Background
Influenza illnesses can result in missed days at work and societal costs, but influenza
vaccination can reduce the risk of disease. Knowledge of vaccination coverage by industry
and occupation can help guide prevention efforts and be useful during influenza pandemic
planning.
Methods
Data from 21 states using the 2013 Behavioral Risk Factor Surveillance System industry-occupation
module were analyzed. Influenza vaccination coverage was reported by select industry
and occupation groups, including health care personnel (HCP) and other occupational
groups who may have first priority to receive influenza vaccination during a pandemic
(tier 1). The t tests were used to make comparisons between groups.
Results
Influenza vaccination coverage varied by industry and occupation, with high coverage
among persons in health care industries and occupations. Approximately half of persons
classified as tier 1 received influenza vaccination, and vaccination coverage among
tier 1 and HCP groups varied widely by state.
Conclusions
This report points to the particular industries and occupations where improvement
in influenza vaccination coverage is needed. Prior to a pandemic event, more specificity
on occupational codes to define exact industries and occupations in each tier group
would be beneficial in implementing pandemic influenza vaccination programs and monitoring
the success of these programs.
Key Word
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References
- The annual impact of seasonal influenza in the US: measuring disease burden and costs.Vaccine. 2007; 25: 5086-5096
- Immunization of health-care personnel: recommendations of the Advisory Committee on Immunization Practices (ACIP).MMWR Recomm Rep. 2011; 60: 1-45
- Influenza vaccination of health-care personnel: recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Advisory Committee on Immunization Practices (ACIP).MMWR Recomm Rep. 2006; 55: 1-16
- Prevention and control of influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices, United States, 2015-16 Influenza Season.MMWR Morb Mortal Wkly Rep. 2015; 64: 818-825
- Influenza vaccination coverage among health care personnel–United States, 2014-15 influenza season.MMWR Morb Mortal Wkly Rep. 2015; 64: 993-999
- Effects of influenza vaccination of health-care workers on mortality of elderly people in long-term care: a randomised controlled trial.Lancet. 2000; 355: 93-97
- Influenza vaccination of health care workers in long-term-care hospitals reduces the mortality of elderly patients.J Infect Dis. 1997; 175: 1-6
- Randomized, placebo-controlled double blind study on the efficacy of influenza immunization on absenteeism of health care workers.Pediatr Infect Dis J. 1999; 18: 779-783
- Effectiveness of influenza vaccine in health care professionals: a randomized trial.JAMA. 1999; 281: 908-913
- Guidance on allocating and targeting pandemic influenza vaccine.(Available from:) (Accessed January 31, 2017)
- Behavioral Risk Factor Surveillance System 2013 Summary Data Quality Report.(Available from:) (Accessed July 1, 2016)
- Census 2002 Industry and Occupation Codes.(Available from:) (Accessed July 1, 2016)
- NIOSH Industry and Occupation Computerized Coding System (NIOCCS).(Available from:) (Accessed July 1, 2016)
- North American Industry Classification System (NAICS).(Available from:) (Accessed July 1, 2016)
- Standard Occupational Classification.(Available from:) (Accessed July 1, 2016)
- The National Institute for Occupational Safety and Health (NIOSH) Industry and Occupation Coding.(Available from:) (Accessed September 8, 2016)
- Instruction manual for industry and occupation coding.(Available from:) (Accessed July 15, 2016)
- FluVaxView.(Available from:)http://www.cdc.gov/flu/fluvaxview/(Accessed January 7, 2016)Date: 2016
- Prevalence of influenza-like illness and seasonal and pandemic H1N1 influenza vaccination coverage among workers–United States, 2009-10 influenza season.MMWR Morb Mortal Wkly Rep. 2014; 63: 217-221
- Workplace-based influenza vaccination promotion practices among large employers in the United States.J Occup Environ Med. 2014; 56: 397-402
- Promoting influenza vaccination to restaurant employees.Am J Health Promot. 2016; 30: 498-500
- Guide to Community Preventive Services. Increasing appropriate vaccination.(Available from:) (Accessed August 2, 2016)
- Racial and ethnic disparities in vaccination coverage among adult populations in the U.S.Am J Prev Med. 2015; 49: S412-25
- Surveillance of vaccination coverage among adult populations—United States, 2014.MMWR Surveill Summ. 2016; 65: 1-36
- Influenza vaccination of healthcare workers in the United States, 1989-2002.Infect Control Hosp Epidemiol. 2006; 27: 257-265
- Primary care physicians who treat blacks and whites.N Engl J Med. 2004; 351: 575-584
- Differences in physician prevention practice patterns for white and minority patients.J Community Health. 1988; 13: 53-64
- The role of attitudes in understanding disparities in adult influenza vaccination.Am J Prev Med. 2006; 31: 281-285
- Racial and ethnic disparities in influenza vaccination coverage among adults during the 2004-2005 season.Am J Epidemiol. 2006; 163: 571-578
- Racial disparities in the quality of care for enrollees in Medicare managed care.JAMA. 2002; 287: 1288-1294
- Influenza vaccination coverage among health care personnel–United States, 2013-14 influenza season.MMWR Morb Mortal Wkly Rep. 2014; 63: 805-811
- Influenza vaccination performance measurement among acute care hospital-based health care personnel–United States, 2013-14 influenza season.MMWR Morb Mortal Wkly Rep. 2014; 63: 812-815
- Challenges and changes: immunization program managers share perspectives in a 2012 national survey about the US immunization system since the H1N1 pandemic response.Hum Vaccin Immunother. 2014; 10: 2915-2921
- 2010-11 through 2013-14 State, Regional, and National Vaccination Trend Report.(Available from:) (Accessed January 31, 2017)
- Interim results: state-specific seasonal influenza vaccination coverage—United States, August 2009-January 2010.MMWR Morb Mortal Wkly Rep. 2010; 59: 477-484
- Validation of self-report of influenza and pneumococcal vaccination status in elderly outpatients.Am J Prev Med. 1999; 16: 173-177
- Validation of influenza and pneumococcal vaccine status in adults based on self-report.Epidemiol Infect. 2007; 135: 139-143
- Self-report compared to electronic medical record across eight adult vaccines: do results vary by demographic factors?.Vaccine. 2013; 31: 3928-3935
- Sensitivity and specificity of patient self-report of influenza and pneumococcal polysaccharide vaccinations among elderly outpatients in diverse patient care strata.Vaccine. 2003; 21: 1486-1491
Article info
Footnotes
Conflicts of interest: None to report.
Disclaimer: The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.
Identification
Copyright
© 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
