3189.0: Monday, October 22, 2001 - Board 2

Abstract #26725

Predictors of pneumonia and influenza vaccination programs in nursing homes

Said K. Abu-Salem, RN, MSN1, Cynthia A. Chargois, MSc, PhD candid2, Donna-Adriene Thomas Wharton, MPA2, and Stacey Plichta, ScD2. (1) College of Nursing, University of Kentucky, 2148 larkspur Dr. # 26-C, Lexington, KY 40504, 859 313 5415, ssalem@rocketmail.com, (2) College of health sciences, Old Dominion University, Norfolk, VA

Objectives: This study will examine the ability of several variables (type of ownership, member of a chain or group, beds available, certification (in general), certification under Medicare and Medicaid, home health and hospice services, and other characteristics) to predict the existence of influenza and pneumonia vaccination programs and the percent vaccinated in nursing homes. Methods: The data for this secondary analysis study were derived from the 1995 National Nursing Home Survey.Logistic and Multiple Linear Regression were performed. The SPSS statistical package was used to conduct these multivariate techniques. Results: Three of the predictor variables were significantly related to the likelihood of having pneumonia vaccination program: type of ownership, beds available, and certification under Medicare. The odds (odds ratio=1.73, 1.78, and 2.20) of having a pneumonia vaccination program in nursing homes is twice as great for those facilities that are for-profit, have one hundred or more beds and certified under Medicare. For those with pneumonia vaccination programs, two predictor variables are significantly related to the likelihood of residents being vaccinated for pneumonia: beds available, and proportion of residents vaccinated-influenza. The odds (odds ratio=1.44, 3.76) of being vaccinated for pneumonia are nearly two or three times, respectively, as great for those facilities with these predictors. Conclusions: Being a for-profit facility and certified under Medicare clearly makes a difference when establishing a pneumonia vaccination program. Knowing these information provides administrators with areas to focus to better provide programs that will help prevent communicable diseases, influenza and pneumonia in particular.

Learning Objectives: Objectives: This study will examine the ability of several variables (type of ownership, member of a chain or group, beds available, certification (in general), certification under Medicare and Medicaid, home health and hospice services, and other characteristics) to predict the existence of influenza and pneumonia vaccination programs and the percent vaccinated in nursing homes.

Keywords: Prevention, Policy/Policy Development

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 129th Annual Meeting of APHA