13 research outputs found

    National Health and Wellness Survey (NHWS) vaccination questions at each time point.

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    <p>N/A indicates not assessed.</p><p>As discussed above, the NHWS is conducted once per quarter for the first three quarters of each year. The item pertaining to the herpes zoster vaccine was not included in the first quarter survey in 2011 (it was included in a subsequent quarter). As a result, data on the herpes zoster vaccine was not available for this study (which only used the first quarter survey).</p

    Demographic profile of adults (18 years and older) who received each respective vaccine.

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    <p>All data is the from the 2011 NHWS dataset (N = 25,000) with the exception of the herpes zoster vaccine, which is from the 2010 NHWS dataset.</p

    Vaccination Rates among the General Adult Population and High-Risk Groups in the United States

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    <div><h3>Background</h3><p>In order to adequately assess the effectiveness of vaccination in helping to control vaccine-preventable infectious disease, it is important to identify the adherence and uptake of risk-based recommendations.</p> <h3>Methods</h3><p>The current project includes data from five consecutive datasets of the National Health and Wellness Survey (NHWS): 2007 through 2011. The NHWS is an annual, Internet-based health questionnaire, administered to a nationwide sample of adults (aged 18 or older) which included items on vaccination history as well as high-risk group status. Vaccination rates and characteristics of vaccinees were reported descriptively. Logistic regressions were conducted to predict vaccination behavior from sociodemographics and risk-related variables.</p> <h3>Results</h3><p>The influenza vaccination rate for all adults 18 years and older has increased significantly from 28.0% to 36.2% from 2007 to 2011 (ps<.05). Compared with those not at high risk (25.1%), all high-risk groups were vaccinated at a higher rate, from 36.8% (pregnant women) to 69.7% (those with renal/kidney disease); however, considerable variability among high-risk groups was observed. Vaccination rates among high-risk groups for other vaccines varied considerably though all were below 50%, with the exception of immunocompromised respondents (57.5% for the hepatitis B vaccine and 52.5% for the pneumococcal vaccine) and the elderly (50.4% for the pneumococcal). Multiple risk factors were associated with increased rate of vaccination for most vaccines. Significant racial/ethnic differences with influenza, hepatitis, and herpes zoster vaccination rates were also observed (ps<.05).</p> <h3>Conclusions</h3><p>Rates of influenza vaccination have increased over time. Rates varied by high-risk status, demographics, and vaccine. There was a pattern of modest vaccination rate increases for individuals with multiple risk factors. However, there were relatively low rates of vaccination for most risk-based recommendations and all fell below national goals.</p> </div

    Analysis flowchart.

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    <p>Black solid arrows indicate groups which are direct subsets of other groups. Dotted arrows indicate which groups were entered into, and exited from, propensity score matching models. Grey double-arrows indicate the groups that were statistically compared in the main analyses.</p

    Adjusted health outcome differences between those with and without adverse events among those with insomnia taking a medication in the US.

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    <p>ER = Emergency room; MCS = Mental component summary; PCS = Physical component summary.</p><p>All models controlled for age, sex, smoking status and CCI.</p><p>Adjusted health outcome differences between those with and without adverse events among those with insomnia taking a medication in the US.</p

    Health outcome differences between those with treated insomnia and matched controls.

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    <p>ER = Emergency room; MCS = Mental component summary; PCS = Physical component summary.</p><p>Health outcome differences between those with treated insomnia and matched controls.</p
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