title: Recommendations and offers for adult influenza vaccination, 2011-2012 season, United States.
abstract: Provider recommendations and offers for influenza vaccination improve adult influenza vaccination coverage. Analysis was performed to describe receipt of influenza vaccination recommendations and offers among adults who visited a healthcare provider (HCP) during the 2011-2012 influenza season and describe differences between those receiving and not receiving recommendations and offers for influenza vaccination. Associations between influenza vaccination and receipt of recommendations and offers were examined.
  
  
  
  Respondents to a random digit dial telephone survey who had visited a HCP since July 1, 2011 were asked if they had received a recommendation for influenza vaccination. Those receiving a recommendation were asked if they received an offer for vaccination. Participants were characterized by demographic and access to health care variables. Logistic regression was used to examine the relationships between participant characteristics and recommendation alone, between participant characteristics and recommendation and offer, and between influenza vaccination and recommendation and offer.
  
  
  
  Of those who reported visiting a HCP, 43.8% reported receiving a recommendation for influenza vaccination. Of those who reported receiving a recommendation, 76.6% reported receiving an offer for influenza vaccination. Persons with high-risk conditions and persons over 65 years were more likely to receive recommendations for influenza vaccination when compared to those without high-risk conditions and 18-49 year olds, respectively. Those reporting receipt of a recommendation and offer for influenza vaccination were 1.76 times more likely and those reporting receipt of a recommendation but no offer were 1.72 times more likely to report being vaccinated for influenza controlling for all patient characteristics.
  
  
  
  Less than half of respondents reported receipt of recommendations and offers of influenza vaccination during the 2011-2012 influenza season and disparities exist between groups. All healthcare providers seeing adults should recommend or offer influenza vaccination for all patients at every visit during the influenza season.
authors.affiliation: IHRC, Inc., Atlanta, GA, USA. Electronic address: wte7@cdc.gov.
authors.forename: Katharine M
authors.initials: KM
authors.lastname: Benedict
authors.affiliation: Centers for Disease Control and Prevention (CDC), National Center for Immunization and Respiratory Diseases (NCIRD), Immunization Services Division (ISD), 1600 Clifton Road, NE, Mailstop A-19, Atlanta, GA, 30329-4027, USA. Electronic address: afz5@cdc.gov.
authors.forename: Tammy A
authors.initials: TA
authors.lastname: Santibanez
authors.affiliation: Centers for Disease Control and Prevention (CDC), National Center for Immunization and Respiratory Diseases (NCIRD), Immunization Services Division (ISD), 1600 Clifton Road, NE, Mailstop A-19, Atlanta, GA, 30329-4027, USA. Electronic address: zwc0@cdc.gov.
authors.forename: Carla L
authors.initials: CL
authors.lastname: Black
authors.affiliation: Eagle Medical Services, LLC, USA. Electronic address: gdq3@cdc.gov.
authors.forename: Helen
authors.initials: H
authors.lastname: Ding
authors.affiliation: Centers for Disease Control and Prevention (CDC), National Center for Immunization and Respiratory Diseases (NCIRD), Immunization Services Division (ISD), 1600 Clifton Road, NE, Mailstop A-19, Atlanta, GA, 30329-4027, USA. Electronic address: igc6@cdc.gov.
authors.forename: Samuel B
authors.initials: SB
authors.lastname: Graitcer
authors.affiliation: Centers for Disease Control and Prevention (CDC), National Center for Immunization and Respiratory Diseases (NCIRD), Immunization Services Division (ISD), 1600 Clifton Road, NE, Mailstop A-19, Atlanta, GA, 30329-4027, USA. Electronic address: ctb1@cdc.gov.
authors.forename: Carolyn B
authors.initials: CB
authors.lastname: Bridges
authors.affiliation: Centers for Disease Control and Prevention (CDC), National Center for Immunization and Respiratory Diseases (NCIRD), Immunization Services Division (ISD), 1600 Clifton Road, NE, Mailstop A-19, Atlanta, GA, 30329-4027, USA. Electronic address: ftw3@cdc.gov.
authors.forename: Erin D
authors.initials: ED
authors.lastname: Kennedy
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage*; D007251:Influenza, Human / Q000517:prevention & control*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance; D012621:Seasons; D014481:United States; D014611:Vaccination; D000073887:Vaccination Coverage; D055815:Young Adult
chemical_list: D007252:Influenza Vaccines
keywords: Adult; Human; Influenza; Logistic models; Population based interventions; Practice guidelines; Preventive health services; Vaccination