Department of Sociology and Convergence Program for Social Innovation, Sungkyunkwan University, Seoul 03060, Korea.
College of Nursing and Research Institute of Nursing Science, Seoul National University, Seoul 03080, Korea.
Int J Environ Res Public Health. 2021 May 17;18(10):5349. doi: 10.3390/ijerph18105349.
To support implementation strategies for upcoming influenza (flu) vaccinations for foreign-born and racial/ethnic minority groups, we analyzed the 2018 National Health Interview Survey (NHIS) database and performed logistic regression to examine the factors associated with, and the interaction between nativity and race/ethnicity in directing flu vaccination rates during the past 12 months ( = 25,045). As a result, we found nativity and race/ethnicity were associated with flu vaccination rates; foreign-born and non-Hispanic black respondents were less likely to take the vaccine than U.S.-born and non-Hispanic white respondents. The odds ratios were largest for the elderly, those working in the healthcare industry, those with health insurance, and those with a usual source of care (ORs = 3.058, 2.871, 2.317, and 2.342, respectively), suggesting that access to healthcare resources is critical for the uptake of the flu vaccine. There was a significant interaction effect between nativity and race/ethnicity. For improving flu vaccination rates, more support is necessary for foreign-born people and racial/ethnic minorities who have lower health insurance rates and usual sources of care than U.S.-born people and non-Hispanic whites, and thus are less able to adequately access healthcare resources in a timely manner.
为了支持即将开展的针对外国出生和少数族裔群体的流感（flu）疫苗接种实施策略，我们分析了 2018 年全国健康访谈调查（NHIS）数据库，并进行了逻辑回归分析，以检查在过去 12 个月中（=25045），与流感疫苗接种率相关的因素，以及出生地点和种族/族裔之间的相互作用。结果发现，出生地点和种族/族裔与流感疫苗接种率有关；与美国出生和非西班牙裔白人相比，外国出生和非西班牙裔黑人受访者接种疫苗的可能性较小。对于老年人、从事医疗保健行业的人、有医疗保险的人和有常规医疗服务来源的人，优势比最大（ORs=3.058、2.871、2.317 和 2.342），这表明获得医疗保健资源对于接种流感疫苗至关重要。出生地点和种族/族裔之间存在显著的交互作用。为了提高流感疫苗接种率，对于保险率和常规医疗服务来源低于美国出生和非西班牙裔白人的外国出生者和少数族裔，需要更多的支持，以便他们能够及时获得医疗资源。
