Examination of pneumococcal vaccination rates among U.S. adult smokers

Amaro, Maria Luiza de Medeiros; Lutfiyya, M. Nawal; Akers, Michael F.; Swanoski, Michael T.

doi:10.2146/ajhp110623

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Prior reports have identified similar deficiencies in influenza vaccination in smokers, older veterans, minorities, and individuals living in rural areas. 16-19 We found some independent risk factors for not receiving influenza vaccination were similar to those previously reported. These included: younger age, black or non-white/non-black/non-Hispanic race/ethnicity, a lower educational level, access to health care (including lack of health insurance, not having had a routine check-up in the past 12 months, and an inability to afford routine care), active smoking, heavy alcohol consumption, and chronic comorbidities.…”

Section: Discussionsupporting

confidence: 89%

Identification of Barriers to Influenza Vaccination in Patients with Chronic Obstructive Pulmonary Disease: Analysis of the 2012 Behavioral Risk Factors Surveillance Survey

Hsu¹,

North²,

Brode³

et al. 2016

J COPD F

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Introduction Patients with chronic obstructive pulmonary disease (COPD) are at increased risk for influenza-related morbidity and mortality. Influenza vaccination is known to decrease influenza incidence, severity, hospitalizations, and mortality. Identification of barriers to influenza vaccination among patients with COPD may aid in efforts to increase vaccination rates. This study aims to identify predictors of influenza vaccination in COPD patients. Methods This study used data from the 2012 Behavioral Risk Factor Surveillance System (BRFSS). Participants with self-reported COPD and receiving an influenza vaccination in the prior 12 months were identified. Independent predictors of the exposure were identified by estimating a parsimonious logistic regression model of influenza vaccination. All analyses were performed using weighted data. Results The final study sample consisted of 36,811 COPD participants, with 48.5% of COPD patients reporting having been vaccinated and 51.5% reporting being unvaccinated. A total of 15 independent predictors of influenza vaccination in COPD patients were identified. Negative predictors included predisposing factors (younger age, male gender, household children, black or non-white/non-Hispanic/non-black race/ethnicity, lower education level, heavy alcohol use, current tobacco use) and enabling factors that reflect access to medical care (insurance status, ability to afford care, having a recent check-up). Positive predictors of influenza vaccination included need factors (chronic comorbidities), being a military veteran, or being a former smoker. Conclusions This analysis identifies multiple predictors of influenza vaccination in persons with COPD. Identification of at risk-groups provides the foundation for development of focused efforts to improve influenza vaccination rates in patients with COPD.

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Section: Discussionsupporting

confidence: 89%

Identification of Barriers to Influenza Vaccination in Patients with Chronic Obstructive Pulmonary Disease: Analysis of the 2012 Behavioral Risk Factors Surveillance Survey

Hsu¹,

North²,

Brode³

et al. 2016

J COPD F

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show abstract

“…In the studied population the most common factor qualifying patients for the pneumococcal vaccine was being a current smoker, and importantly, the pneumococcal vaccine is the first vaccination recommended specifically for people who smoke. 27 However, more than half of the current smokers surveyed who were offered the vaccine had refused it. There are mixed results among the few studies that compared pneumococcal vaccination rates between smokers and non-smokers.…”

Section: Discussionmentioning

confidence: 99%

Extent of and Reasons for Vaccine Hesitancy in Adults at High-Risk for Pneumococcal Disease

et al. 2021

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Purpose: To determine the extent of and reasons for hesitancy toward vaccination among adults at high-risk for pneumococcal disease. Design: Cross-sectional. Setting: Online survey in March-April 2019 via QuestionPro. Subjects: Tennessee adults (18-64 years) at high-risk of pneumococcal disease (n = 1,002). Measures: Modified version of the validated Vaccine Hesitancy Scale assessed vaccine-related beliefs, reasons for hesitancy, external influences on vaccination, and prior vaccination Analysis: Descriptive and inferential statistics provided an overview of the responses and comparisons among subgroups. Logistic regression determined the odds of being hesitant using the listed beliefs and influencers as predictors. Thematic analysis was performed on the qualitative data gathered from free response questions throughout the survey. Results: Analysis included 1,002 complete responses (12% response rate [total viewed = 8,331]) with 34.3% indicating hesitancy toward one or more recommended vaccinations, with 53% of which indicating hesitancy to the pneumococcal vaccine despite it being recommended by the Advisory Committee on Immunization Practices (ACIP) for all respondents. The odds of vaccine hesitancy or resistance were higher in minorities (OR: 1.6; 95% CI: 1.19-2.11), those not believing others like them get vaccinated (OR: 1.82; 95% CI: 1.262-2.613), and respondents recalling negative media about vaccines (OR: 2.56; 95% CI: 1.797-3.643). Conclusions: Patients at high-risk of pneumococcal disease lack awareness of the need for the recommended vaccine, and provider education may need improving to increase vaccination in this population.

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Examination of pneumococcal vaccination rates among U.S. adult smokers

Abstract: U.S. adult smokers were most likely to receive pneumococcal vaccine if they were men, had health insurance, had a health care provider, and received a seasonal influenza vaccination within the past year.

Cited by 2 publications

References 6 publications

Identification of Barriers to Influenza Vaccination in Patients with Chronic Obstructive Pulmonary Disease: Analysis of the 2012 Behavioral Risk Factors Surveillance Survey

Identification of Barriers to Influenza Vaccination in Patients with Chronic Obstructive Pulmonary Disease: Analysis of the 2012 Behavioral Risk Factors Surveillance Survey

Extent of and Reasons for Vaccine Hesitancy in Adults at High-Risk for Pneumococcal Disease

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