Racial/Ethnic Disparities in Influenza Vaccination Coverage Among US Adolescents, 2010-2016

Webb, Noah S.; Dowd-Arrow, Benjamin; Taylor, Miles G.; Burdette, Amy M.

doi:10.1177/0033354918805720

Cited by 26Vaccine Coverage and HesitancyInfluenza Virus Research StudiesCervical Cancer and HPV Research

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Racial/Ethnic Disparities in Influenza Vaccination Coverage Among US Adolescents, 2010-2016

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Webb, Noah S., Dowd-Arrow, Benjamin, Taylor, Miles G., Burdette, Amy M.·2018·Public Health Reports®

DOI 10.1177/0033354918805720PMC PMC6225871

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Abstract

Objective: Although research suggests racial/ethnic disparities in influenza vaccination and mortality rates, few studies have examined racial/ethnic trends among US adolescents. We used national cross-sectional data to determine (1) trends in influenza vaccination rates among non-Hispanic white (hereinafter, white), non-Hispanic black (hereinafter, black), and Hispanic adolescents over time and (2) whether influenza vaccination rates among adolescents varied by race/ethnicity. Methods: We analyzed provider-reported vaccination histories for 2010-2016 from the National Immunization Survey–Teen. We used binary logistic regression models to determine trends in influenza vaccination rates by race/ethnicity for 117 273 adolescents, adjusted for sex, age, health insurance, physician visit in the previous 12 months, vaccination facility type, poverty status, maternal education level, children in the household, maternal marital status, maternal age, and census region of residence. We calculated adjusted probabilities for influenza vaccination for each racial/ethnic group, adjusted for the same demographic characteristics. Results: Compared with white adolescents, Hispanic adolescents had higher odds (adjusted odds ratio [aOR] = 1.11; 95% confidence interval [CI], 1.06-1.16) and black adolescents had lower odds (aOR = 0.95; 95% CI, 0.90-1.00) of vaccination. Compared with white adolescents, Hispanic adolescents had significantly higher adjusted probabilities of vaccination for 2011-2013 (2011: 0.22, P < .001; 2012: 0.23, P < .001; 2013: 0.26, P < .001). Compared with white adolescents, black adolescents had significantly lower probabilities of vaccination for 2016 (2016: 0.21, P < .001). Conclusions: Targeted interventions are needed to improve adolescent influenza vaccination rates and reduce racial/ethnic disparities in adolescent vaccination coverage.

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Race and ethnicity contribute to disparities in vaccine compliance in children and adolescents.
“Previous studies demonstrate that race and ethnicity contribute to disparities in vaccine compliance in children and adolescents.41–44”
From SARS-CoV-2 vaccine testing and trials in the pediatric population: biologic, ethical, research, and implementation challenges (2021) · cites this paper as [42]

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Lu, P.-J., O’Halloran, A. C., Bryan, L. N., Kennedy, E. D., Ding, H., Graitcer, S. B., Santibanez, T. A., Meghani, A., & Singleton, J. A. (2014) · American Journal of Infection Control · doi:10.1016/j.ajic.2014.03.021 · Cited by 74
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Authors: Webb, N. S., Dowd-Arrow, B., Taylor, M. G., & Burdette, A. M.
Affiliations: Florida State University (US)
Department of Sociology, Pepper Institute on Aging and Public Policy, Florida State University, Tallahassee, FL, USA
Corresponding author: Webb, Noah S.
ORCID: Webb, Noah S.
Taylor, Miles G.
Burdette, Amy M.
Venue: Public Health Reports®
Publisher: SAGE Publications
Published: 2018-10-09
Volume: 133
Issue: 6
Pages: 667-676
ISSN: 0033-3549 (ISSN-L)
1468-2877
DOI: 10.1177/0033354918805720
PMC: PMC6225871
OpenAlex: W2896378084
Cited by: 26
References: 55
Citations by year: 2026: 1 · 2025: 2 · 2024: 1 · 2023: 5 · 2022: 3 · 2021: 9 · 2020: 4 · 2019: 1
FWCI: 3.75
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Public Health Reports (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Health › Vaccine Coverage and Hesitancy
Health Sciences › Medicine › Epidemiology › Influenza Virus Research Studies
Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
Keywords: influenza vaccination, racial and ethnic disparities, adolescents, Latino youth, Black adolescents, National Immunization Survey-Teen, health disparities, vaccination interventions
MeSH terms: Adolescent, Black or African American, Cross-Sectional Studies, Ethnicity, Female, Health Surveys, Hispanic or Latino, Humans, Influenza Vaccines, Male, United States, White People, Racial Groups, Healthcare Disparities

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Racial/Ethnic Disparities in Influenza Vaccination Coverage Among US Adolescents, 2010-2016

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