Annual Wellness Visits and Influenza Vaccinations among Older Adults in the US.

TitleAnnual Wellness Visits and Influenza Vaccinations among Older Adults in the US.
Publication TypeJournal Article
Year of Publication2020
AuthorsJørgensen, TSara Høj, Allore, H, Elman, MR, Nagel, C, Zhang, M, Markwardt, S, Quiñones, AR
JournalJournal of Primary Care & Community Health
Volume11
ISSN Number2150-1327
Keywordsannual wellness visits, influenza vaccinations, machine learning methods, preventive healthcare utilization
Abstract

OBJECTIVES: Investigate whether combinations of sociodemographic factors, chronic conditions, and other health indicators pose barriers for older adults to access Annual Wellness Visits (AWVs) and influenza vaccinations.

METHODS: Data on 4999 individuals aged ≥65 years from the 2012 wave of the Health and Retirement Study linked with Medicare claims were analyzed. Conditional Inference Tree (CIT) and Random Forest (CIRF) analyses identified the most important predictors of AWVs and influenza vaccinations. Multivariable logistic regression (MLR) was used to quantify the associations.

RESULTS: Two-year uptake was 22.8% for AWVs and 65.9% for influenza vaccinations. For AWVs, geographical region and wealth emerged as the most important predictors. For influenza vaccinations, number of somatic conditions, race/ethnicity, education, and wealth were the most important predictors.

CONCLUSIONS: The importance of geographic region for AWV utilization suggests that this service was unequally adopted. Non-Hispanic black participants and/or those with functional limitations were less likely to receive influenza vaccination.

DOI10.1177/2150132720962870
Citation Key11160
PubMed ID33016194
PubMed Central IDPMC7536477