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Activity Number: 419 - Contributed Poster Presentations: Government Statistics Section
Type: Contributed
Date/Time: Tuesday, July 30, 2019 : 2:00 PM to 3:50 PM
Sponsor: Government Statistics Section
Abstract #301704
Title: Factors Associated with Rural Disparities in Early-Season Influenza Vaccination Among U.S. Adults, 2018–19 Influenza Season
Author(s): Anup Srivastav* and Pengjun Lu and Tammy A Santibanez and Ashely Amaya and Jill A Dever and Marshica Stanley Kurtz and Jessica L Roycroft and Walter W Williams
Companies: Centers for Disease Control and Prevention/Leidos Inc and CDC and Centers for Disease Control and Prevention and RTI International and RTI International and RTI International and RTI International and Centers for Disease Control and Prevention
Keywords: Influenza; early-season influenza vaccination; vaccination disparity; rural residence; urban residence

About 47 million U.S. adults aged ?18 years live in rural areas, and lower influenza vaccination has been reported among rural adults. Though some previous research has focused on barriers to vaccine access and delivery faced by rural residents, little has been done to assess disparities in influenza vaccination by rural-urban status. A multivariable logistic model was used to assess whether socio-demographic factors associated with early-season influenza vaccination were different for rural-residing vs. urban-residing adults with weighted 2018 National Internet Flu Survey data. Influenza coverage as of mid-November of the 2018–19 influenza season was 8 percentage points lower for rural (31.4% [27.2, 35.9]) vs. urban adults (39.6% [37.9, 41.4]). The urban/rural disparity in influenza vaccination persisted even after controlling for other factors. Besides household size of ?3 people associated with increased likelihood of vaccination among rural adults, no other demographic factors predictive of vaccination differed by residency. This information may help public health agencies support targeted approaches for outreach to rural adults to improve influenza vaccination.

Authors who are presenting talks have a * after their name.

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