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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Rates and correlates of influenza vaccination among HIV-infected adults in the HIV Outpatient Study (HOPS), USA, 1999-2008.
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Rates and correlates of influenza vaccination among HIV-infected adults in the HIV Outpatient Study (HOPS), USA, 1999-2008.

机译：美国，1999-2008年，美国艾滋病毒门诊研究（HOPS）中，被艾滋病毒感染的成年人中的流感疫苗接种率和相关性。

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BACKGROUND: We sought to describe rates of vaccination among HIV-infected adults in care and identify factors associated with vaccination. METHODS: Using data abstracted from medical records of participants in the HIV Outpatient Study (HOPS) during 8 influenza seasons (1999-2008) and negative binomial models with generalized estimating equation methods, we examined factors associated with increased prevalence of annual influenza vaccination. RESULTS: Among active patients, 25.8% to 43.3% were vaccinated for influenza each year (annual mean=35%, test for trend p=0.71). Vaccination rates peaked in October and November of each season and decreased sharply thereafter. In multivariable analysis, patients who were male (67.2%), non-Hispanic white (70%) or Hispanic (66%), had lower HIV viral loads (73.5%), were prescribed antiretroviral treatment (72.7%), or had a greater number of clinical encounters per year (86.7%) were more likely to receive influenza vaccination. DISCUSSION: The decreased likelihood of vaccination among women and non-Hispanic black patients suggests the need for focused efforts to reduce disparities. Increasing patient and clinician education on the importance of universal vaccination, and ensuring that vaccination activities continue in HIV clinics during the later months of the influenza season may improve influenza vaccine coverage.
机译：背景：我们试图描述在护理中被艾滋病毒感染的成年人中的疫苗接种率，并确定与疫苗接种相关的因素。方法：使用从8个流感季节（1999-2008年）HIV门诊研究（HOPS）参与者的病历中提取的数据以及具有广义估计方程法的阴性二项式模型，我们研究了与年度流感疫苗接种率增加相关的因素。结果：在活动患者中，每年有25.8％至43.3％的人接种过流感疫苗（年平均= 35％，趋势p = 0.71的检验）。疫苗接种率在每个季节的10月和11月达到顶峰，此后急剧下降。在多变量分析中，男性（67.2％），非西班牙裔白人（70％）或西班牙裔（66％），HIV病毒载量较低（73.5％），接受抗逆转录病毒治疗（72.7％）或接受抗病毒治疗的患者每年有更多的临床遭遇（86.7％）更有可能接受流感疫苗接种。讨论：妇女和非西班牙裔黑人患者接种疫苗的可能性降低，表明需要集中精力减少差异。加强对患者和临床医生的普遍疫苗接种重要性的教育，并确保在流感季节后期的几个月中继续在HIV诊所进行疫苗接种活动可能会提高流感疫苗的覆盖率。

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