Minority Health Archive

Tailored Interventions to Increase Influenza Vaccination in Neighborhood Health Centers Serving the Disadvantaged

Zimmerman, Richard Kent and Nowalk, Mary Patricia and Raymund, Mahlon and Tabbarah, Melissa and Hall, David G. and Wahrenberger, J. Todd and Wilson, Stephen A. and Ricci, Edmund M. (2003) Tailored Interventions to Increase Influenza Vaccination in Neighborhood Health Centers Serving the Disadvantaged. American Journal of Public Health, 93 (10). pp. 1699-1705. ISSN 0090-0036

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Abstract

Objectives. We designed and evaluated interventions to increase adult immunizations within inner-city health centers. Methods. Interventions included reminders, standing orders, and walk-in “flu shot clinics.” Patients were surveyed and records evaluated. Results. Records from 1 center showed that immunization rates increased from 24% to 30% (P<.001) for patients aged 50 to 64 years and from 45% to 53% for patients aged 65 years and older (P<.001). Self-reported vaccination rates did not increase. In logistic regression analyses, the strongest predictor of vaccination among patients aged 50 to 64 years was the belief that unvaccinated persons will contract influenza (odds ratio [OR]=5.4; 95% confidence interval [CI]=2.4, 12.0). Among patients aged 65 years and older, the strongest predictor of vaccination was the belief that friends/relatives thought that they should be vaccinated (OR=9.7; 95% CI=4.2, 22.3). Conclusions. Tailored interventions can improve immunization rates at inner-city health centers


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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: adult immunizations; inner-city health centers; immunization rates; Tailored interventions
Subjects: Health > Health Equity
Health
Practice > interventions
Research > studies
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Depositing User: Users 141 not found.
Date Deposited: 21 Apr 2008
Last Modified: 28 Jun 2011 11:15
Link to this item (URI): http://health-equity.pitt.edu/id/eprint/992

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