Table 7.
Logistic regression analysis of factors associated with influenza and pneumococcal vaccination among nursing home residents, with and without controlling for facility fixed effects, Minimum Data Set, United States, 2014–15
| Influenza vaccination* | Pneumococcal vaccination† | |||
|---|---|---|---|---|
|
| ||||
| Model 1‡ OR (95% CI) |
Model 2§ OR (95% CI) |
Model 1‡ OR (95% CI) |
Model 2§ OR (95% CI) |
|
| Age | ||||
| 18–24 years | 0.5 (0.5, 0.6) | 0.5 (0.4, 0.5) | 0.2 (0.2, 0.2) | 0.2 (0.2, 0.2) |
| 25–44 years | 0.5 (0.5, 0.5) | 0.5 (0.5, 0.6) | 0.3 (0.3, 0.3) | 0.3 (0.3, 0.3) |
| 45–54 years | 0.6 (0.6, 0.6) | 0.6 (0.6, 0.6) | 0.4 (0.4, 0.4) | 0.4 (0.3, 0.4) |
| 55–64 years | 0.6 (0.6, 0.6) | 0.6 (0.6, 0.7) | 0.4 (0.4, 0.4) | 0.4 (0.4, 0.4) |
| 65–74 years | 0.7 (0.7, 0.7) | 0.7 (0.7, 0.7) | 0.6 (0.6, 0.6) | 0.7 (0.7, 0.7) |
| 75–84 years | 0.8 (0.8, 0.8) | 0.9 (0.8, 0.9) | 0.8 (0.8, 0.8) | 0.8 (0.8, 0.8) |
| ≥85 years | Reference | Reference | Reference | Reference |
| Sex | ||||
| Female | Reference | Reference | Reference | Reference |
| Male | 0.9 (0.9, 1.0) | 0.9 (0.9, 1.0) | 0.9 (0.9, 0.9) | 0.9 (0.9, 0.9) |
| Race/ethnicity | ||||
| American Indian or Alaska Native | 1.2 (1.1, 1.2) | 1.1 (1.0, 1.2) | 1.1 (1.1, 1.2) | 1.1 (1.0, 1.2) |
| Asian | 1.1 (1.1, 1.2) | 1.2 (1.2, 1.2) | 0.8 (0.8, 0.9) | 0.9 (0.8, 0.9) |
| Native Hawaiian or Other Pacific Islander | 1.0 (0.9, 1.1) | 1.1 (1.0, 1.2) | 0.9 (0.8, 1.0) | 1.0 (0.9, 1.1) |
| Black or African American, non-Hispanic | 0.7 (0,6, 0.7) | 0.8 (0.8, 0.8) | 0.7 (0.7, 0.7) | 0.9 (0.9, 0.9) |
| Hispanic or Latino | 0.7 (0.7, 0.7) | 1.1 (1.1, 1.1) | 0.7 (0.7, 0.7) | 1.0 (1.0, 1.0) |
| White, non-Hispanic | Reference | Reference | Reference | Reference |
| Multiple races, non-Hispanic | 1.0 (0.9, 1.1) | 1.0 (0.9, 1.1) | 0.9 (0.8, 0.9) | 0.8 (0.8, 0.9) |
| Number of chronic medical conditions║ | ||||
| None | Reference | Reference | Reference | Reference |
| One | 1.3 (1.3, 1.3) | 1.3 (1.3, 1.3) | 1.2 (1.2, 1.2) | 1.2 (1.2, 1.2) |
| Two | 1.5 (1.5, 1.5) | 1.5 (1.5, 1.5) | 1.3 (1.3, 1.4) | 1.4 (1.4, 1.4) |
| Three | 1.8 (1.7, 1.8) | 1.8 (1.8, 1.8) | 1.6 (1.6, 1.6) | 1.8 (1.8, 1.8) |
| Marital status | ||||
| Never married | Reference | Reference | Reference | Reference |
| Married | 0.9 (0.9, 0.9) | 0.9 (0.9, 1.0) | 0.8 (0.8, 0.8) | 0.9 (0.8, 0.9) |
| Widowed | 0.9 (0.9, 1.0) | 0.9 (0.9, 1.0) | 0.9 (0.9, 0.9) | 1.0 (1.0, 1.0) |
| Separated | 0.9 (0.8, 0.9) | 0.9 (0.9, 1.0) | 0.9 (0.9, 0.9) | 1.0 (1.0, 1.0) |
| Divorced | 0.9 (0.9, 0.9) | 0.9 (0.9, 0.9) | 0.9 (0.9, 0.9) | 1.0 (0.9, 1.0) |
Abbreviations: OR = odds ratio; CI = confidence interval.
Includes residents with at least one assessment during October 1, 2014 through March 31, 2015.
Includes residents with at least one assessment during January 1, 2014 through December 31, 2014.
Model includes all variables listed in Table 7.
Model includes all variables listed in Table 7 as well as adjustment for facility-level fixed effects.
Selected high-risk conditions for influenza-related complications or invasive pneumococcal disease. Includes cancer, coronary artery disease, heart failure, cirrhosis, renal insufficiency, renal failure, or end-stage renal disease, diabetes, and asthma, chronic obstructive pulmonary disease, or chronic lung disease. Influenza vaccination models additionally include Alzheimer’s disease, cerebral palsy, cerebrovascular accident, transient ischemic attack, or stroke, non-Alzheimer’s dementia, hemiplegia or hemiparesis, paraplegia, quadriplegia, multiple sclerosis, Huntington’s disease, Parkinson’s disease, seizure disorder or epilepsy, and traumatic brain injury.