Effect of race and ethnicity on influenza vaccine uptake among older US Medicare beneficiaries: a record-linkage cohort study

Mahmud, Salaheddin M.; Xu, Liou; Hall, Laura Lee; Puckrein, Gary; Thommes, Edward W.; Loiacono, Matthew M.; Chit, Ayman

doi:10.1016/s2666-7568(20)30074-x

Cited by 22 publications

(16 citation statements)

References 18 publications

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“…The WHO does not provide a specific recommendation for influenza vaccination for the general population aged 18–64 years [ 7 ]. Only a limited number of studies are available investigating the attitudes towards influenza vaccination for all adults [ 10 ], though the need for attention to racial equity in influenza vaccination programs is well-documented [ 11 , 12 , 13 ]. This study identified differences in both attitude and vaccine coverage rates across these two sub-groups and encouraged future research on vaccine-seeking behaviors.…”

Section: Introductionmentioning

confidence: 99%

Understanding the Barriers and Attitudes toward Influenza Vaccine Uptake in the Adult General Population: A Rapid Review

et al. 2023

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Influenza is a common respiratory infection associated with a substantial clinical, humanistic, and economic burden globally. Vaccines are essential to prevent and control influenza and are recommended by public-health agencies, such as the WHO and US CDC; however, vaccination rates vary considerably across the globe. This review aimed to investigate the perceived barriers and attitudes to influenza vaccination in the global population, in order to identify strategies that may improve influenza vaccination coverage. A structured literature search was undertaken to identify studies that reported on patient-reported attitudes towards influenza vaccination, focused on the adult general population in 16 prespecified countries. Eighty studies were included in this review. Negative attitude towards healthcare were found to be the most agreed upon barrier to vaccine uptake (31.1% agreement). The most agreed promoter of influenza vaccination was trust in healthcare services (62.0% agreement). Approximately 50% of participants intended to receive the influenza vaccine in the following season. To improve influenza vaccination coverage, healthcare workers must strengthen the foundation of substantial trust in healthcare services and provide educational materials that improve influenza vaccination knowledge among the adult general population.

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Section: Introductionmentioning

confidence: 99%

Understanding the Barriers and Attitudes toward Influenza Vaccine Uptake in the Adult General Population: A Rapid Review

et al. 2023

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“…Current findings suggest that older patients from minority groups suffer from “compounding inequalities” that result in suboptimal treatment when compared to White patients of similar age. ( 9 , 10 )…”

Section: Discussionmentioning

confidence: 99%

“…Current findings suggest that older patients from minority groups suffer from "compounding inequalities" that result in suboptimal treatment when compared to White patients of similar age. (9,10) The presence of unconscious bias amongst health-care providers could play a significant role in health-care disparities. It is every health-care organizations' responsibility to mitigate the effects of unconscious bias on patient care, as this impacts the outcome of care and severs trust in that organization to provide care in the future.…”

Section: Discussionmentioning

confidence: 99%

Cultural Competence—Lessons From an Exceptional Case of Care Delivery to My Mom

2022

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“…Consistent with other literature, we find that health care access alone does not fully explain vaccination inequities in some groups, particularly among African American/Black survey respondents. A recent study of influenza vaccine uptake among the US Medicare population found that while vaccine uptake was below recommended levels across the cohort, the racial disparity was persistent [ 16 ]. The “Unequal Treatment” model defined by the National Academy of Medicine acknowledges that access to healthcare is indicative of larger structural forces within health care, including provider bias [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Structural inequities in seasonal influenza vaccination rates

et al. 2021

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Background Influenza immunization is a highly effective method of reducing illness, hospitalization and mortality from this disease. However, influenza vaccination rates in the U.S. remain below public health targets and persistent structural inequities reduce the likelihood that Black, American Indian and Alaska Native, Latina/o, Asian groups, and populations of low socioeconomic status will receive the influenza vaccine. Methods We analyzed correlates of influenza vaccination rates using the 2019 Behavioral Risk Factor Surveillance System (BRFSS) in the year 2020. Our analysis compared influenza vaccination as the outcome of interest with the variables age, sex, race, education, income, geographic location, health insurance status, access to primary care, history of delaying care due to cost, and comorbidities such as: asthma, cardiovascular disease, hypertension, body mass index, cancer and diabetes. Results Non-Hispanic White (46.5%) and Asian (44.1%) participants are more likely to receive the influenza vaccine compared to Non-Hispanic Black (36.7%), Hispanic (33.9%), American Indian/Alaskan Native (36.6%), and Native Hawaiian/Other Pacific Islander (37.9%) participants. We found persistent structural inequities that predict influenza vaccination, within and across racial and ethnic groups, including not having health insurance [OR: 0.51 (0.47–0.55)], not having regular access to primary care [OR: 0.50 (0.48–0.52)], and the need to delay medical care due to cost [OR: 0.75 (0.71–0.79)]. Conclusion As COVID-19 vaccination efforts evolve, it is important for physicians and policymakers to identify the structural impediments to equitable U.S. influenza vaccination so that future vaccination campaigns are not impeded by these barriers to immunization.

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Effect of race and ethnicity on influenza vaccine uptake among older US Medicare beneficiaries: a record-linkage cohort study

Cited by 22 publications

References 18 publications

Understanding the Barriers and Attitudes toward Influenza Vaccine Uptake in the Adult General Population: A Rapid Review

Understanding the Barriers and Attitudes toward Influenza Vaccine Uptake in the Adult General Population: A Rapid Review

Cultural Competence—Lessons From an Exceptional Case of Care Delivery to My Mom

Structural inequities in seasonal influenza vaccination rates

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