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Factors Associated with Influenza Vaccination Uptake among U.S. Adults: Focus on Nativity and Race/Ethnicity

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  • Sou Hyun Jang

    (Department of Sociology and Convergence Program for Social Innovation, Sungkyunkwan University, Seoul 03060, Korea)

  • JaHyun Kang

    (College of Nursing and Research Institute of Nursing Science, Seoul National University, Seoul 03080, Korea)

Abstract

To support implementation strategies for upcoming influenza (flu) vaccinations for foreign-born and racial/ethnic minority groups, we analyzed the 2018 National Health Interview Survey (NHIS) database and performed logistic regression to examine the factors associated with, and the interaction between nativity and race/ethnicity in directing flu vaccination rates during the past 12 months ( n = 25,045). As a result, we found nativity and race/ethnicity were associated with flu vaccination rates; foreign-born and non-Hispanic black respondents were less likely to take the vaccine than U.S.-born and non-Hispanic white respondents. The odds ratios were largest for the elderly, those working in the healthcare industry, those with health insurance, and those with a usual source of care (ORs = 3.058, 2.871, 2.317, and 2.342, respectively), suggesting that access to healthcare resources is critical for the uptake of the flu vaccine. There was a significant interaction effect between nativity and race/ethnicity. For improving flu vaccination rates, more support is necessary for foreign-born people and racial/ethnic minorities who have lower health insurance rates and usual sources of care than U.S.-born people and non-Hispanic whites, and thus are less able to adequately access healthcare resources in a timely manner.

Suggested Citation

  • Sou Hyun Jang & JaHyun Kang, 2021. "Factors Associated with Influenza Vaccination Uptake among U.S. Adults: Focus on Nativity and Race/Ethnicity," IJERPH, MDPI, vol. 18(10), pages 1-12, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:10:p:5349-:d:556502
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    References listed on IDEAS

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    1. Coady, M.H. & Galea, S. & Blaney, S. & Ompad, D.C. & Sisco, S. & Vlahov, D., 2008. "Project VIVA: A multilevel community-based intervention to increase influenza vaccination rates among hard-to-reach populations in New York City," American Journal of Public Health, American Public Health Association, vol. 98(7), pages 1314-1321.
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    Cited by:

    1. Kiana Wilkins, 2022. "Intersectional Immunity? Examining How Race/Ethnicity and Sexual Orientation Combine to Shape Influenza Vaccination Among US Adults," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 41(6), pages 2585-2612, December.
    2. Camino Prada-García & Virginia Fernández-Espinilla & Cristina Hernán-García & Iván Sanz-Muñoz & José Martínez-Olmos & Jose M. Eiros & Javier Castrodeza-Sanz, 2022. "Attitudes, Perceptions and Practices of Influenza Vaccination in the Adult Population: Results of a Cross-Sectional Survey in Spain," IJERPH, MDPI, vol. 19(17), pages 1-12, September.

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