Partial List of Factors from the Literature That Are Significantly Correlated with Rates of Influenza Immunizations
Demographic Factors |
Increases Flu shot rates |
Higher educational level2 |
Increased age2,3 |
Male and married2 |
Increasing household income3 |
Health care worker in family4 |
Decreases flu shot rates |
Spanish-speaking5 |
Lack of health insurance3 |
African-American1,3 |
Hispanic1 |
Living alone6 |
Not having a driver6 |
Health Status and Behaviors |
Increases flu shot rates |
Non-smoker3 |
Previous vaccination7 |
Greater disease burden2 |
Fair or poor health status3 |
Vigorous exerciser3 |
Decreases flu shot rates |
Previous flu shot side effects3 |
Cognitive impairment3 |
Being healthier4,8 |
Health Service Use |
Increases flu shot rates |
Office visit during flu season9 |
PCP discussed flu shots10 |
3+ doctors visits in a year3 |
Doctor recommendation11,12 |
VA patient11,13 |
Decreases flu shots |
Patient of inner city clinic11,13 |
Health System Organization |
Increases flu shot rates |
Computer reminder to doc14,15 |
Walk-in vaccine clinics13,16,17 |
Standing vaccine orders16,17 |
Mailed patient reminders16–20 |
Action-oriented pt reminder18 |
Urban practice19 |