Abstract
Background Vaccination data for Asian Americans are comparable to those for whites, possibly because they are reported in aggregate rather than for subgroups. We compared influenza and pneumococcal vaccination rates among eligible Asian Americans and white Americans, and for Vietnamese Americans as a subgroup, and assessed factors associated with these vaccinations. Methods Cross-sectional study of data collected from three ethnic groups over 4Â years by telephone survey. Data were weighted for selection probability and population estimates and analyzed by multivariate logistic regression. Results Vietnamese Americans had a higher rate of influenza vaccination (61%) than Asian Americans (45%) and white Americans (52%), and lower rate of pneumococcal vaccination (41%) than Asian Americans (56%), both lower than white Americans (67%). Conclusion When analyzed as a subgroup, Vietnamese Americans had a higher influenza vaccination rate, but a lower pneumococcal vaccination rate, compared to Asian Americans and white Americans, which may indicate that health behaviors and outcomes can differ widely among Asian subgroups. Analyses of preventive care measures in Asian Americans should focus on subgroups to ensure accuracy and quality of assessments.
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References
Sisk JE, Moskowitz AJ, Whang W, et al. Cost-effectiveness of vaccination against pneumococcal bacteremia among elderly people. JAMA. 1997;278:1333–9.
Fine MJ, Smith MA, Carson CA, et al. Efficacy of pneumococcal vaccination in adults. A meta-analysis of randomized controlled trials. Arch Intern Med. 1994;154:2666–77.
Wagner C, Popp W, Posch M, Vlasich C, Rosenberger-Spitzy A. Impact of pneumococcal vaccination on morbidity and mortality of geriatric patients: a case-controlled study. Gerontology. 2003;49:246–50.
Watson L, Wilson BJ, Waugh N. Pneumococcal polysaccharide vaccine: a systematic review of clinical effectiveness in adults. Vaccine. 2002;20:2166–73.
Maciosek MV, Solberg LI, Coffield AB, Edwards NM, Goodman MJ. Influenza vaccination health impact and cost effectiveness among adults aged 50 to 64 and 65 and older. Am J Prev Med. 2006;31:72–9.
Centers for Disease Control and Prevention (CDC). Racial/ethnic disparities in influenza and pneumococcal vaccination levels among persons aged > or = 65 years—United States, 1989–2001. MMWR Morb Mortal Wkly Rep. 2003;52:958–62.
Marin MG, Johanson WG Jr, Salas-Lopez D. Influenza vaccination among minority populations in the United States. Prev Med. 2002;34:235–41.
Wortley P. Who’s getting shots and who’s not: racial/ethnic disparities in immunization coverage. Ethn Dis. 2005;15(2 Suppl 3):S3–4–6.
Yu SM, Alexander GR, Schwalberg R, Kogan MD. Prenatal care use among selected Asian American groups. Am J Public Health. 2001;91:1865–8.
Lee-Lin F, Menon U. Breast and cervical cancer screening practices and inventions among Chinese, Japanese, and Vietnamese Americans. Oncol Nurs Forum. 2005;32:995–1003.
Jenkins CN, McPhee SJ, Wong C, Nguyen T, Euler GL. Hepatitis B immunization coverage among Vietnamese-American children 3 to 18Â years old. Pediatrics. 2000;106(6):E78.
Gellert GA, Maxwell RM, Higgins KV, Mai KK, Lowery R, Doll L. HIV/AIDS knowledge and high risk sexual practices among southern California Vietnamese. Genitourin Med. 1995;71:216–23.
McPhee SJ, Nguyen TT. Cancer, cancer risk factors, and community-based cancer control trials in Vietnamese Americans. Asian Am Pac Isl J Health. 2000;8:18–31.
Taylor VM, Schwartz SM, Yasui Y, Burke N, Shu J, Lam DH, et al. Pap testing among Vietnamese women: health care system and physician factors. J Community Health. 2004;29:437–50.
Chen QS Jr, Ngo-Metzger Q, Tran LQ, Sugrue Mc-Elearney E, Levy ER, Williams G, et al. Hepatitis B vaccination among Vietnamese-American children in a Boston community clinic. Asian Am Pac Isl J Health. 2001;9:179–87.
Nguyen TT, McPhee SJ, Nguyen T, Lam T, Mock J. Predictors of cervical Pap smear screening awareness, intention, and receipt among Vietnamese-American women. Am J Prev Med. 2002;23:207–14.
McPhee SJ, Nguyen TT. Cancer, cancer risk factors, and community-based cancer control trials in Vietnamese Americans. Asian Am Pac Isl J Health. 2000;8:18–31.
Walsh JM, Kaplan CP, Nguyen B, Gildengorin G, McPhee SJ, Perez-Stable EJ. Barriers to colorectal cancer screening in Latino and Vietnamese Americans compared with non-Latino white Americans. J Gen Intern Med. 2004;19:156–66.
Duong DN, Ryan R, Vo DT, Tran TT. A descriptive study of hypertension in Vietnamese Americans. J Community Health Nurs. 2001;18:1–11.
Choe JH, Taylor VM, Yasui Y, et al. Health care access and sociodemographic factors associated with hepatitis B testing in Vietnamese American men. J Immigr Minor Health. 2006;8:193–201.
Burke NJ, Jackson JC, Thai HC, et al. ‘Honoring tradition, accepting new ways’: development of a hepatitis B control intervention for Vietnamese immigrants. Ethn Health. 2004;9:153–69.
Pham H, Spigner C. Knowledge and opinions about organ donation and transplantation among Vietnamese Americans in Seattle, Washington: a pilot study. Clin Transplant. 2004;18:707–15.
Nguyen TT, McPhee SJ, Gildengorin G, et al. Papanicolaou testing among Vietnamese Americans: results of a multifaceted intervention. Am J Prev Med. 2006;31:1–9.
Nguyen TT, McPhee SJ, Bui-Tong N, et al. Community-based participatory research increases cervical cancer screening among Vietnamese-Americans. J Health Care Poor Underserved. 2006;17(Suppl 2):31–54.
McPhee SJ, Nguyen T, Euler GL, et al. Successful promotion of hepatitis B vaccinations among Vietnamese-American children ages 3 to 18: results of a controlled trial. Pediatrics. 2003;111:1278–88.
Advisory Committee on Immunization Practices, Smith NM, Bresee JS, Shay DK, Uyeki TM, Cox NJ, et al. Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2006;55(RR-10):1–42.
Centers for the Disease Control and Prevention. Prevention of pneumococcal disease: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 1997;46(RR-8):1–24.
Liao Y, Tucker P, Okoro CA, Giles WH, Mokdad AH, Harris VB. REACH 2010 surveillance for health status in minority communities—United States, 2001–2002. MMWR Surveill Summ. 2004;53(SS-6):1–36.
Daniels NA, Juarbe T, Rangel-Lugo M, Moreno-John G, Pérez-Stable EJ. Focus group interviews on racial and ethnic attitudes regarding adult vaccinations. J Natl Med Assoc. 2004;96:1455–61.
Acknowledgment
This project was funded by the U.S. Centers for Disease Control and Prevention under Cooperative Agreements U50/CCU917412 and U50/CCU922156. The contents of the article are solely the responsibility of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention. Dr. Daniels is a recipient of the Robert Wood Johnson Minority Medical Faculty Development Award and is supported by grant P30-AG15272 under the Resource Centers for Minority Aging Research program funded by the National Institute on Aging, the National Institute of Nursing Research, the National Center on Minority Health and Health Disparities, National Institutes of Health, and the Department of Defense.
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Daniels, N.A., Gildengorin, G., Nguyen, T.T. et al. Influenza and Pneumococcal Vaccination Rates among Vietnamese, Asian, and Non-Hispanic White Americans. J Immigrant Minority Health 12, 370–376 (2010). https://doi.org/10.1007/s10903-008-9195-6
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DOI: https://doi.org/10.1007/s10903-008-9195-6