Tailored interventions to increase influenza vaccination in neighborhood health centers serving the disadvantaged.

@article{citeulike:524400, abstract = {OBJECTIVES: We designed and evaluated interventions to increase adult immunizations within inner-city health centers. METHODS: Interventions included reminders, standing orders, and walk-in "flu shot clinics." Patients were surveyed and records evaluated. RESULTS: Records from 1 center showed that immunization rates increased from 24\% to 30\% (P <.001) for patients aged 50 to 64 years and from 45\% to 53\% for patients aged 65 years and older (P <.001). Self-reported vaccination rates did not increase. In logistic regression analyses, the strongest predictor of vaccination among patients aged 50 to 64 years was the belief that unvaccinated persons will contract influenza (odds ratio [OR] = 5.4; 95\% confidence interval [CI] = 2.4, 12.0). Among patients aged 65 years and older, the strongest predictor of vaccination was the belief that friends/relatives thought that they should be vaccinated (OR = 9.7; 95\% CI = 4.2, 22.3). CONCLUSIONS: Tailored interventions can improve immunization rates at inner-city health centers.}, address = {Department of Family Medicine and Clinical Epidemiology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA. zimmer@pitt.edu}, author = {Zimmerman, R. K. and Nowalk, M. P. and Raymund, M. and Tabbarah, M. and Hall, D. G. and Wahrenberger, J. T. and Wilson, S. A. and Ricci, E. M. }, citeulike-article-id = {524400}, issn = {0090-0036}, journal = {Am J Public Health}, keywords = {pneumovax}, month = {October}, number = {10}, pages = {1699--1705}, posted-at = {2006-02-28 20:17:29}, priority = {5}, title = {Tailored interventions to increase influenza vaccination in neighborhood health centers serving the disadvantaged.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/14534225}, volume = {93}, year = {2003} }

TY - JOUR ID - citeulike:524400 L3 - citeulike-article-id:524400 TI - Tailored interventions to increase influenza vaccination in neighborhood health centers serving the disadvantaged. JF - Am J Public Health VL - 93 IS - 10 SP - 1699 EP - 1705 AD - Department of Family Medicine and Clinical Epidemiology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA. zimmer@pitt.edu SN - 0090-0036 N2 - OBJECTIVES: We designed and evaluated interventions to increase adult immunizations within inner-city health centers. METHODS: Interventions included reminders, standing orders, and walk-in "flu shot clinics." Patients were surveyed and records evaluated. RESULTS: Records from 1 center showed that immunization rates increased from 24% to 30% (P <.001) for patients aged 50 to 64 years and from 45% to 53% for patients aged 65 years and older (P <.001). Self-reported vaccination rates did not increase. In logistic regression analyses, the strongest predictor of vaccination among patients aged 50 to 64 years was the belief that unvaccinated persons will contract influenza (odds ratio [OR] = 5.4; 95% confidence interval [CI] = 2.4, 12.0). Among patients aged 65 years and older, the strongest predictor of vaccination was the belief that friends/relatives thought that they should be vaccinated (OR = 9.7; 95% CI = 4.2, 22.3). CONCLUSIONS: Tailored interventions can improve immunization rates at inner-city health centers. KW - pneumovax AU - Zimmerman, RK AU - Nowalk, MP AU - Raymund, M AU - Tabbarah, M AU - Hall, DG AU - Wahrenberger, JT AU - Wilson, SA AU - Ricci, EM PY - 2003/10// UR - http://view.ncbi.nlm.nih.gov/pubmed/14534225 ER -