Reducing Racial Disparities in Influenza Vaccination Among Children With Asthma
Abstract Introduction A multifaceted intervention to raise influenza vaccination rates was tested among children with asthma. Methods In a pre/post study design, 18 primary care practices implemented the 4 Pillars Immunization Toolkit along with other strategies. The primary outcome was the differen...
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| Veröffentlicht in: | Journal of pediatric health care 2016-05, Vol.30 (3), p.208-215 |
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| creator | Lin, Chyongchiou Jeng, PhD Nowalk, Mary Patricia, PhD, RD Zimmerman, Richard K., MD, MPH, MA Moehling, Krissy K., MPH Conti, Tracey, MD Allred, Norma J., PhD Reis, Evelyn C., MD |
| description | Abstract Introduction A multifaceted intervention to raise influenza vaccination rates was tested among children with asthma. Methods In a pre/post study design, 18 primary care practices implemented the 4 Pillars Immunization Toolkit along with other strategies. The primary outcome was the difference in influenza vaccination rates at each practice among children with asthma between the baseline year (before the intervention) and at the end of year 2 (after the intervention), both overall and by race (White vs. non-White). Results Influenza vaccination rates increased significantly in 13 of 18 practices. The percentage of vaccinated non-White children increased from 46% to 61% ( p < .01), and the percentage of vaccinated White children increased from 58% to 65% ( p < .001). Likelihood of vaccination was significantly lower for non-White children before the intervention (odds ratio = 0.66; 95% confidence interval = 0.59-0.73; p < .001), but this difference was eliminated after the intervention (odds ratio = 0.95; 95% confidence interval = 0.85-1.05; p = .289). Discussion A multi-strategy, evidence-based intervention significantly increased influenza vaccination uptake and reduced racial disparities among children with asthma. |
| doi_str_mv | 10.1016/j.pedhc.2015.06.006 |
| format | Article |
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Methods In a pre/post study design, 18 primary care practices implemented the 4 Pillars Immunization Toolkit along with other strategies. The primary outcome was the difference in influenza vaccination rates at each practice among children with asthma between the baseline year (before the intervention) and at the end of year 2 (after the intervention), both overall and by race (White vs. non-White). Results Influenza vaccination rates increased significantly in 13 of 18 practices. The percentage of vaccinated non-White children increased from 46% to 61% ( p < .01), and the percentage of vaccinated White children increased from 58% to 65% ( p < .001). Likelihood of vaccination was significantly lower for non-White children before the intervention (odds ratio = 0.66; 95% confidence interval = 0.59-0.73; p < .001), but this difference was eliminated after the intervention (odds ratio = 0.95; 95% confidence interval = 0.85-1.05; p = .289). Discussion A multi-strategy, evidence-based intervention significantly increased influenza vaccination uptake and reduced racial disparities among children with asthma.</description><identifier>ISSN: 0891-5245</identifier><identifier>EISSN: 1532-656X</identifier><identifier>DOI: 10.1016/j.pedhc.2015.06.006</identifier><identifier>PMID: 26254743</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Advanced Practice Nursing ; Asthma ; Asthma - epidemiology ; Child ; Child, Preschool ; children ; Female ; Health Promotion ; Health Status Disparities ; Humans ; Immunization Programs - organization & administration ; Infant ; influenza vaccine ; Influenza Vaccines - administration & dosage ; Influenza, Human - epidemiology ; Influenza, Human - prevention & control ; Male ; Nursing ; Pediatrics ; Primary Health Care ; racial disparities ; United States - epidemiology ; Vaccination - statistics & numerical data ; Vulnerable Populations</subject><ispartof>Journal of pediatric health care, 2016-05, Vol.30 (3), p.208-215</ispartof><rights>National Association of Pediatric Nurse Practitioners</rights><rights>2016 National Association of Pediatric Nurse Practitioners</rights><rights>Copyright © 2016 National Association of Pediatric Nurse Practitioners. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c514t-e39dd9ae48c2b70ad8fff5b729f08829b20368f7be1404d21503ed1be5eada4d3</citedby><cites>FETCH-LOGICAL-c514t-e39dd9ae48c2b70ad8fff5b729f08829b20368f7be1404d21503ed1be5eada4d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.pedhc.2015.06.006$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,778,782,883,3539,27911,27912,45982</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26254743$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lin, Chyongchiou Jeng, PhD</creatorcontrib><creatorcontrib>Nowalk, Mary Patricia, PhD, RD</creatorcontrib><creatorcontrib>Zimmerman, Richard K., MD, MPH, MA</creatorcontrib><creatorcontrib>Moehling, Krissy K., MPH</creatorcontrib><creatorcontrib>Conti, Tracey, MD</creatorcontrib><creatorcontrib>Allred, Norma J., PhD</creatorcontrib><creatorcontrib>Reis, Evelyn C., MD</creatorcontrib><title>Reducing Racial Disparities in Influenza Vaccination Among Children With Asthma</title><title>Journal of pediatric health care</title><addtitle>J Pediatr Health Care</addtitle><description>Abstract Introduction A multifaceted intervention to raise influenza vaccination rates was tested among children with asthma. Methods In a pre/post study design, 18 primary care practices implemented the 4 Pillars Immunization Toolkit along with other strategies. The primary outcome was the difference in influenza vaccination rates at each practice among children with asthma between the baseline year (before the intervention) and at the end of year 2 (after the intervention), both overall and by race (White vs. non-White). Results Influenza vaccination rates increased significantly in 13 of 18 practices. The percentage of vaccinated non-White children increased from 46% to 61% ( p < .01), and the percentage of vaccinated White children increased from 58% to 65% ( p < .001). Likelihood of vaccination was significantly lower for non-White children before the intervention (odds ratio = 0.66; 95% confidence interval = 0.59-0.73; p < .001), but this difference was eliminated after the intervention (odds ratio = 0.95; 95% confidence interval = 0.85-1.05; p = .289). Discussion A multi-strategy, evidence-based intervention significantly increased influenza vaccination uptake and reduced racial disparities among children with asthma.</description><subject>Adolescent</subject><subject>Advanced Practice Nursing</subject><subject>Asthma</subject><subject>Asthma - epidemiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>children</subject><subject>Female</subject><subject>Health Promotion</subject><subject>Health Status Disparities</subject><subject>Humans</subject><subject>Immunization Programs - organization & administration</subject><subject>Infant</subject><subject>influenza vaccine</subject><subject>Influenza Vaccines - administration & dosage</subject><subject>Influenza, Human - epidemiology</subject><subject>Influenza, Human - prevention & control</subject><subject>Male</subject><subject>Nursing</subject><subject>Pediatrics</subject><subject>Primary Health Care</subject><subject>racial disparities</subject><subject>United States - epidemiology</subject><subject>Vaccination - statistics & numerical data</subject><subject>Vulnerable Populations</subject><issn>0891-5245</issn><issn>1532-656X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkktv1DAUhS0EokPhFyChLNkk-JnHgkqj4VWpUqXy3F059k3jIeNM7aRS--vrMKUCNqy88HfOtc-5hLxktGCUlW-2xR5tbwpOmSpoWVBaPiIrpgTPS1X-eExWtG5YrrhUR-RZjFuaiIrLp-SIl1zJSooVOb9AOxvnL7MLbZwesncu7nVwk8OYOZ-d-m6Y0d_q7Js2idOTG3223o1JsendYAP67Lub-mwdp36nn5MnnR4ivrg_j8nXD--_bD7lZ-cfTzfrs9woJqccRWNto1HWhrcV1bbuuk61FW86Wte8aTkVZd1VLTJJpeVMUYGWtahQWy2tOCYnB9_93O7QGvRT0APsg9vpcAOjdvD3jXc9XI7XkL4tmWLJ4PW9QRivZowT7Fw0OAza4zhHYFUthGQlX1BxQE0YYwzYPYxhFJYqYAu_qoClCqAlpKCT6tWfL3zQ_M4-AW8PAKacrh0GiMahN2hdQDOBHd1_Bpz8ozeD887o4SfeYNyOc_CpAmAQOVD4vGzDsgwpS8o5q8Qdw9-xug</recordid><startdate>20160501</startdate><enddate>20160501</enddate><creator>Lin, Chyongchiou Jeng, PhD</creator><creator>Nowalk, Mary Patricia, PhD, RD</creator><creator>Zimmerman, Richard K., MD, MPH, MA</creator><creator>Moehling, Krissy K., MPH</creator><creator>Conti, Tracey, MD</creator><creator>Allred, Norma J., PhD</creator><creator>Reis, Evelyn C., MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160501</creationdate><title>Reducing Racial Disparities in Influenza Vaccination Among Children With Asthma</title><author>Lin, Chyongchiou Jeng, PhD ; Nowalk, Mary Patricia, PhD, RD ; Zimmerman, Richard K., MD, MPH, MA ; Moehling, Krissy K., MPH ; Conti, Tracey, MD ; Allred, Norma J., PhD ; Reis, Evelyn C., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c514t-e39dd9ae48c2b70ad8fff5b729f08829b20368f7be1404d21503ed1be5eada4d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Advanced Practice Nursing</topic><topic>Asthma</topic><topic>Asthma - epidemiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>children</topic><topic>Female</topic><topic>Health Promotion</topic><topic>Health Status Disparities</topic><topic>Humans</topic><topic>Immunization Programs - organization & administration</topic><topic>Infant</topic><topic>influenza vaccine</topic><topic>Influenza Vaccines - administration & dosage</topic><topic>Influenza, Human - epidemiology</topic><topic>Influenza, Human - prevention & control</topic><topic>Male</topic><topic>Nursing</topic><topic>Pediatrics</topic><topic>Primary Health Care</topic><topic>racial disparities</topic><topic>United States - epidemiology</topic><topic>Vaccination - statistics & numerical data</topic><topic>Vulnerable Populations</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lin, Chyongchiou Jeng, PhD</creatorcontrib><creatorcontrib>Nowalk, Mary Patricia, PhD, RD</creatorcontrib><creatorcontrib>Zimmerman, Richard K., MD, MPH, MA</creatorcontrib><creatorcontrib>Moehling, Krissy K., MPH</creatorcontrib><creatorcontrib>Conti, Tracey, MD</creatorcontrib><creatorcontrib>Allred, Norma J., PhD</creatorcontrib><creatorcontrib>Reis, Evelyn C., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of pediatric health care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lin, Chyongchiou Jeng, PhD</au><au>Nowalk, Mary Patricia, PhD, RD</au><au>Zimmerman, Richard K., MD, MPH, MA</au><au>Moehling, Krissy K., MPH</au><au>Conti, Tracey, MD</au><au>Allred, Norma J., PhD</au><au>Reis, Evelyn C., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reducing Racial Disparities in Influenza Vaccination Among Children With Asthma</atitle><jtitle>Journal of pediatric health care</jtitle><addtitle>J Pediatr Health Care</addtitle><date>2016-05-01</date><risdate>2016</risdate><volume>30</volume><issue>3</issue><spage>208</spage><epage>215</epage><pages>208-215</pages><issn>0891-5245</issn><eissn>1532-656X</eissn><abstract>Abstract Introduction A multifaceted intervention to raise influenza vaccination rates was tested among children with asthma. Methods In a pre/post study design, 18 primary care practices implemented the 4 Pillars Immunization Toolkit along with other strategies. The primary outcome was the difference in influenza vaccination rates at each practice among children with asthma between the baseline year (before the intervention) and at the end of year 2 (after the intervention), both overall and by race (White vs. non-White). Results Influenza vaccination rates increased significantly in 13 of 18 practices. The percentage of vaccinated non-White children increased from 46% to 61% ( p < .01), and the percentage of vaccinated White children increased from 58% to 65% ( p < .001). Likelihood of vaccination was significantly lower for non-White children before the intervention (odds ratio = 0.66; 95% confidence interval = 0.59-0.73; p < .001), but this difference was eliminated after the intervention (odds ratio = 0.95; 95% confidence interval = 0.85-1.05; p = .289). Discussion A multi-strategy, evidence-based intervention significantly increased influenza vaccination uptake and reduced racial disparities among children with asthma.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26254743</pmid><doi>10.1016/j.pedhc.2015.06.006</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Advanced Practice Nursing Asthma Asthma - epidemiology Child Child, Preschool children Female Health Promotion Health Status Disparities Humans Immunization Programs - organization & administration Infant influenza vaccine Influenza Vaccines - administration & dosage Influenza, Human - epidemiology Influenza, Human - prevention & control Male Nursing Pediatrics Primary Health Care racial disparities United States - epidemiology Vaccination - statistics & numerical data Vulnerable Populations |
| title | Reducing Racial Disparities in Influenza Vaccination Among Children With Asthma |
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