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Variations in Influenza Vaccination Among the Elderly

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Objectives: To identify unique, mutually exclusive population segments whose members share characteristics associated with likelihood of influenza vaccination.

Methods: Data from 30,668 elderly participants in the 1999 Behavioral Risk Factor Surveillance Systems was analyzed using classification and regression tree analysis.

Results: Eleven subgroups were identified: Non-Hispanic Blacks and Hispanics with no recent checkup had the lowest prevalence estimate (28.1%), whereas married white persons aged 75 plus with a recent checkup had the highest (80.6%).

Conclusions: Influenza vaccination varies greatly according to preventive medical care use and race/ethnicity, factors that are amenable to targeted outreach efforts.

Keywords: delivery of health care; geriatrics; guideline adherence; influenza vaccine

Document Type: Research Article


Affiliations: 1: Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA. 2: Department of Community Health, Brown University School of Medicine, Prospect Street, Providence, RI.

Publication date: July 1, 2004

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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