Nursing Home Resident and Facility Characteristics Associated with Pneumococcal Vaccination: National Nursing Home Survey, 1995-1999

• Published in: Journal of the American Geriatrics Society (JAGS) 2005-09, Vol.53 (9), p.1543-1551
• Main Authors: Bardenheier, Barbara, Shefer, Abigail, Tiggle, Ronald, Marsteller, Jill, Remsburg, Robin E.
• Format: Article
• Language: English
• Subjects: Aged; Aged, 80 and over; Biological and medical sciences; Cross-Sectional Studies; Data Collection - methods; Elderly people; Female; General aspects; Humans; Immunization; Male; Medical sciences; nursing home; Nursing Homes; pneumococcal; Pneumococcal disease; Pneumococcal Vaccines - administration & dosage; Pneumonia; Polls & surveys; Probability; Streptococcus pneumoniae; United States; USA; vaccination; Vaccination - trends; Vaccines
• ISSN: 0002-8614; 1532-5415
• DOI: 10.1111/j.1532-5415.2005.53483.x

Objectives: To assess Advisory Committee for Immunization Practices recommendations for the pneumococcal vaccine in nursing home residents using national surveys to examine factors associated with vaccination. Design: Cross‐sectional national sample surveys of nursing homes and nursing home residents with a two‐stage probability design, stratified on size and Medicare and Medicaid certification status. Setting: U.S. nursing homes during 1995, 1997, and 1999. Participants: Six current residents were randomly selected from each facility (n=approximately 8,000 each year). Measurements: Residents' pneumococcal vaccination status was obtained by asking the facility respondent for each resident: “Has [the resident] EVER had a pneumococcal vaccine, that is a pneumonia vaccination?” Vaccination status was coded as yes, no, and unknown. Results: The proportion of residents aged 65 and older that received pneumococcal vaccination increased significantly, from 23.6% in 1995 to 28.2% in 1997 to 37.4% in 1999 (P