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Flu shot

Nadereh Pourat, Xiao Chen, Christopher Lee, Weihao Zhou, Marlon Daniel, Hank Hoang, Alek Sripipatana
Background: Millions of Americans have uncontrolled hypertension and are low-income or uninsured. Health Resources and Services Administration-funded health centers (HCs) are primary providers of care to these patients and a majority have adopted the Patient-Centered Medical Home (PCMH). PCMH includes principles of care coordination or integration and care management-support important to the treatment of hypertension. We examined whether the receipt of PCMH concordant care by HC patients improved hypertension outcomes...
December 24, 2018: American Journal of Hypertension
Rita Rubin
No abstract text is available yet for this article.
November 21, 2018: JAMA: the Journal of the American Medical Association
Tammy A Santibanez, Katherine E Kahn, Carolyn B Bridges
OBJECTIVES: To determine the proportion of children whose parents prefer them to receive live, attenuated influenza vaccine (LAIV) or inactivated influenza vaccine (IIV), examine reasons for preferences, and determine what percentage of vaccinated children receive other than the preferred type of vaccine and why. METHODS: Parental-reported data for the 2014-15 and 2015-16 influenza seasons from the National Immunization Survey-Flu (NIS-Flu), a random-digit-dialed, dual frame (landline and cellular telephone) survey of households with children, were analyzed...
October 16, 2018: Vaccine
Leslie Mertz
Children in developing countries often don't receive their full set of basic vaccines, which leaves them at risk for diseases that can cause serious illness and even death. According to the World Health Organization (WHO), data from 2016 show that approximately 19.5 million infants globally were not fully vaccinated against diphtheria, tetanus, and pertussis, and some 1.5 million children die from vaccine-preventable illnesses each year [1]. And when it comes to seasonal influenza vaccines, they can be difficult to prepare in advance...
September 2018: IEEE Pulse
Darrick Carter, Neal van Hoeven, Susan Baldwin, Yotam Levin, Efrat Kochba, Al Magill, Nathalie Charland, Nathalie Landry, Khin Nu, Aude Frevol, Jill Ashman, Zachary K Sagawa, Anna Marie Beckmann, Steven G Reed
Adjuvants are key to shaping the immune response to vaccination, but to date, no adjuvant suitable for human use has been developed for intradermal vaccines. These vaccines could be self-administered and sent through the mail as they do not require long needles or technical expertise in immunization. In the event of a pandemic outbreak, this approach could alleviate the congregation of patients in health centers and thus reduce the potential of these centers to enhance the spread of lethal infection. A reliable and potent vaccine system for self-administration would provide an effective countermeasure for delivery through existing product distribution infrastructure...
September 2018: Science Advances
Robin Bloodworth, Jie Chen, Karoline Mortensen
Preventive services can help reduce costs associated with chronic conditions. Medicaid beneficiaries have high rates of chronic conditions, but state Medicaid coverage and cost-sharing of preventive services varies widely. States that chose to expand Medicaid under the ACA were incentivized to cover recommended preventive services at no cost-sharing. This study evaluates whether state Medicaid policy and Medicaid expansion were associated with overall utilization, and disparities in utilization of preventive services among vulnerable populations...
August 23, 2018: Preventive Medicine
Wandi Zhu, Song Li, Chao Wang, Guoying Yu, Mark R Prausnitz, Bao-Zhong Wang
Skin vaccination using biodegradable microneedle patch (MNP) technology in vaccine delivery is a promising strategy showing significant advantages over conventional flu shots. In this study, we developed an MNP encapsulating a 4M2e-tFliC fusion protein and two types of whole inactivated influenza virus vaccines (H1N1 and H3N2) as a universal vaccine candidate. We demonstrated that mice receiving this tri-component influenza vaccine via MNP acquired improved IgG1 antibody responses with more balanced IgG1/IgG2a antibody responses and enhanced cellular immune responses, including increased populations of IL-4 and IFN-γ producing cells and higher frequencies of antigen-specific plasma cells compared with intramuscular injection...
2018: Frontiers in Immunology
Nikolija Lukich, Michael Kekewich, Virginia Roth
Each year, many healthcare organizations deal with low influenza immunization rates among staff. Mandatory influenza vaccination programs may be considered in order to address this issue. These types of programs have caused controversy in the past, as staff has argued that they infringe upon their liberties and right to autonomy. However, if viewed from a public health perspective, mandatory vaccination programs are beneficial for both employees and patients and can be justified. When individuals make the decision to work in the medical field, it is assumed that their values align with those of the organization for which they work...
September 2018: Healthcare Management Forum
Andrew G Wu, Ashish S Shah, Tara S Haelle, Scott A Lunos, Michael B Pitt
Images in health communication have been shown to affect perspectives and attitudes towards health issues including vaccination. We seek to quantify the frequency of images used in online news coverage of vaccines that may convey varying sentiments about vaccination. To capture a breadth of vaccine-related news coverage, including international sources, we searched the following terms in Google News Archives: "autism and vaccine", "flu and vaccine", and "measles and Disneyland"...
2018: PloS One
John Cawley, Aparna Soni, Kosali Simon
BACKGROUND: The Affordable Care Act (ACA) of 2010 incentivized states to expand eligibility for their Medicaid programs. Many did so in 2014, and there has been great interest in understanding the effects of these expansions on access to health care, health care utilization, and population health. OBJECTIVE: To estimate the longer-term (three-year) impact of Medicaid expansions on insurance coverage, access to care, preventive care, self-assessed health, and risky health behaviors...
September 2018: Journal of General Internal Medicine
Huabin Luo, Zhuo Adam Chen, Lei Xu, Ronny A Bell
OBJECTIVE: This study aimed to assess whether the recent Medicaid expansion, as a natural experiment, was associated with better access to care and, as a consequence, better receipt of clinical diabetes care services. METHODS: Data were from the Behavioral Risk Factor Surveillance System (BRFSS). The analytical sample included 20 708 working-age adults with diabetes aged 18 to 64 years from 22 states. The outcome variables included 4 measures of access to care and 4 measures of receipt of clinical diabetes care services...
June 20, 2018: Journal of Public Health Management and Practice: JPHMP
Sangbo Nam, Sae Hwang Han, Megan Gilligan
Background and Objectives: The aim of this study was to examine the link between internet use and preventive health behaviors. We focused on couples to examine whether there were cross-partner associations between internet use and preventive health behaviors. Research Design and Methods: The data for this study came from the 2010 and 2012 waves of the Health and Retirement Study and the sample consisted of 5,143 pairs of coupled-individuals. Preventive health behaviors included cancer screenings (mammogram and prostate tests), cholesterol tests, and flu shots...
May 22, 2018: Gerontologist
Erika Valeska Rossetto, Expedito J A Luna
No abstract text is available yet for this article.
May 2018: Travel Medicine and Infectious Disease
Huabin Luo, Ronny A Bell, Doyle M Cummings, Zhuo Adam Chen
This analysis assessed trends in measures of diabetes preventive care overall and by race/ethnicity and socioeconomic status in the North Carolina Behavioral Risk Factor Surveillance System (2000-2015). We found increasing trends in 5 measures: diabetes self-management education (DSME), daily blood glucose self-monitoring, hemoglobin A1c tests, foot examinations, and flu shots. Non-Hispanic black and non-Hispanic white respondents showed increases in blood glucose self-monitoring, and a significant time-by-race interaction was observed for annual flu shots...
March 22, 2018: Preventing Chronic Disease
(no author information available yet)
No abstract text is available yet for this article.
March 9, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
Dahai Yue, Petra W Rasmussen, Ninez A Ponce
OBJECTIVE: To assess racial/ethnic differential impacts of the ACA's Medicaid expansion on low-income, nonelderly adults' access to primary care. DATA SOURCES: Behavioral Risk Factor Surveillance System, State Physicians Workforce Data Book, and Bureau of Labor Statistics, in 2013 and 2015. STUDY DESIGN: Quasi-experimental design with difference-in-differences analyses. Outcomes included health insurance coverage, having personal doctor(s), being unable to see doctors because of cost, and receiving a flu shot...
October 2018: Health Services Research
(no author information available yet)
No abstract text is available yet for this article.
January 2018: Family Practice Management
Sarah Webb
No abstract text is available yet for this article.
October 25, 2017: ACS Central Science
Colleen T Fogarty, LaTresha Crues
No abstract text is available yet for this article.
September 2017: Family Practice Management
E Kale Edmiston, Cameron A Donald, Alice Rose Sattler, J Klint Peebles, Jesse M Ehrenfeld, Kristen Laurel Eckstrand
Purpose: Transgender people face barriers to accessing healthcare, resulting in population-level disparities in health outcomes. Little research is available to better understand the receipt of primary healthcare among transgender patients or how the rate of receipt of preventive care may differ among transgender populations. Methods: The medical literature regarding U.S. adult transgender primary healthcare was reviewed using a keyword search strategy: transgender OR transsexual OR transvestite OR gender nonconforming for articles published between January 1, 2001 and June 15, 2015...
2016: Transgender Health
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