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http://hdl.handle.net/10397/74888
Title: | Patterns of influenza vaccination coverage in the United States from 2009 to 2015 | Authors: | Chiu, APY Dushoff, J Yu, D He, D |
Issue Date: | 2017 | Source: | International journal of infectious diseases, 2017, v. 65, p. 122-127 | Abstract: | Background Globally, influenza is a major cause of morbidity, hospitalization and mortality. Influenza vaccination has shown substantial protective effectiveness in the United States. Methods We investigated state-level patterns of coverage rates of seasonal and pandemic influenza vaccination, among the overall population (six months or older) in the U.S. and specifically among children (aged between 6 months and 17 years) and the elderly (aged 65 years or older), from 2009/10 to 2014/15, and associations with ecological factors. We obtained state-level influenza vaccination rates from national surveys, and state-level socio-demographic and health data from a variety of sources. We employed a retrospective ecological study design, and used both linear models and linear mixed-effect models to determine the levels of ecological association of the state-level vaccinations rates with these factors, both with and without region as a factor for the three populations. Results and Conclusions Health-care access has a robust, positive association with state-level vaccination rates across all populations and models. This highlights a potential population-level advantage of expanding health-care access. We also found that prevalence of asthma in adults is negatively associated with mean influenza vaccination rates in the elderly populations. | Keywords: | Ecological study Influenza Mixed model Vaccination coverage |
Publisher: | Elsevier B.V. | Journal: | International journal of infectious diseases | ISSN: | 1201-9712 | DOI: | 10.1016/j.ijid.2017.10.004 | Rights: | © 2017 The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). The following publication Chiu, A. P., Dushoff, J., Yu, D., & He, D. (2017). Patterns of influenza vaccination coverage in the United States from 2009 to 2015. International Journal of Infectious Diseases, 65, 122-127 is available at https://doi.org/10.1016/j.ijid.2017.10.004 |
Appears in Collections: | Journal/Magazine Article |
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