Introduction
Shingles (herpes zoster) causes substantial morbidity, especially among older adults.
The shingles vaccine has been recommended for people aged ≥60 years since 2006. This
study assessed recent shingles vaccination at national and state levels among adults
aged ≥60 years.
Methods
The 2014 Behavioral Risk Factor Surveillance System data were analyzed in 2015 to
assess shingles vaccination coverage among adults aged ≥60 years at national and state
levels. Multivariable logistic regression and predictive marginal models identified
factors independently associated with vaccination.
Results
Shingles vaccination coverage among adults aged ≥60 years was 31.8% (95% CI=31.4%,
32.2%). Among states, shingles vaccination coverage ranged from 17.8% (95% CI=15.8%,
20.0%) in Mississippi to 46.6% (95% CI=44.3%, 48.8%) in Vermont, with a median of
33.3%. Coverage was <25% in four states and >40% in nine states. For all states, coverage
was significantly higher among non-Hispanic whites compared with non-white races except
for Oregon, with coverage differences ranging from –33.2% in the District of Columbia
to 0.9% in Oregon and a median of –16.0%. Characteristics independently associated
with vaccination were age, race/ethnicity, sex, education, employment status, household
income, region, perceived health status, health insurance status, personal healthcare
provider, routine checkup status, and whether reporting that cost was a barrier to
seeing a doctor.
Conclusions
Coverage varied dramatically by state. State-level comparisons may aid in designing
tailored intervention programs through sharing of best practices. Strategies are needed
to mitigate financial barriers for both provider and patients, improve awareness,
and increase provider recommendation of the vaccine.
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Article Info
Publication History
Published online: October 05, 2016
Identification
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Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine
