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155652 Increased interest in vaccination following a community-based intervention in New York City
Wednesday, November 7, 2007: 2:35 PM
Despite the proven benefits of influenza vaccination, vaccination rates among adults in the U.S. remain lower than the recommended levels. This problem is particularly acute among racial/ethnic minorities in disadvantaged areas and “hard-to-reach” populations (e.g., homebound elderly, substance users, undocumented immigrants, homeless and sex workers). A community and academic partnership designed, conducted and evaluated a community-based multilevel intervention targeting East Harlem and the South Bronx neighborhoods of New York City to determine whether the intervention increased interest in receiving influenza vaccination in non-traditional settings, such as door-to-door in apartment buildings or on street corners. Intervention activities were carried out at the individual, community organization and neighborhood-level and included disseminating project information, attending community meetings and conducting street-based and door-to-door surveys coupled with vaccination in two successive years. Among the 6,826 participants, 72% were Hispanic/Latino, 60% were female, and mean age was 41 years. 68% reported income of $9,600/yr or less and 37% were members of a hard-to-reach population. In multivariate analyses, variables significantly associated with an increased likelihood of being interested in receiving influenza vaccine at the time of survey were: being surveyed post-intervention (p<0.0001), being a member of a hard-to-reach population (p=0.03), having ever received an influenza vaccine (p<0.0001), and being medically-indicated to receive vaccine (p=0.0019). Targeting underserved neighborhoods through a multilevel community-based intervention increased interest in influenza vaccination, particularly among hard-to-reach populations. This approach has the potential to be implemented in other areas or used to address other health disparities.
Keywords: Vulnerable Populations, Community-Based Public Health
Presenting author's disclosure statement:
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.