title: Generation status as a determinant of influenza vaccination among Mexican-identified adults in California, 2011-12.
abstract: First generation Latinos often have better health behaviors and outcomes than second and third generation Latinos. This study examined the correlates of seasonal influenza vaccinations among Mexican-identified (Mexican) adults, who make up the largest Latino subgroup in California. A sample of Mexican adults (N = 7493) from the 2011-12 California Interview Health Survey was used to compare the odds of first, second, and third generation Mexicans receiving influenza vaccinations in the past year. We performed a logistic regression taking into account socio-demographic characteristics, health status, and access to care. We repeated the analysis after stratifying for nativity, and then age. Being a second (odds ratio (OR) = 0.74, confidence interval (CI): 0.59, 0.92) and third generation or higher (OR = 0.66, CI: 0.51, 0.86) Mexican was associated with lower odds of getting an influenza vaccination compared to first generation Mexicans. Having a chronic disease, and access to care was associated with higher odds of vaccination, while lower age was associated with lower odds of vaccination among both US-, and foreign-born Mexicans. Given that the majority of Mexicans in California are US-born, the fact that being second- and third-generation Mexicans was associated with lower influenza vaccination rates is of significant concern.
authors: Department of Psychological Sciences, University of California, Merced, 5200 N. Lake Road, Merced, CA, United States.
authors: Jennifer
authors: J
authors: Mendiola
authors: Department of Public Health, University of California, Merced, 5200 N. Lake Road, Merced, CA, United States.
authors: Van
authors: V
authors: Do-Reynoso
authors: Department of Public Health, University of California, Merced, 5200 N. Lake Road, Merced, CA, United States; Health Science Research Institute, University of California, Merced, 5200 N. Lake Road, Merced, CA, United States.
authors: Mariaelena
authors: M
authors: Gonzalez
keywords: California; Influenza; Mexican Americans; Vaccination