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The impact of vaccine concerns on racial/ethnic disparities in influenza vaccine uptake among health care workers

Author

Listed:
  • Ojha, R.P.
  • Stallings-Smith, S.
  • Flynn, P.M.
  • Adderson, E.E.
  • Offutt-Powell, T.N.
  • Gaur, A.H.

Abstract

Objectives. We explored whether collective concerns about the safety, effectiveness, and necessity of influenza vaccines mediate racial/ethnic disparities in vaccine uptake among health care workers (HCWs). Methods. We used a self-administered Web-based survey to assess race/ ethnicity (exposure), concerns about influenza vaccination (mediator; categorized through latent class analysis), and influenza vaccine uptake (outcome) for the 2012 to 2013 influenza season among HCWs at St. Jude Children's Research Hospital in Memphis, Tennessee. We used mediation analysis to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs) for the total, direct, and indirect effects of race/ethnicity on influenza vaccine uptake. Results. Non-Hispanic Blacks had lower influenza vaccine uptake than non- Hispanic Whites (total effect: PR = 0.87; 95% CI = 0.75, 0.99), largely mediated by high concern about influenza vaccines (natural indirect effect: PR = 0.89; 95% CI = 0.84, 0.94; controlled direct effect: PR = 0.98; 95% CI = 0.85, 1.1). Hispanic and Asian HCWs had modestly lower uptake than non-Hispanic Whites, also mediated by high concern about influenza vaccines. Conclusions. Racial/ethnic disparities among HCWs could be attenuated if concerns about the safety, effectiveness, and necessity of influenza vaccines were reduced.

Suggested Citation

  • Ojha, R.P. & Stallings-Smith, S. & Flynn, P.M. & Adderson, E.E. & Offutt-Powell, T.N. & Gaur, A.H., 2015. "The impact of vaccine concerns on racial/ethnic disparities in influenza vaccine uptake among health care workers," American Journal of Public Health, American Public Health Association, vol. 105(9), pages 35-41.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2015.302736_9
    DOI: 10.2105/AJPH.2015.302736
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    Cited by:

    1. Degan Lu & Yanru Qiao & Natalie E Brown & Junling Wang, 2017. "Racial and Ethnic Disparities in Influenza Vaccination among Adults with Chronic Medical Conditions Vary by Age in the United States," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-12, January.
    2. John R. Litaker & Naomi Tamez & Carlos Lopez Bray & Wesley Durkalski & Richard Taylor, 2021. "Sociodemographic Factors Associated with Vaccine Hesitancy in Central Texas Immediately Prior to COVID-19 Vaccine Availability," IJERPH, MDPI, vol. 19(1), pages 1-14, December.

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