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Annual Wellness Visits and Influenza Vaccinations among Older Adults in the US
OBJECTIVES: Investigate whether combinations of sociodemographic factors, chronic conditions, and other health indicators pose barriers for older adults to access Annual Wellness Visits (AWVs) and influenza vaccinations. METHODS: Data on 4999 individuals aged ≥65 years from the 2012 wave of the Heal...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7536477/ https://www.ncbi.nlm.nih.gov/pubmed/33016194 http://dx.doi.org/10.1177/2150132720962870 |
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author | Jørgensen, Terese Sara Høj Allore, Heather Elman, Miriam R. Nagel, Corey Zhang, Mengran Markwardt, Sheila Quiñones, Ana R. |
author_facet | Jørgensen, Terese Sara Høj Allore, Heather Elman, Miriam R. Nagel, Corey Zhang, Mengran Markwardt, Sheila Quiñones, Ana R. |
author_sort | Jørgensen, Terese Sara Høj |
collection | PubMed |
description | OBJECTIVES: Investigate whether combinations of sociodemographic factors, chronic conditions, and other health indicators pose barriers for older adults to access Annual Wellness Visits (AWVs) and influenza vaccinations. METHODS: Data on 4999 individuals aged ≥65 years from the 2012 wave of the Health and Retirement Study linked with Medicare claims were analyzed. Conditional Inference Tree (CIT) and Random Forest (CIRF) analyses identified the most important predictors of AWVs and influenza vaccinations. Multivariable logistic regression (MLR) was used to quantify the associations. RESULTS: Two-year uptake was 22.8% for AWVs and 65.9% for influenza vaccinations. For AWVs, geographical region and wealth emerged as the most important predictors. For influenza vaccinations, number of somatic conditions, race/ethnicity, education, and wealth were the most important predictors. CONCLUSIONS: The importance of geographic region for AWV utilization suggests that this service was unequally adopted. Non-Hispanic black participants and/or those with functional limitations were less likely to receive influenza vaccination. |
format | Online Article Text |
id | pubmed-7536477 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-75364772020-10-14 Annual Wellness Visits and Influenza Vaccinations among Older Adults in the US Jørgensen, Terese Sara Høj Allore, Heather Elman, Miriam R. Nagel, Corey Zhang, Mengran Markwardt, Sheila Quiñones, Ana R. J Prim Care Community Health Original Research OBJECTIVES: Investigate whether combinations of sociodemographic factors, chronic conditions, and other health indicators pose barriers for older adults to access Annual Wellness Visits (AWVs) and influenza vaccinations. METHODS: Data on 4999 individuals aged ≥65 years from the 2012 wave of the Health and Retirement Study linked with Medicare claims were analyzed. Conditional Inference Tree (CIT) and Random Forest (CIRF) analyses identified the most important predictors of AWVs and influenza vaccinations. Multivariable logistic regression (MLR) was used to quantify the associations. RESULTS: Two-year uptake was 22.8% for AWVs and 65.9% for influenza vaccinations. For AWVs, geographical region and wealth emerged as the most important predictors. For influenza vaccinations, number of somatic conditions, race/ethnicity, education, and wealth were the most important predictors. CONCLUSIONS: The importance of geographic region for AWV utilization suggests that this service was unequally adopted. Non-Hispanic black participants and/or those with functional limitations were less likely to receive influenza vaccination. SAGE Publications 2020-10-03 /pmc/articles/PMC7536477/ /pubmed/33016194 http://dx.doi.org/10.1177/2150132720962870 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Research Jørgensen, Terese Sara Høj Allore, Heather Elman, Miriam R. Nagel, Corey Zhang, Mengran Markwardt, Sheila Quiñones, Ana R. Annual Wellness Visits and Influenza Vaccinations among Older Adults in the US |
title | Annual Wellness Visits and Influenza Vaccinations among Older Adults
in the US |
title_full | Annual Wellness Visits and Influenza Vaccinations among Older Adults
in the US |
title_fullStr | Annual Wellness Visits and Influenza Vaccinations among Older Adults
in the US |
title_full_unstemmed | Annual Wellness Visits and Influenza Vaccinations among Older Adults
in the US |
title_short | Annual Wellness Visits and Influenza Vaccinations among Older Adults
in the US |
title_sort | annual wellness visits and influenza vaccinations among older adults
in the us |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7536477/ https://www.ncbi.nlm.nih.gov/pubmed/33016194 http://dx.doi.org/10.1177/2150132720962870 |
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