Association Between Number of Physician Visits and Influenza Vaccination Coverage Among Diabetic Adults With Access to Care

Leonard E. Egede

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Vaccine Coverage and Hesitancy Influenza Virus Research Studies Health Promotion and Cardiovascular Prevention

Abstract

OBJECTIVE: The proportion of diabetic adults that receives the influenza vaccine is less than ideal. This study determined the relationship between the number of physician visits in the previous 12 months and the likelihood of influenza vaccination among diabetic adults with access to care. RESEARCH DESIGN AND METHODS: Data on 1807 diabetic adults with access to care in the 1999 National Health Interview Survey (NHIS) were analyzed. Prevalence of influenza vaccination was determined by number of physician visits. Logistic regression was used to determine the independent association between number of physician visits and influenza vaccination coverage, controlling for age, sex, race/ethnicity, education, income, employment census region, and comorbidity. STATA was used for analyses to account for the complex sampling design of NHIS. RESULTS: Overall, 56% of subjects received the influenza vaccine. Proportions vaccinated by number of physician visits were as follows: 35% (no visit), 47% (1-3 visits), 58% (4-9 visits), and 61% (>or=10 visits). Compared with people with no physician visit, people with 4-9 visits (odds ratio [OR] 2.61) and >or=10 visits (2.96) were significantly more likely to be vaccinated. However, after controlling for covariates, only people with >or=10 visits (2.34) were significantly more likely to be vaccinated. CONCLUSIONS: In this nationally representative sample, repeated physician visits by diabetic adults with access to care were associated with only modest increases in influenza vaccination coverage. In adjusted analysis, odds of influenza vaccination were not significantly associated with number of physician visits, except in people with >or=10 visits.

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References

1999Validation of self-report of influenza and pneumococcal vaccination status in elderly outpatients 2003What affects influenza vaccination rates among older patients? An analysis from inner-city, suburban, rural, and veterans affairs practices 1996Factors associated with influenza and pneumococcal vaccination behavior among high-risk adults 2001Barriers to influenza immunization in a low-income urban population 1991Patient acceptance of influenza vaccination 2001Introducing a pneumococcal vaccine to an existing influenza immunization program: vaccination rates and predictors of noncompliance 2003Racial/Ethnic Differences in Adult Vaccination Among Individuals With Diabetes 1994Evaluation of a simple office-based strategy for increasing influenza vaccine administration and the effect of differing reimbursement plans on the patient acceptance rate

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2013Influenza vaccination coverage rates among diabetes sufferers, predictors of adherence and time trends from 2003 to 2010 in Spain 2007Coverage and predictors of influenza vaccination among adults with diabetes in Spain 2020Influenza vaccination coverage among adults with diabetes, United States, 2007–08 through 2017–18 seasons 2021

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