Annual Wellness Visits and Influenza Vaccinations among Older Adults in the US
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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.
I: Journal of primary care & community health, Bind 11, 2020.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Annual Wellness Visits and Influenza Vaccinations among Older Adults in the US
AU - Jørgensen, Terese Sara Høj
AU - Allore, Heather
AU - Elman, Miriam R
AU - Nagel, Corey
AU - Zhang, Mengran
AU - Markwardt, Sheila
AU - Quiñones, Ana R
PY - 2020
Y1 - 2020
N2 - 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.
AB - 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.
U2 - 10.1177/2150132720962870
DO - 10.1177/2150132720962870
M3 - Journal article
C2 - 33016194
VL - 11
JO - Journal of Primary Care and Community Health
JF - Journal of Primary Care and Community Health
SN - 2150-1319
ER -
ID: 250388749