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Influenza and Pneumonia Vaccinations among North Carolina Adults with Diabetes

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Objectives: In this study, we sought to elucidate the influenza and pneumonia vaccination practices of adults with diabetes in North Carolina. Methods: Using North Carolina Behavioral Risk Factor Surveillance System data, we examined 2011-2018 trend data and demographic and health factors (2014-2018) in influenza (influenza vaccine receipt in the past year among adults ages 18+ years) and pneumonia (lifetime pneumonia vaccination receipt for adults ages 65+ years) vaccination adherence. Results: Influenza and pneumonia vaccination adherence rates were consistently higher for adults with versus without diabetes and remained relatively stable over the study period for both groups. Among adults with diabetes, factors associated with higher influenza vaccination rates included non-Hispanic white race, age 65+ years, poorer health, having insurance, and being a non-smoker. Pneumonia vaccination rates among adults with diabetes were higher for non-Hispanic Whites and those in poorer health. Conclusions: Adults with diabetes may be more likely to receive influenza and pneumonia vaccinations compared to adults without diabetes, but these rates remain below recommended levels. African Americans, younger adults, those without health insurance and cigarette smokers are vulnerable to being non-compliant with vaccination recommendations that could reduce their risk of developing and suffering complications from these diseases
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Keywords: BRFSS; DIABETES MELLITUS; INFLUENZA VACCINATION; PNEUMONIA VACCINATION; PREVENTIVE CARE; VACCINE COMPLIANCE

Document Type: Research Article

Affiliations: 1: Ronny Bell, Professor, Department of Public Health, East Carolina University, Greenville, NC, United States;, Email: [email protected] 2: Satomi Imai, Research Specialist, Department of Public Health, East Carolina University, Greenville, NC, United States 3: Ann Rafferty, Teaching Associate Professor, Department of Public Health, East Carolina University, Greenville, NC, United States 4: N. Ruth Gaskins Little, Assistant Professor, Department of Public Health, East Carolina University, Greenville, NC, United States 5: Nancy Winterbauer, Associate Professor, Department of Public Health, East Carolina University, Greenville, NC, United States 6: Huabin Luo, Associate Professor, Department of Public Health, East Carolina University, Greenville, NC, United States

Publication date: March 1, 2021

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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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