Association of influenza vaccine uptake with health, access to health care, and medical mistreatment among adults from low-income neighborhoods in New Haven, CT: a classification tree analysis

Preventive Medicine
Kathryn Gilstad-HaydenJeannette R Ickovics

Abstract

The aim of this study is to identify population subgroups under-vaccinated for influenza through classification tree analysis to inform interventions aimed at improving future vaccine uptake. A cross-sectional community health needs assessment was conducted from 09/2012 through 11/2012 among randomly selected households in six low-income neighborhoods in New Haven, CT (N=1300 adults, aged 18-65). Known correlates of influenza vaccine uptake plus experience of medical mistreatment were used to develop a classification tree to identify under-vaccinated population subgroups Forty-five percent of respondents reported receiving the influenza vaccine. The classification tree identified healthy adults and uninsured adults at increased risk of influenza complications as subgroups with low vaccine uptake (40% and 30%, respectively). The subgroup representing insured, high-risk adults who reported experience of medical mistreatment had moderate vaccine uptake (45%). Sensitivity of the classification tree was high (83%, 95% CI=80% to 86%), indicating a strong true positive rate using these subgroups. Results highlight the need for renewed attention to promoting the influenza vaccination recommendation for all adults, particularly among he...Continue Reading

References

Mar 1, 1997·Journal of Health and Social Behavior·E L Idler, Y Benyamini
Oct 24, 2000·JAMA : the Journal of the American Medical Association·J Z AyanianA M Zaslavsky
Jan 30, 2003·American Journal of Public Health·David R WilliamsJames S Jackson
Aug 6, 2003·Medicine and Science in Sports and Exercise·Cora L CraigPekka Oja
Dec 4, 2003·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Stephenie C LemonWilliam Rakowski
Mar 28, 2007·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Noel T BrewerNeil D Weinstein
May 9, 2007·Journal of General Internal Medicine·Janice BlanchardNicole Lurie
Sep 12, 2007·Perspectives on Sexual and Reproductive Health·Trace S KershawJeannette Ickovics
Apr 21, 2010·BMC Infectious Diseases·Holly SealeC Raina MacIntyre
Jun 11, 2010·Journal of the American Geriatrics Society·Shauna T LinnKushang V Patel
May 14, 2011·American Journal of Public Health·Lori Uscher-PinesKatherine M Harris
Jul 30, 2011·Journal of Health Psychology·Valerie A Earnshaw, Diane M Quinn
Sep 7, 2011·Journal of Preventive Medicine and Public Health = Yebang Ŭihakhoe Chi·Byung Kwang Yoo
Nov 29, 2011·Influenza and Other Respiratory Viruses·Jürgen MaurerAndrew M Parker
Mar 15, 2014·Environmental Health : a Global Access Science Source·Katherine GassMatthew J Strickland

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.