Evidence map›Paper›PMID 25724105›Full record

ArticlePreventive medicine2015

Association of influenza vaccine uptake with health, access to health care, and medical mistreatment among adults from low-income neighborhoods in New Haven, CT: a classification tree analysis.

Kathryn Gilstad-Hayden, Amanda Durante, Valerie A Earnshaw, Lisa Rosenthal, Jeannette R Ickovics

Abstract read
In one paragraph

Article in Preventive medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact, top 94% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Kathryn Gilstad-HaydenCommunity Alliance for Research and Engagement, Yale School of Public Health, 135 College Street, Suite 200, New Haven, CT 06510, USA. Electronic address: kathryn.gilstad-hayden@yale.edu.
Amanda DuranteNew Haven Health Department, 54 Meadow Street, New Haven, CT 06519, USA; Yale School of Public Health, Department of Epidemiology of Microbial Diseases, 60 College Street, New Haven, CT 06520, USA. Electronic address: amanda.durante@yale.edu.
Valerie A EarnshawBoston Children's Hospital, Department of Medicine, Division of General Pediatrics, BCH3201, Attn: Valerie Earnshaw, Boston, MA 02115, USA; Harvard Medical School, Department of Pediatrics, USA. Electronic address: Valerie.Earnshaw@childrens.harvard.edu.
Lisa RosenthalPace University, Psychology Department, 41 Park Row, 13th Floor, Room 1317, New York, NY 10038, USA. Electronic address: lrosenthal@pace.edu.
Jeannette R IckovicsCommunity Alliance for Research and Engagement, Yale School of Public Health, 135 College Street, Suite 200, New Haven, CT 06510, USA. Electronic address: jeannette.ickovics@yale.edu.
Boston Children's Hospital · USPace University · USYale University · US

Funding

Yale University Clinical and Translational Science Award ProgramUL1TR000142 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$31.8M
INTERDISCIPLINARY HIV PREVENTION TRAINING PROGRAMT32MH020031 · NIMH · YALE UNIVERSITY · PI Trace S Kershaw · 1999 to 2026
$12.1M
NCATS NIH HHS UL1 TR000142NIMH NIH HHS T32 MH020031NIMH NIH HHS T32MH020031
6 · The paper itself

Abstract

objectiveThe aim of this study is to identify population subgroups under-vaccinated for influenza through classification tree analysis to inform interventions aimed at improving future vaccine uptake.

methodA cross-sectional community health needs assessment was conducted from 09/2012 through 11/2012 among randomly selected households in six low-income neighborhoods in New Haven, CT (N=1300 adults, aged 18-65). Known correlates of influenza vaccine uptake plus experience of medical mistreatment were used to develop a classification tree to identify under-vaccinated population subgroups

resultsForty-five percent of respondents reported receiving the influenza vaccine. The classification tree identified healthy adults and uninsured adults at increased risk of influenza complications as subgroups with low vaccine uptake (40% and 30%, respectively). The subgroup representing insured, high-risk adults who reported experience of medical mistreatment had moderate vaccine uptake (45%). Sensitivity of the classification tree was high (83%, 95% CI=80% to 86%), indicating a strong true positive rate using these subgroups.

conclusionResults highlight the need for renewed attention to promoting the influenza vaccination recommendation for all adults, particularly among healthy adults, uninsured, high-risk adults and insured, high-risk adults who have experienced medical mistreatment. Further research is needed to better understand how to reach these population subgroups.

Indexed as

Health StatusProfessional-Patient RelationsAdolescentAdultAgedAge DistributionBlack or African AmericanBody Mass IndexConnecticutCross-Sectional StudiesDecision TreesFemaleHealth BehaviorHealth Services AccessibilityHispanic or LatinoHumansInfluenza VaccinesClassification tree analysisInfluenzaUptakeVaccine

Identifiers

PMID25724105
PMCPMC4390513
OpenAlexW2034700433

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.