Associations between Influenza Vaccination and Health Care Access among Adults in the United States

被引:1
作者
Gurel-Headley, Morgan [1 ,2 ]
Mamisashvili, Mariam [3 ]
CarlLee, Sheena [4 ]
Reece, Sharon [4 ]
Chapman, Christina [4 ]
Kraleti, Shashank [1 ]
Andersen, Jennifer A. A. [5 ]
Selig, James P. P. [6 ]
Willis, Don E. E. [5 ]
Li, Ji [6 ]
McElfish, Pearl A. A. [5 ]
机构
[1] Univ Arkansas Med Sci, Coll Med, 4301 W Markham St, Little Rock, AR 72205 USA
[2] Univ Arkansas Med Sci, Fay W Boozman Coll Publ Hlth, 4301 W Markham St, Little Rock, AR 72205 USA
[3] Tbilisi State Med Univ, Fac Med, Amer MD Program, 33 Vazha Pshavela Ave, GE-0162 Tbilisi, Georgia
[4] Univ Arkansas Med Sci Northwest, Coll Med, 1125 N Coll Ave, Fayetteville, AR 72703 USA
[5] Univ Arkansas Med Sci Northwest, Coll Med, 2708 S 48th St, Springdale, AR 72762 USA
[6] Univ Arkansas Med Sci Northwest, Fay W Boozman Coll Publ Hlth, 2708 S 48th St, Springdale, AR 72762 USA
基金
美国国家卫生研究院;
关键词
influenza; influenza vaccination; health care access; racial discrimination; RACIAL/ETHNIC DISPARITIES; COVERAGE; DISCRIMINATION; RACISM; IMMUNIZATION; POPULATIONS; QUESTIONS; WHITE; RACE;
D O I
10.3390/vaccines11020416
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Few studies have investigated the relationship between influenza vaccination and health care access. Furthermore, despite the well-documented disparities in vaccine coverage for communities of color, few studies have examined how experiences of discrimination may influence vaccine uptake. To fill this gap in the literature, this study examined associations between 5-year influenza vaccination rates and sociodemographic characteristics, health care access, and racial discrimination. Age, race/ethnicity, education, health care coverage, primary care provider, no medical care due to cost, and routine doctor checkups were significant correlates of 5-year influenza vaccination. In contrast to previous studies, discrimination scores were not a significant correlate of regular influenza vaccination. Respondents who reported forgoing care due to cost were less likely to report vaccination every year out of the last 5 years compared to all of the less frequent categories combined, demonstrating a more complex association between sometimes not being able to afford medical care and influenza vaccination. Future research should examine the relationship between influenza vaccination uptake, racial discrimination, and forgone care due to cost to enhance resources and messaging for influenza vaccination uptake.
引用
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页数:11
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