Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island, USA.
Health Aff (Millwood). 2011 Oct;30(10):1939-46. doi: 10.1377/hlthaff.2011.0029.
Vaccination is a key deterrent to influenza and its related complications and outcomes, including hospitalization and death. Using 2006-09 data, we found a small improvement in vaccination rates among nursing home residents, particularly for blacks. Nonetheless, overall vaccination rates remained well below the 90 percent target for high-quality care, and black nursing home residents remained less likely to be vaccinated than whites. Blacks were less likely to be vaccinated than were whites in the same facility and were more likely to live in facilities with lower vaccination rates. Blacks were also more likely to be noted as refusing vaccination. Strategies are needed to ensure that facilities offer vaccination to all residents and to make vaccination more acceptable to black residents and their families.
接种疫苗是预防流感及其相关并发症和结果(包括住院和死亡)的关键手段。利用 2006-09 年的数据,我们发现养老院居民的疫苗接种率略有提高,尤其是在黑人中。尽管如此,总体疫苗接种率仍远低于高质量护理的 90%目标,而且黑人养老院居民的疫苗接种率仍低于白人。在同一设施中,黑人接种疫苗的可能性低于白人,而且更有可能居住在疫苗接种率较低的设施中。黑人也更有可能被记录为拒绝接种疫苗。需要制定策略,确保所有居民都能在设施中接种疫苗,并使疫苗接种更能被黑人和他们的家人接受。