| Title | Status of influenza and pneumococcal vaccination among older American Indians and Alaska Natives |
| Publication Type | Journal Article |
| Year of Publication | 2008 |
| Authors | Lindley, MC, Groom, AV, Wortley, PM, Euler, GL |
| Journal | Am J Public HealthAm J Public Health |
| Volume | 98 |
| Pagination | 932-8 |
| Date Published | May |
| ISBN Number | 1541-0048 (Electronic)<br/>0090-0036 (Linking) |
| Accession Number | 18381996 |
| Keywords | Aged, 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 |
| Abstract | OBJECTIVES: 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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