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Rural-urban differences in the location of influenza vaccine administration

机译：流感疫苗管理地点的城乡差异

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Background: Influenza vaccination rates remain lower than Healthy People 2010 goals. The lower rates are prevalent in rural areas despite an expansion of services to nontraditional settings. Little is known about disparities in influenza vaccination rates and location of receipt among rural residents. This study seeks to determine if rural residents differ from urban residents in where they obtain an influenza vaccination, and to determine what factors contribute to these differences.Methods: Data from 2002-2005 BRFSS were used and combined with the 2006 Area Resource File (analytic n=70,468, unweighted, 48,392,455 weighted). Unadjusted analyses examined the proportions of influenza vaccinations obtained in traditional clinical settings vs. others across rurality: Urban, Large Rural and Small Rural. Multivariable logistic regression models were conducted to identify individual and county-level factors associated with the higher rate of vaccinations in clinical settings.Results: Rural residents, particularly in Small Rural counties (80.8%) were more dependent upon clinical settings than Urban residents (69.1%) for influenza vaccinations. In adjusted analyzes, living in a Large or Small Rural county remained significant related to an increased odds of being vaccinated in a clinical setting (OR 1.17,95% CI 1.06-1.29 and OR 1.45.95% CI 1.24-1.69 respectively). Other related contributory factors included socioeconomic factors, health status, health condition, and per capita income of the county.Conclusions: Rural residents depend upon traditional, clinical settings when an influenza vaccination is sought. The results can be used for further research and programs to improve access to and delivery of influenza vaccinations for disparate populations
机译：背景：流感疫苗接种率仍然低于“健康人群2010”的目标。尽管服务范围已扩展到非传统环境，但农村地区的费率较低仍然很普遍。关于流感疫苗接种率的差异和农村居民中收据的位置知之甚少。本研究旨在确定农村居民与城市居民在获得流感疫苗接种方面是否存在差异，并确定导致这些差异的因素。方法：使用2002-2005年BRFSS的数据并将其与2006年地区资源档案（分析n = 70,468，未加权，48,392,455加权）。未经调整的分析检查了传统临床环境中获得的流感疫苗接种比例与整个农村地区（城市，大型农村地区和小型农村地区）相比。进行多变量logistic回归模型来确定与临床环境中较高的疫苗接种率相关的个人和县级因素。结果：农村居民，尤其是农村小县（80.8％）比城市居民（69.1）更依赖于临床环境％）用于流感疫苗接种。在调整后的分析中，在临床环境中接种疫苗的几率增加与居住在农村大县或小县的居民相关（OR分别为1.17.95％CI 1.06-1.29和OR 1.45.95％CI 1.24-1.69）。其他相关因素包括社会经济因素，健康状况，健康状况和县人均收入。结论：农村居民在寻求流感疫苗接种时依赖于传统的临床环境。该结果可用于进一步的研究和计划，以改善不同人群的流感疫苗的获取和传播

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