Disparities in influenza vaccination: Arab Americans in California

BMC Public Health. 2021 Mar 5;21(1):443. doi: 10.1186/s12889-021-10476-7.

Abstract

Background: Influenza vaccination among minoritized groups remains below federal benchmarks in the United States (US). We used data from the 2004-2016 California Health Interview Surveys (CHIS) to characterize influenza vaccination patterns among Arab Americans in California.

Methods: Influenza vaccination was self-reported by Arab American adults (N = 1163) and non-Hispanic Whites (NHW, N = 166,955). Differences in influenza vaccination prevalence and odds were compared using chi-squared tests and survey-weighted logistic regression, respectively.

Results: Across all years, 30.3% of Arab Americans self-reported receiving an influenza vaccine (vs. 40.5% for NHW, p < 0.05). After sequential adjustment by sociodemographic, health behavior, and acculturation variables no differences in odds of self-reported influenza vaccination were observed between Arab Americans and NHW (odds ratio: 1.02, 95% confidence interval: 0.76-1.38). Male and unemployed Arab Americans had higher odds of reporting influenza vaccination than female and employed Arab Americans.

Conclusions: Future work should consider specific barriers to influenza vaccination in Arab American communities.

MeSH terms

  • Adult
  • Arabs
  • California / epidemiology
  • Female
  • Hispanic or Latino
  • Humans
  • Influenza Vaccines*
  • Influenza, Human* / prevention & control
  • Male
  • United States
  • Vaccination

Substances

  • Influenza Vaccines