline PY - 2018/10/10/entrez KW - NIS-Teen KW - adolescent health KW - ethnicity KW - health disparities KW - influenza vaccination KW - race SP - 667 EP - 676 JF - Public health reports (Washington, D.C. : 1974) JO - Public Health Rep VL - 133 IS - 6 N2 - OBJECTIVE: Although research suggests racial/ethnic disparities in influenza vaccination and mortality rates, few studies have examined racial/ethnic trends among US adolescents. We used national cross-sectional data to determine (1) trends in influenza vaccination rates among non-Hispanic white (hereinafter, white), non-Hispanic black (hereinafter, black), and Hispanic adolescents over time and (2) whether influenza vaccination rates among adolescents varied by race/ethnicity. METHODS: We analyzed provider-reported vaccination histories for 2010-2016 from the National Immunization Survey-Teen. We used binary logistic regression models to determine trends in influenza vaccination rates by race/ethnicity for 117 273 adolescents, adjusted for sex, age, health insurance, physician visit in the previous 12 months, vaccination facility type, poverty status, maternal education level, children in the household, maternal marital status, maternal age, and census region of residence. We calculated adjusted probabilities for influenza vaccination for each racial/ethnic group, adjusted for the same demographic characteristics. RESULTS: Compared with white adolescents, Hispanic adolescents had higher odds (adjusted odds ratio [aOR] = 1.11; 95% confidence interval [CI], 1.06-1.16) and black adolescents had lower odds (aOR = 0.95; 95% CI, 0.90-1.00) of vaccination. Compared with white adolescents, Hispanic adolescents had significantly higher adjusted probabilities of vaccination for 2011-2013 (2011: 0.22, P < .001; 2012: 0.23, P < .001; 2013: 0.26, P < .001). Compared with white adolescents, black adolescents had significantly lower probabilities of vaccination for 2016 (2016: 0.21, P < .001). CONCLUSIONS: Targeted interventions are needed to improve adolescent influenza vaccination rates and reduce racial/ethnic disparities in adolescent vaccination coverage. SN - 1468-2877 UR - https://www.unboundmedicine.com/medline/citation/30300560/Racial/Ethnic_Disparities_in_Influenza_Vaccination_Coverage_Among_US_Adolescents_2010_2016_ L2 - https://journals.sagepub.com/doi/10.1177/0033354918805720?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -