title: Prevalence of influenza vaccination and its association with health conditions and risk factors among Kansas adults in 2013: a cross-sectional study.
abstract: BACKGROUND
  According to the Centers for Disease Control and Prevention, approximately 5-20% of people are affected by influenza annually, and influenza causes more than 200,000 hospitalizations each year. The purpose of this study is to estimate the prevalence of influenza vaccination among high risk adults in Kansas.
  
  
  METHODS
  The 2013 Kansas BRFSS data (n = 20,712) were analyzed to assess the prevalence of receiving influenza vaccination among Kansas adults, overall and for selected demographic characteristics within the past 12 months. Crude and adjusted prevalence rate ratios were computed using univariate logistic regression models with influenza vaccination as the dependent variable and health conditions or high risk groups as the main independent variables; these models were then adjusted for potential confounding.
  
  
  RESULTS
  Overall, influenza vaccination rate was lower than the Healthy People 2020 target (42.2% vs. 80%). The prevalence of receiving influenza vaccination was higher among adults 65 years and older compared to adults 64 years and younger after adjusting for gender, annual household income, education, marital status, insurance status, and race/ethnicity. Similarly, the prevalence of receiving influenza vaccination was higher among adults who have current asthma, or have ever been diagnosed with diabetes, high blood pressure, cancer (excluding skin), and COPD compared to those who did not have these health conditions, as well as pregnant women compared to women who were not pregnant.
  
  
  CONCLUSIONS
  Although high risk groups have higher rates of influenza vaccination compared to low risk groups, more concerted efforts are needed to improve seasonal influenza vaccination in Kansas.
authors.affiliation: Kansas Department of Health and Environment, Bureau of Health Promotion, 1000 SW Jackson Suite 200, Topeka, 66619, Kansas, USA. santa099@umn.edu.
authors.forename: Jeanie
authors.initials: J
authors.lastname: Santaularia
authors.affiliation: Department of Preventive Medicine and Public Health, University of Kansas Medical Center, 3901 Rainbow Boulevard, MS 1008, Kansas City, KS, 66160, USA. wei.hou14@gmail.com.
authors.forename: Wei
authors.initials: W
authors.lastname: Hou
authors.affiliation: Kansas Department of Health and Environment, Bureau of Health Promotion, 1000 SW Jackson Suite 200, Topeka, 66619, Kansas, USA. gperveen@kdheks.gov.
authors.forename: Ghazala
authors.initials: G
authors.lastname: Perveen
authors.affiliation: Kansas Department of Health and Environment, Bureau of Health Promotion, 1000 SW Jackson Suite 200, Topeka, 66619, Kansas, USA. ewelsh@kdheks.gov.
authors.forename: Ericka
authors.initials: E
authors.lastname: Welsh
authors.affiliation: Kansas Department of Health and Environment, Bureau of Health Promotion, 1000 SW Jackson Suite 200, Topeka, 66619, Kansas, USA. bfaseru@kumc.edu.|Department of Preventive Medicine and Public Health, University of Kansas Medical Center, 3901 Rainbow Boulevard, MS 1008, Kansas City, KS, 66160, USA. bfaseru@kumc.edu.|Department of Family Medicine, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, Kansas, 66160, USA. bfaseru@kumc.edu.
authors.forename: Babalola
authors.initials: B
authors.lastname: Faseru
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001249:Asthma / Q000453:epidemiology; D040343:Behavioral Risk Factor Surveillance System; D002908:Chronic Disease / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000453:epidemiology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D007252:Influenza Vaccines / Q000008:administration & dosage*; D007251:Influenza, Human / Q000517:prevention & control*; D007615:Kansas / Q000453:epidemiology; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000453:epidemiology; D011247:Pregnancy; D015995:Prevalence; D029424:Pulmonary Disease, Chronic Obstructive / Q000453:epidemiology; D018570:Risk Assessment; D012307:Risk Factors; D012959:Socioeconomic Factors; D014611:Vaccination / Q000706:statistics & numerical data*; D055815:Young Adult
chemical_list: D007252:Influenza Vaccines