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Status of influenza and pneumococcal vaccination among older American Indians and Alaska Natives

TitleStatus of influenza and pneumococcal vaccination among older American Indians and Alaska Natives
Publication TypeJournal Article
Year of Publication2008
AuthorsLindley, MC, Groom, AV, Wortley, PM, Euler, GL
JournalAm J Public HealthAm J Public Health
Date PublishedMay
ISBN Number1541-0048 (Electronic)<br/>0090-0036 (Linking)
Accession Number18381996
KeywordsAged, Aged, 80 and Over, Alaska, European Continental Ancestry Group, Female, Humans, Indians, North American, Influenza Vaccines/ administration & dosage, Logistic Models, Male, Pneumococcal Vaccines/ administration & dosage, Risk Factors, Sentinel Surveillance, Social Class, United States
AbstractOBJECTIVES: We sought to estimate the influenza and pneumococcal vaccination coverage among older American Indian and Alaska Native (AIAN) adults nationally and the impact of sociodemographic factors, variations by geographic region, and access to services on vaccination coverage. METHODS: We obtained our sample of 1981 AIAN and 179845 White respondents 65 years and older from Behavioral Risk Factor Surveillance System data from 2003 to 2005. Logistic regression provided predictive marginal vaccination coverage for each covariate and adjusted for demographic characteristics and access to care. RESULTS: Unadjusted influenza coverage estimates were similar between AIAN and White respondents (68.1% vs 69.5%), but pneumococcal vaccination was lower among AIAN respondents (58.1% vs 67.2%; P<.01 after="" multivariable="" adjustment="" for="" sociodemographic="" characteristics="" self-reported="" coverage="" both="" vaccines="" was="" statistically="" similar="" between="" aian="" and="" white="" adults.="" conclusions:="" although="" there="" no="" disparity="" in="" influenza="" pneumococcal="" lower="" among="" than="" respondents="" probably="" because="" of="" risk="" factors.="" regional="" variation="" indicates="" a="" need="" to="" monitor="" target="" interventions="" reduce="" disparities="" within="" geographically="" culturally="" diverse="" subpopulations="" persons.="">
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