Predictors of Influenza and Pneumococcal Vaccination Among Participants in the Women’s Health Initiative

Public Deposited
Analytics

Downloadable Content

Download PDF
Request Version for Screen Reader
Creator
  • Fix, J.
    • Affiliation: Gillings School of Global Public Health, Department of Epidemiology
  • Donneyong, M.M.
    • Other Affiliation: The Ohio State University
  • Rapp, S.R.
    • Other Affiliation: Wake Forest School of Medicine
  • Sattari, M.
    • Other Affiliation: University of Florida College of Medicine
  • Snively, B.M.
    • Other Affiliation: Wake Forest School of Medicine
  • Wactawski-Wende, J.
    • Other Affiliation: University at Buffalo
  • Gower, E.W.
    • Affiliation: Gillings School of Global Public Health, Department of Epidemiology
Abstract
  • Objective: Older adults typically experience higher rates of severe disease and mortality than the general population after contracting an infectious disease. Vaccination is critical for preventing disease and severe downstream outcomes; however, vaccination rates among older adults are suboptimal. We assessed predictors associated with pneumococcal and seasonal influenza vaccination among older women. Methods: We used data from the Women?s Health Initiative, a nationwide cohort of women. We ascertained seasonal influenza and pneumococcal vaccination status through a questionnaire administered in 2013. We limited analyses to women aged ≥65 years at questionnaire administration. We used logistic regression to estimate associations between demographic, lifestyle, and health-related factors and vaccination and explored stratification by race. Results: Of participants who responded to each question, 84.3% (n = 60 578) reported being vaccinated for influenza and 85.5% (n = 59 015) for pneumonia. The odds of reporting influenza vaccination were significantly lower among non-Hispanic Black participants than among non-Hispanic White participants (odds ratio [OR] = 0.53; 95% CI, 0.49-0.58), women with no health insurance versus private health insurance (OR = 0.61; 95% CI, 0.54-0.68), and women living in rural versus urban settings (OR = 0.84; 95% CI, 0.73-0.96). Current smoking, lower education levels, and having comorbid conditions were associated with lower likelihood of being vaccinated for influenza (than not); past pneumonia diagnosis and being currently married were associated with a higher likelihood. We observed similar associations for pneumococcal vaccination coverage. Conclusions: These findings reinforce the need to enact policy and implement programs to improve access to, education and awareness about, and provider recommendations for these critical disease-prevention tools. Results from our study should guide strategies for SARS-CoV-2 vaccination.
Date of publication
Keyword
DOI
Identifier
Resource type
  • Article
Rights statement
  • In Copyright
License
  • Attribution 4.0 International
Journal title
  • Public Health Reports
Language
  • English
Version
  • Publisher
Funder
  • National Institutes of Health, NIH; U.S. Department of Health and Human Services, HHS: 75N92021D00001, 75N92021D00002, 75N92021D00003, 75N92021D00004, 75N92021D00005; National Heart, Lung, and Blood Institute, NHLBI
ISSN
  • 0033-3549
Publisher
  • SAGE Publications Ltd

Relations

Parents:

This work has no parents.

In Collection:

Items

Thumbnail Title Date Uploaded Visibility Actions
file details 00333549221081817.pdf 2023-01-12 Public Download