MMWR Morb Mortal Wkly Rep. 2005 Oct 21;54(41):1045-9.
Influenza vaccination is an effective tool for preventing hospitalization and death among persons aged > or =65 years and among persons aged 18-64 years with medical conditions that increase the risk for influenza-related complications. Two national health objectives for 2010 are to increase influenza vaccination coverage to 90% among persons aged > or =65 years and to 60% among persons aged 18-64 years who have one or more high-risk conditions (objectives 14-29a and 14-29c, respectively). To determine influenza vaccination coverage among persons in both targeted groups, CDC analyzed data from the 2003 National Health Interview Survey (NHIS). This report summarizes the results of that analysis, which determined that influenza vaccination coverage among persons aged > or =65 years and persons aged 18-64 years with high-risk conditions remains substantially below 2010 target levels. In addition, racial/ethnic disparities in coverage levels persist in both targeted populations. To improve overall influenza vaccination coverage and reduce racial/ethnic disparities, combinations of evidence-based effective interventions should be implemented, and the influenza vaccine supply should be stabilized.
流感疫苗接种是预防65岁及以上人群以及18 - 64岁患有增加流感相关并发症风险的疾病的人群住院和死亡的有效手段。2010年的两项国家卫生目标是将65岁及以上人群的流感疫苗接种率提高到90%,将有一项或多项高危状况的18 - 64岁人群的接种率提高到60%(分别为目标14 - 29a和14 - 29c)。为确定这两个目标群体的流感疫苗接种率,美国疾病控制与预防中心(CDC)分析了2003年国家健康访谈调查(NHIS)的数据。本报告总结了该分析结果,结果显示65岁及以上人群以及有高危状况的18 - 64岁人群的流感疫苗接种率仍远低于2010年的目标水平。此外,这两个目标人群在接种率水平上的种族/民族差异依然存在。为提高总体流感疫苗接种率并减少种族/民族差异,应实施基于证据的有效干预措施组合,并稳定流感疫苗供应。