Skip to main content

Advertisement

Log in

Influenza and Pneumococcal Vaccination Rates among Vietnamese, Asian, and Non-Hispanic White Americans

  • Original Research
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

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 4 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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Sisk JE, Moskowitz AJ, Whang W, et al. Cost-effectiveness of vaccination against pneumococcal bacteremia among elderly people. JAMA. 1997;278:1333–9.

    Article  CAS  PubMed  Google Scholar 

  2. 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.

    CAS  PubMed  Google Scholar 

  3. 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.

    Article  PubMed  Google Scholar 

  4. Watson L, Wilson BJ, Waugh N. Pneumococcal polysaccharide vaccine: a systematic review of clinical effectiveness in adults. Vaccine. 2002;20:2166–73.

    Article  CAS  PubMed  Google Scholar 

  5. 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.

    Article  PubMed  Google Scholar 

  6. 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.

    Google Scholar 

  7. Marin MG, Johanson WG Jr, Salas-Lopez D. Influenza vaccination among minority populations in the United States. Prev Med. 2002;34:235–41.

    Article  PubMed  Google Scholar 

  8. 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.

    Google Scholar 

  9. Yu SM, Alexander GR, Schwalberg R, Kogan MD. Prenatal care use among selected Asian American groups. Am J Public Health. 2001;91:1865–8.

    Article  CAS  PubMed  Google Scholar 

  10. 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.

    Article  PubMed  Google Scholar 

  11. Jenkins CN, McPhee SJ, Wong C, Nguyen T, Euler GL. Hepatitis B immunization coverage among Vietnamese-American children 3 to 18 years old. Pediatrics. 2000;106(6):E78.

    Article  CAS  PubMed  Google Scholar 

  12. 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.

    CAS  PubMed  Google Scholar 

  13. 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.

    PubMed  Google Scholar 

  14. 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.

    Article  PubMed  Google Scholar 

  15. 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.

    PubMed  Google Scholar 

  16. 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.

    Article  PubMed  Google Scholar 

  17. 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.

    PubMed  Google Scholar 

  18. 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.

    Article  PubMed  Google Scholar 

  19. Duong DN, Ryan R, Vo DT, Tran TT. A descriptive study of hypertension in Vietnamese Americans. J Community Health Nurs. 2001;18:1–11.

    CAS  PubMed  Google Scholar 

  20. 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.

    Article  PubMed  Google Scholar 

  21. 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.

    Article  PubMed  Google Scholar 

  22. 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.

    Article  PubMed  Google Scholar 

  23. 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.

    Article  PubMed  Google Scholar 

  24. 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.

    PubMed  Google Scholar 

  25. 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.

    Article  PubMed  Google Scholar 

  26. 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.

    PubMed  Google Scholar 

  27. 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.

    Google Scholar 

  28. 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.

    PubMed  Google Scholar 

  29. 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.

    PubMed  Google Scholar 

Download references

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.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nicholas A. Daniels.

Rights and permissions

Reprints and permissions

About this article

Cite this article

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-008-9195-6

Keywords

Navigation