title: Determinants of healthcare provider recommendations for influenza vaccinations.
abstract: OBJECTIVE
  Investigate determinants of receiving healthcare provider (HCP) recommendations for seasonal and H1N1 influenza vaccinations.
  
  
  METHODS
  Using a United States national sample of adults 18 + from the National 2009 H1N1 Flu Survey, multivariate regression models estimated the likelihood of receiving a HCP recommendation. Covariates included demographics, socioeconomic status, and Advisory Committee on Immunization Practices (ACIP) priority groups.
  
  
  RESULTS
  Adults age 55-64 and 65 + were more likely to report a HCP recommendation when compared to adults age 18-34 (OR: 1.483, 95%CI: 1.237-1.778 and OR: 1.738, 95%CI: 1.427-2.116, respectively). Chronically ill adults had 58.0% (95%CI: 1.414-1.765) higher odds of receiving a HCP recommendation than non-chronically ill adults. Patients visiting a doctor once and twice had 28.7% (95%CI: 0.618-0.821) and 17.1% (95%CI: 0.721-0.952) lower odds of receiving a HCP recommendation when compared to adults visiting their doctor at least four times. And, compared to Non-Hispanic Whites, Non-Hispanic Blacks had 28.4% (95%CI: 1.064-1.549) higher odds of receiving a recommendation.
  
  
  CONCLUSIONS
  ACIP priority groups experienced higher rates of recommendations compared to non-ACIP groups. Racial differences in HCP recommendations cannot explain racial disparities in flu vaccination rates.
authors: Leonard D. Schaeffer Center for Health Policy and Economics, University of Southern California, Verna and Peter Dauterive Hall, 635 Downey Way, Los Angeles, CA 90089-3333, USA.
authors: Reginald
authors: R
authors: Villacorta
authors: Leonard D. Schaeffer Center for Health Policy and Economics, University of Southern California, Verna and Peter Dauterive Hall, 635 Downey Way, Los Angeles, CA 90089-3333, USA.
authors: Neeraj
authors: N
authors: Sood
keywords: Influenza; Provider; Recommendations; Vaccines