Evidence map›Paper›PMID 37866991›Full record

ArticleVaccine2023

Influenza vaccination coverage among persons ages six months and older in the Vaccine Safety Datalink in the 2017-18 through 2022-23 influenza seasons.

Stephanie A Irving, Holly C Groom, Edward A Belongia, Bradley Crane, Matthew F Daley, Kristin Goddard, Lisa A Jackson, Tia L Kauffman, Tat'Yana A Kenigsberg, Leslie Kuckler and 5 more

Open access · greenAbstract read
In one paragraph

Article in Vaccine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 15 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

15 authors at 7 institutions in 1 country.

Stephanie A IrvingKaiser Permanente Center for Health Research, Portland OR, USA. Electronic address: Stephanie.A.Irving@kpchr.org.
Holly C GroomKaiser Permanente Center for Health Research, Portland OR, USA.
Edward A BelongiaMarshfield Clinic Research Institute, Marshfield WI, USA.
Bradley CraneKaiser Permanente Center for Health Research, Portland OR, USA.
Matthew F DaleyInstitute for Health Research, Kaiser Permanente Colorado, Denver CO, USA.
Kristin GoddardVaccine Study Center, Kaiser Permanente Northern California, Oakland CA, USA.
Lisa A JacksonKaiser Permanente Washington Health Research Institute, Seattle WA, USA.
Tia L KauffmanKaiser Permanente Center for Health Research, Portland OR, USA.
Tat'Yana A KenigsbergImmunization Safety Office, Centers for Disease Control and Prevention, Atlanta GA, USA.
Leslie KucklerHealthPartners Institute, Minneapolis MN, USA.
Allison L NalewayKaiser Permanente Center for Health Research, Portland OR, USA.
Suchita A PatelImmunization Services Division, Centers for Disease Control and Prevention, Atlanta GA, USA.
Hung Fu TsengKaiser Permanente Southern California, Pasadena CA, USA.
Josh T B WilliamsDenver Health, Denver CO, USA.
Eric S WeintraubImmunization Safety Office, Centers for Disease Control and Prevention, Atlanta GA, USA.
Kaiser Permanente Center for Health Research · USCenters for Disease Control and Prevention · USKaiser Permanente · USDenver Health Medical Center · USHealthPartners · USKaiser Permanente Washington Health Research Institute · USMarshfield Clinic · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundIn the United States, annual vaccination against seasonal influenza is recommended for all people ages ≥ 6 months. Vaccination coverage assessments can identify populations less protected from influenza morbidity and mortality and help to tailor vaccination efforts. Within the Vaccine Safety Datalink population ages ≥ 6 months, we report influenza vaccination coverage for the 2017-18 through 2022-23 seasons.

methodsAcross eight health systems, we identified influenza vaccines administered from August 1 through March 31 for each season using electronic health records linked to immunization registries. Crude vaccination coverage was described for each season, overall and by self-reported sex; age group; self-reported race and ethnicity; and number of separate categories of diagnoses associated with increased risk of severe illness and complications from influenza (hereafter referred to as high-risk conditions). High-risk conditions were assessed using ICD-10-CM diagnosis codes assigned in the year preceding each influenza season.

resultsAmong individual cohorts of more than 12 million individuals each season, overall influenza vaccination coverage increased from 41.9 % in the 2017-18 season to a peak of 46.2 % in 2019-20, prior to declaration of the COVID-19 pandemic. Coverage declined over the next three seasons, coincident with widespread SARS-CoV-2 circulation, to a low of 40.3 % in the 2022-23 season. In each of the six seasons, coverage was lowest among males, 18-49-year-olds, non-Hispanic Black people, and those with no high-risk conditions. While decreases in coverage were present in all age groups, the declines were most substantial among children: 2022-23 season coverage for children ages six months through 8 years and 9-17 years was 24.5 % and 22.4 % (14 and 10 absolute percentage points), respectively, less than peak coverage achieved in the 2019-20 season.

conclusionsCrude influenza vaccination coverage increased from 2017 to 18 through 2019-20, then decreased to the lowest level in the 2022-23 season. In this insured population, we identified persistent disparities in influenza vaccination coverage by sex, age, and race and ethnicity. The overall low coverage, disparities in coverage, and recent decreases in coverage are significant public health concerns.

Indexed as

Influenza, HumanInfluenza VaccinesAdolescentAdultChildChild, PreschoolFemaleHumansInfantMaleMiddle AgedPandemicsSeasonsUnited StatesVaccinationVaccination CoverageInfluenza VaccinesInfluenzaVaccinationVaccination coverageVaccine uptake

Identifiers

PMID37866991
PMCPMC10867768
OpenAlexW4387827084

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.