The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The work was supported by the National Institute of Aging [R01 AG055681-02S1, P30 AG021342, R01 AG047891]. Terese Sara Høj Jørgensen was also supported by the Social Inequality in Aging (SIA) project, funded by NordForsk [project number: 74637].
Journal of Primary Care & Community Health
Influenza Vaccinations -- Public participation
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.
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.
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.
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.
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Jørgensen, T. S. H., Allore, H., Elman, M. R., Nagel, C., Zhang, M., Markwardt, S., & Quiñones, A. R. (2020). Annual Wellness Visits and Influenza Vaccinations among Older Adults in the US. Journal of Primary Care & Community Health, 11, 2150132720962870.