期刊
AMERICAN JOURNAL OF PUBLIC HEALTH
卷 108, 期 4, 页码 517-523出版社
AMER PUBLIC HEALTH ASSOC INC
DOI: 10.2105/AJPH.2017.304257
关键词
-
资金
- Chicago Community Trust
Objectives. To investigate local-level adult influenza and pneumococcal vaccination disparities to inform targeted interventions. Methods. Questions on influenza and pneumococcal vaccination uptake were included in a door-to-door community-based representative survey conducted in 10 Chicago, Illinois, neighborhoods in 2015 and 2016. A total of 1543 adults completed the survey, including 172 adults aged 65 years or older. We calculated adult influenza (>= 18 years) and pneumococcal (>= 65 years) vaccination coverage by community area and respondent characteristics. Results. We observed significant differences in pneumococcal vaccination coverage between community areas (range = 18%-91%). Influenza vaccination coverage differed by gender, age, insurance coverage, acculturation, and confidence or trust in physician. Non-Hispanic Blacks were more likely to be vaccinated when they had higher confidence or trust in their physician (45% vs 20%; P< .01). Mexicans who reported less acculturation were more likely to be vaccinated than were Mexicans who were more acculturated (41% vs 27%; P= .02). Conclusions. Striking disparities between neighborhoods and racial/ethnic groups in adult influenza and pneumococcal vaccination coverage highlight the need for improved local-level immunization coverage data.
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