4/3/2023 0 Comments Brfss codebook 2014![]() Model-adjusted compliance with age-appropriate recommendations across vaccines was low and also varied by state: influenza+Tdap (aged 18–59 years) 7.9–24.7% influenza+Tdap+HZ (aged 60–64 years) 4.1–14.4% and influenza+Tdap+HZ+pneumococcal (aged ≥65 years) 3.0–18.3%. Model-adjusted vaccination coverage estimates varied widely by state, with inter-state variability for the most recent year of data as follows: influenza (aged ≥18 years) 30.2–49.5% pneumococcal (aged ≥65 years) 64.0–74.7% Tdap (aged ≥18 years) 18.7–46.6% and HZ (aged ≥60 years) 21.3–42.9%. Results indicated that multiple characteristics were consistently associated with a higher likelihood of vaccination across all four vaccines, including female sex, increased educational attainment, and annual household income. Multivariable logistic regression modeling was employed to identify individual factors associated with vaccination (socio-demographics, health status, healthcare utilization, state of residence) and generate adjusted vaccination coverage and compliance estimates nationally and by state. A retrospective analysis was conducted using data from the Behavioral Risk Factor Surveillance System (2011–2014). Understanding factors that influence adult vaccination and coverage variability beyond the national level are important steps toward developing targeted strategies for increasing vaccination coverage. Despite longstanding recommendations for routine vaccination against influenza pneumococcal tetanus, diphtheria, acellular pertussis (Tdap) and herpes zoster (HZ) among the United States general adult population, vaccine uptake remains low. ![]()
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