title: Predictors of influenza vaccination in an urban community during a national shortage.
abstract: Little is known about the impact of vaccine shortages on vaccination rates among disadvantaged populations in the United States. We compared factors associated with influenza vaccination rates during a vaccine shortage (2004-2005) and a non-shortage (2003-2004) year among adults in predominantly minority New York City neighborhoods. Thirty-one percent of participants received influenza vaccine during the non-shortage year compared with 18% during the shortage. While fewer people received the influenza vaccine during the shortage, a higher proportion of the vaccinated were in a high-risk group (68% vs. 52%, respectively). People were less likely to have been vaccinated during the shortage if they were Black. This study suggests that vaccination rates were lower during the shortage period among Blacks and those who are not explicitly a focus of national vaccination outreach campaigns. Such groups are less likely to be vaccinated when vaccines are scarce.
authors.affiliation: Department of Medicine, Weill Medical College of Cornell University, New York, NY 10021, USA. erp2001@med.cornell.edu
authors.forename: Erica
authors.initials: E
authors.lastname: Phillips-Caesar
authors.forename: Micaela H
authors.initials: MH
authors.lastname: Coady
authors.forename: Shannon
authors.initials: S
authors.lastname: Blaney
authors.forename: Danielle C
authors.initials: DC
authors.lastname: Ompad
authors.forename: Sarah
authors.initials: S
authors.lastname: Sisco
authors.forename: Kathryn
authors.initials: K
authors.lastname: Glidden
authors.forename: David
authors.initials: D
authors.lastname: Vlahov
authors.forename: Sandro
authors.initials: S
authors.lastname: Galea
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D054625:Healthcare Disparities; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage* / Q000600:supply & distribution*; D008297:Male; D008875:Middle Aged; D009519:New York City; D011204:Poverty Areas; D044469:Racial Groups; D012307:Risk Factors; D012959:Socioeconomic Factors; D014481:United States; D014505:Urban Population / Q000706:statistics & numerical data*
chemical_list: D007252:Influenza Vaccines