Barbara H. Bardenheier1, Abigail Shefer
2, Ronald Tiggle
3, Robin Remsburg
3, and Jill Marsteller
3. (1) NIP/ISD/HSREB, CDC, 1600 Clifton Rd, NE, MS-E52, Atlanta, GA, USA, (2) National Immunization Program/Health Services Research Evaluation Branch, Centers for Disease Control, 1600 Clifton Road NE, MS E-52, Atlanta, GA, USA, (3) NCHS, CDC, Hyattsville, MD, USA
BACKGROUND:
Residency in long-term care facilities (LTCFs) is a risk factor for vaccine-preventable diseases. The Advisory Committee for Immunization Practices (ACIP) recommends adults > 65 years receive pneumococcal vaccination and in 1997 indicated that due to recently reported outbreaks of pneumococcal disease, vaccination status should be assessed for residents of nursing homes.
OBJECTIVE:
To assess ACIP recommendations and Healthy People 2000 goals; to examine the change in pneumococcal immunization coverage as well as predictors of receipt of immunizations among nursing home residents from 1995 to 1999.
METHOD:
Cross-sectional national sample survey of nursing homes and nursing home residents with a two-stage probability design, stratified on size and Medicare and Medicaid certification status. Six current residents were randomly selected from each facility (n= approximately 8,000 each year).
RESULT:
The proportion of residents that received pneumococcal vaccination increased significantly from 23.6% in 1995 to 28.2% in 1997 to 37.4% in 1999 (p-value <.0001), while the proportion of residents with unknown status remained relatively constant (1995: 43.5%; 1997: 44.5%; 1999: 40.2%). The proportion of residents living in LTCFs with pneumococcal immunization programs increased significantly from 65.2% in 1995 to 88.9% in 1999. Residents who lived in homes that did not have a facility program for pneumococcal immunizations were significantly more likely to be unimmunized or have unknown vaccination status each year (p- value < .05).
CONCLUSION:
Although the proportion of LTCF residents receiving the pneumococcal vaccine increased significantly during 1995-1999, coverage was less than half the Healthy People 2000 goal of 80%. Residents living in LTCFs with programs for pneumococcal immunizations were significantly more likely to be vaccinated.
LEARNING OBJECTIVES:
Learning Objective(s):
1. Identify trends in factors associated with receipt of pneumococcal vaccination coverage
2. Understand changes in coverage among residents in U.S. LTCFs from 1995-1999.
3. Understand how the factors associated with increased coverage are recommended by Task Force on Community Preventive Services.
See more of Adult Immunization Track Workshop: Immunization Laws, Regulations, and Other Predictors of Influenza and Pneumococcal Immunization among Nursing Home Residents in the U.S.
See more of The 39th National Immunization Conference (NIC)
Recorded presentation