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. 2020 May 18;180(7):962–970. doi: 10.1001/jamainternmed.2020.1602

Table 2. Unadjusted and Adjusted Risk Ratios for Influenza Vaccination for Subgroups vs a Reference Subgroup and for Each Study Group vs the No Reminder Control Group.

Subgroup Risk ratio (95% CI)a
Unadjusted Adjusted
Study group
0 Reminders 1 [Reference] 1 [Reference]
1 Reminder 1.01 (1.00-1.03) 1.02 (1.00-1.03)
2 Reminders 1.02 (1.00-1.04) 1.02 (1.00-1.04)
3 Reminders 1.02 (1.00-1.04) 1.02 (1.00-1.04)
Age group, y
0.5-17 1 [Reference] 1 [Reference]
18-64 0.70 (0.66-0.75) 0.78 (0.74-0.82)
≥65 1.13 (1.04-1.23) 0.97 (0.92-1.02)
Sex
Male 1 [Reference] 1 [Reference]
Female 0.98 (0.96-1.00) 1.00 (0.99-1.02)a
Insuranceb
Private 1 [Reference] 1 [Reference]
Public 1.45 (1.36-1.54) 1.04 (1.02-1.05)
Other or unknown 0.95 (0.89-1.02) 0.95 (0.90-1.00)
Race
White 1 [Reference] 1 [Reference]
Black 0.78 (0.75-0.82) 0.89 (0.86-0.92)
Asian 1.07 (1.04-1.10) 1.04 (1.02-1.06)
Other or unknown 0.81 (0.79-0.84) 0.91 (0.90-0.93)
Ethnicity
Non-Hispanic or unknown 1 [Reference] 1 [Reference]
Hispanic 0.96 (0.93-0.99) 1.01 (0.99-1.04)
Received influenza vaccination in prior 2 y
No 1 [Reference] 1 [Reference]
Yes 3.85 (3.65-4.07) 3.70 (3.51-3.91)
a

1.00 is a rounded figure, but all the adjusted lower bounds of the 95% CIs were strictly greater than 1.

b

Most publicly insured patients in this health care system are older adults on Medicare or children on Medicaid, accounting for higher influenza vaccination rates among these patients.