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Am J Infect Control . Influenza Vaccination Coverage Among Adults by Nativity, Race/Ethnicity, Citizenship, and Language of the Interview United Sta

tetano

Editor, Senior Moderator
Am J Infect Control


. 2021 Sep 11;S0196-6553(21)00590-3.
doi: 10.1016/j.ajic.2021.09.003. Online ahead of print.
Influenza Vaccination Coverage Among Adults by Nativity, Race/Ethnicity, Citizenship, and Language of the Interview United States, 2012-13 Through 2017-18 Influenza Seasons


Meagan R Chuey[SUP] 1 [/SUP], Mei-Chuan Hung[SUP] 2 [/SUP], Anup Srivastav[SUP] 2 [/SUP], Peng-Jun Lu[SUP] 3 [/SUP], Kimberly H Nguyen[SUP] 3 [/SUP], Walter W Williams[SUP] 3 [/SUP], Alfonso Rodriguez Lainz[SUP] 4 [/SUP]



Affiliations

Abstract

Background: Approximately 20,000 people died from influenza in the US in the 2019 - 2020 season. The best way to prevent influenza is to receive the influenza vaccine. Persons who are foreign-born experience disparities in access to, and utilization of, preventative healthcare, including vaccination.
Methods: National Health Interview Survey (NHIS) data were analyzed to assess differences in influenza vaccination coverage during the 2012-13 through 2017-18 influenza seasons among adults by nativity, citizenship status of foreign-born persons, race/ethnicity, and language of the interview.
Results: Influenza vaccination coverage increased significantly during the study period for US-born adults but did not change significantly among foreign-born racial/ethnic groups except for increases among foreign-born Hispanic adults. Coverage for foreign-born adults, those who completed an interview in a non-English language, and non-US citizens, had lower vaccination coverage during most influenza seasons studied, compared with US-born, English-interviewed, and US-citizen adults, respectively.
Conclusion: Strategies to improve influenza vaccination uptake must consider foreign-born adults as an underserved population in need of focused, culturally-tailored outreach. Achieving high influenza vaccination coverage among the foreign-born population will help reduce illness among the essential workforce, achieve national vaccination goals, and reduce racial and ethnic disparities in vaccination coverage in the US.

Keywords: Influenza; foreign-born; immunization; migrant; vaccination.
 
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