Local-Level Adult Influenza and Pneumococcal Vaccination Disparities: Chicago, Illinois, 2015-2016

To investigate local-level adult influenza and pneumococcal vaccination disparities to inform targeted interventions. Questions on influenza and pneumococcal vaccination uptake were included in a door-to-door community-based representative survey conducted in 10 Chicago, Illinois, neighborhoods in 2...

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Bibliographic Details
Published in:	American journal of public health (1971) 2018-04, Vol.108 (4), p.517-523
Main Authors:	Hughes, Michelle M, Saiyed, Nazia S, Chen, Tiffany S
Format:	Article
Language:	eng
Subjects:	Acculturation Adolescent Adult Adults African Americans - statistics & numerical data African Americans/Blacks Age Factors Aged AJPH Research Chicago - epidemiology Communities Community Cultural differences Cultural factors Demography Disease Ethnic factors Ethnic groups Ethnic neighborhoods Ethnicity European Continental Ancestry Group - statistics & numerical data Family income Female Health care Health Care Surveys Healthcare Disparities - statistics & numerical data Hispanic people Hispanics/Latinas Humans Immunization Immunization/Vaccines Influenza Influenza Vaccines - therapeutic use Insurance Coverage - statistics & numerical data Male Mexican Americans - statistics & numerical data Middle Aged Minority & ethnic groups Neighborhoods Other Race/Ethnicity Patient Acceptance of Health Care - statistics & numerical data Physicians Pneumococcal Vaccines - therapeutic use Pneumonia Polls & surveys Public health Race Racial differences Sex Factors Socioeconomic Factors Surveys Trust Urban Health Vaccination Vaccines Young Adult
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Summary:	To investigate local-level adult influenza and pneumococcal vaccination disparities to inform targeted interventions. Questions on influenza and pneumococcal vaccination uptake were included in a door-to-door community-based representative survey conducted in 10 Chicago, Illinois, neighborhoods in 2015 and 2016. A total of 1543 adults completed the survey, including 172 adults aged 65 years or older. We calculated adult influenza (≥ 18 years) and pneumococcal (≥ 65 years) vaccination coverage by community area and respondent characteristics. We observed significant differences in pneumococcal vaccination coverage between community areas (range = 18%-91%). Influenza vaccination coverage differed by gender, age, insurance coverage, acculturation, and confidence or trust in physician. Non-Hispanic Blacks were more likely to be vaccinated when they had higher confidence or trust in their physician (45% vs 20%; P
ISSN:	0090-0036 1541-0048