American Journal of Epidemiology Advance Access originally published online on January 27, 2006
American Journal of Epidemiology 2006 163(6):571-578; doi:10.1093/aje/kwj086
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Original Contribution |
Racial and Ethnic Disparities in Influenza Vaccination Coverage among Adults during the 2004–2005 Season
1 National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA
2 National Immunization Program, Centers for Disease Control and Prevention, Atlanta, GA
Correspondence to Dr. Michael W. Link, Centers for Disease Control and Prevention, 4770 Buford Highway NE, K-66, Atlanta, GA 30341 (e-mail: MLink{at}cdc.gov).
During the 2004–2005 influenza season, the supply of vaccine to the United States was significantly reduced. In response, the Centers for Disease Control and Prevention and the Advisory Committee on Immunization Practices issued interim recommendations for prioritizing vaccination. Given trends in racial/ethnic disparities in vaccination for influenza, the authors assessed the impact of the shortage on those historically less likely to be vaccinated. Using data from the Behavioral Risk Factor Surveillance System, they considered vaccination coverage among those non-Hispanic Whites, non-Hispanic Blacks, and Hispanics who had priority for being vaccinated during the 2004–2005 influenza season. The vaccine shortage had a significant negative effect on coverage among adults aged 65 years or older across the three racial/ethnic groups. Yet, the magnitude of the disparities in coverage did not change significantly from previous seasons. This finding may imply similar patterns of vaccine-seeking behavior during shortage and nonshortage years. No racial/ethnic differences were seen among adults aged 18–64 years, which likely reflects the higher percentage of health-care workers in this age group. Yearly monitoring of influenza vaccine coverage is important to assess the long-term impact of shortages on overall coverage and gaps in coverage between racial/ethnic groups.
Behavioral Risk Factor Surveillance System; continental population groups; ethnic groups; immunization; influenza, human; public health
Abbreviations: ACIP, Advisory Committee on Immunization Practices; BRFSS, Behavioral Risk Factor Surveillance System; CI, confidence interval
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