2012
DOI: 10.1016/j.ypmed.2011.01.007
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Influenza vaccination among chiropractic patients and other users of complementary and alternative medicine: Are chiropractic patients really different?

Abstract: Objective Previous studies suggest a possible association between using chiropractic care and lower influenza vaccination rates. We examined adult influenza vaccination rates for chiropractic patients to determine if they are different than those for users of other complementary and alternative medicine(CAM). Method We used the 2007 National Health Interview Survey to examine influenza vaccination rates among adult respondents who were considered high priority for the influenza vaccine(n=12,164). We separate… Show more

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Cited by 13 publications
(8 citation statements)
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“…For example, not all CM use may have the same impact on vaccination uptake. Analyses of National Health Interview Survey (NHIS) data suggest that users of non-chiropractic forms of CM are in fact more likely to receive the influenza vaccination 14 and CM users generally are more likely to receive the influenza and pneumococcal vaccines 15 . The broad definition of CM may also add to the complexity of the relationship between CM and vaccination as not all CM practices appear to influence adult vaccination equally.…”
Section: Accepted Manuscriptmentioning
confidence: 99%
“…For example, not all CM use may have the same impact on vaccination uptake. Analyses of National Health Interview Survey (NHIS) data suggest that users of non-chiropractic forms of CM are in fact more likely to receive the influenza vaccination 14 and CM users generally are more likely to receive the influenza and pneumococcal vaccines 15 . The broad definition of CM may also add to the complexity of the relationship between CM and vaccination as not all CM practices appear to influence adult vaccination equally.…”
Section: Accepted Manuscriptmentioning
confidence: 99%
“…17 Influenza is a vaccine-preventable disease of particular importance in the United States, causing up to 200 000 hospitalizations, 18 49 000 deaths, 19 and an estimated $87 billion of economic burden annually. 20 The association of CAM use and influenza vaccination in adults has been examined, although nationally representative findings are limited and conflicting: adults who use CAM may have significantly lower uptake, 21 no difference in uptake, 22 or higher uptake 23 compared with non-CAM users. To the best of our knowledge, there has been no examination of the association of CAM use and influenza vaccination in US children.…”
mentioning
confidence: 99%
“…In contrast to their elders, younger adults have not directly experienced past American pandemics such as polio and tuberculosis and perhaps may also be less inclined to appreciate the importance of collective benefits such as “herd immunity.” Such perceptions could partly explain why younger people are significantly and substantially less likely to be vaccinated against influenza than their older counterparts. 23 If perceptions differ between older, sicker patients vs younger, healthier patients, then effective strategies for encouraging vaccination compliance may also need to be “individualized” to specifically appeal to different types of patients with varying perceptions and motivations. For instance, younger, healthier individuals may be more responsive to information that is tailored to their particular lifestyle risk, such as reminding students and members of the active workforce of their inherent risk of exposure to vaccine-preventable disease, because of the global nature of modern commerce, education, and travel.…”
Section: Discussionmentioning
confidence: 99%