Evidence map›Paper›PMID 33521756›Full record

ArticleAmerican journal of preventive cardiology2021

Racial and geographic disparities in influenza vaccination in the U.S. among individuals with atherosclerotic cardiovascular disease: Renewed importance in the setting of COVID-19.

Mahmoud Al Rifai, Umair Khalid, Arunima Misra, Jing Liu, Khurram Nasir, Miguel Cainzos-Achirica, Dhruv Mahtta, Christie M Ballantyne, Laura A Petersen, Salim S Virani

Open access · goldAbstract read
In one paragraph

Article in American journal of preventive cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Vaccines and cardiovascular outcomes: lessons learned from influenza epidemics.European heart journal supplements : journal of the European Society of Cardiology · 2023
    Article
  7. The link between influenza and myocardial infarction: vaccination protects.European heart journal supplements : journal of the European Society of Cardiology · 2022
    Article
  8. Spatial Analysis of COVID-19 Vaccination: A Scoping Review.International journal of environmental research and public health · 2021
    Article
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

10 authors at 3 institutions in 1 country.

Mahmoud Al RifaiSection of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, TX, United States.
Umair KhalidSection of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, TX, United States.
Arunima MisraSection of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, TX, United States.
Jing LiuSection of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, TX, United States.
Khurram NasirDivision of Cardiovascular Prevention & Wellness, Department of Cardiology, DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, TX, United States.
Miguel Cainzos-AchiricaDivision of Cardiovascular Prevention & Wellness, Department of Cardiology, DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, TX, United States.
Dhruv MahttaSection of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, TX, United States.
Christie M BallantyneSection of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, TX, United States.
Laura A PetersenHealth Policy, Quality & Informatics Program, Michael E. DeBakey VA Medical Center Health Services Research & Development Center for Innovations in Quality, Effectiveness, and Safety, Houston, TX, United States.
Salim S ViraniSection of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, TX, United States.
Baylor College of Medicine · USMichael E. DeBakey VA Medical Center · USHouston Methodist · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe importance of receiving an annual influenza vaccine among patients with atherosclerotic cardiovascular disease (ASCVD) is well established. With the rapid community spread and the possibility of another wave of COVID-19 infections in the fall, receiving an influenza vaccine is of particular importance to mitigate the risk associated with overlapping influenza and COVID-19 infections.

methodsWe utilized cross-sectional data from the 2016 to 2019 Behavioral Risk Factor Surveillance System (BRFSS), a nationally representative U.S. telephone-based survey of adults 18 years or older. Race/ethnicity was our exposure of interest. We assessed the relative difference in influenza vaccination by race/ethnicity for each U.S. state in the overall U.S. population and among those with ASCVD as prevalence of receipt of influenza vaccination among Blacks or Hispanics minus prevalence among Whites divided by prevalence among Whites. We used multivariable-adjusted logistic regression models to evaluate the association between socioeconomic risk factors and receipt of influenza vaccination.

resultsThe study population consisted of 1,747,397 participants of whom 21% were older than 65 years, 51% women, 63% White, 12% Black, 17% Hispanic, and 9% with history of ASCVD. The receipt of influenza vaccine was 38% in the overall population and 51% among those with self-reported ASCVD, which translates to approximately to 97 million and 12 million US adults, respectively. The receipt of influenza vaccine among individuals with ASCVD was 54% for Whites, 45% for Blacks, and 42% for Hispanics (

conclusionsOnly 50% patients with ASCVD receive influenza vaccines. The receipt of influenza vaccination among individuals with ASCVD is lower among Blacks and Hispanics compared to Whites with significant state-level variation. There are important socioeconomic determinants that are associated with receipt of the influenza vaccine.

Indexed as

Atherosclerotic cardiovascular diseaseCOVID-19Influenza vaccineRace/ethnicity

Identifiers

PMID33521756
PMCPMC7826080
OpenAlexW3123426747

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.