Relationship between influenza-related experience and current vaccination outcome

Abstract Background This study investigated how a person’s influenza-related experience, together with demographic, socioeconomic, and health-related factors, was associated with their current vaccination decisions. Methods The analysis used ten panels of the Medical Expenditure Panel Survey (MEPS)...

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Main Author: Yunwei Gai
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-024-21263-5
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author Yunwei Gai
author_facet Yunwei Gai
author_sort Yunwei Gai
collection DOAJ
description Abstract Background This study investigated how a person’s influenza-related experience, together with demographic, socioeconomic, and health-related factors, was associated with their current vaccination decisions. Methods The analysis used ten panels of the Medical Expenditure Panel Survey (MEPS) from 2006 to 2016. Linear and logistic probability models were estimated to predict influenza vaccination using a person’s vaccination status in the previous year and history of influenza infection, adjusting for demographics, socioeconomic variables, general health status, and healthcare access. The models used two-way and three-way interactions with race/ethnicity, income, education, health status, and elderly status to examine changing relationships of flu-related experience across these variables. Results Previous vaccination was the most important predictor, with an increase of 63.0–71.8% probability of vaccination in the next year. Infection history could either increase or decrease the impact of past vaccination depending on race/ethnicity, income, education level, health status, and age. There were significant disparities across demographic, socioeconomic, and health-related variables. Conclusion Vaccination promotion efforts could focus on those who have not been vaccinated in the past and on specific sub-populations, such as people who are Hispanic, people with lower education levels, the population aged 65 and above, and families with low-income levels. Although past infection is a predictor for some population groups, its magnitude is small and is often not a significant determinant.
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spelling doaj-art-b996d826d23f4d24a90921581fe280e82025-01-19T12:42:07ZengBMCBMC Public Health1471-24582025-01-0125111410.1186/s12889-024-21263-5Relationship between influenza-related experience and current vaccination outcomeYunwei Gai0Economics Division, Babson CollegeAbstract Background This study investigated how a person’s influenza-related experience, together with demographic, socioeconomic, and health-related factors, was associated with their current vaccination decisions. Methods The analysis used ten panels of the Medical Expenditure Panel Survey (MEPS) from 2006 to 2016. Linear and logistic probability models were estimated to predict influenza vaccination using a person’s vaccination status in the previous year and history of influenza infection, adjusting for demographics, socioeconomic variables, general health status, and healthcare access. The models used two-way and three-way interactions with race/ethnicity, income, education, health status, and elderly status to examine changing relationships of flu-related experience across these variables. Results Previous vaccination was the most important predictor, with an increase of 63.0–71.8% probability of vaccination in the next year. Infection history could either increase or decrease the impact of past vaccination depending on race/ethnicity, income, education level, health status, and age. There were significant disparities across demographic, socioeconomic, and health-related variables. Conclusion Vaccination promotion efforts could focus on those who have not been vaccinated in the past and on specific sub-populations, such as people who are Hispanic, people with lower education levels, the population aged 65 and above, and families with low-income levels. Although past infection is a predictor for some population groups, its magnitude is small and is often not a significant determinant.https://doi.org/10.1186/s12889-024-21263-5Influenza vaccinationInfluenza infectionHealth care disparityMedical expenditure panel survey
spellingShingle Yunwei Gai
Relationship between influenza-related experience and current vaccination outcome
BMC Public Health
Influenza vaccination
Influenza infection
Health care disparity
Medical expenditure panel survey
title Relationship between influenza-related experience and current vaccination outcome
title_full Relationship between influenza-related experience and current vaccination outcome
title_fullStr Relationship between influenza-related experience and current vaccination outcome
title_full_unstemmed Relationship between influenza-related experience and current vaccination outcome
title_short Relationship between influenza-related experience and current vaccination outcome
title_sort relationship between influenza related experience and current vaccination outcome
topic Influenza vaccination
Influenza infection
Health care disparity
Medical expenditure panel survey
url https://doi.org/10.1186/s12889-024-21263-5
work_keys_str_mv AT yunweigai relationshipbetweeninfluenzarelatedexperienceandcurrentvaccinationoutcome