Abstract 14232: Predictors of Influenza Vaccination in African American Patients With Coronary Artery Diseases and Heart Failure: Findings From a Large Urban Public Hospital

• Published in: Circulation (New York, N.Y.) N.Y.), 2018-11, Vol.138 (Suppl_1 Suppl 1), p.A14232-A14232
• Main Authors: Olanipekun, Titi, Effoe, Valery S, Kola-Kehinde, Onaopepo, Harris, Rachel, Bakinde, Nicholas, Fotzeu, Claudia
• Format: Article
• Language: English
• ISSN: 0009-7322; 1524-4539

IntroductionPatients with cardiovascular disease including coronary artery diseases (CAD) and heart failure (HF) are vulnerable to influenza-related complications and vaccination may improve outcomes. The Center for Disease Control and Prevention (CDC) recommends annual influenza vaccination for patients with heart diseases. African Americans (AA) have higher rates of CAD and HF and an increased disease burden compared to other ethnic groups. Despite CDC vaccination efforts, coverage rate continues to be suboptimalObjectiveDetermine the influenza vaccination rate among AA patients with CAD and heart failure and identify factors that influence uptakeMethods307 (selected through simple random sampling) AA patients with CAD and heart failure on their list of diagnosis, who visited one of the out-patient departments of Grady Memorial Hospital, Atlanta between October 1, 2017, and February 28, 2018, were asked to complete a questionnaire. All participants had at least one cardiology outpatient visit during the study period. Co-morbidities self-reported and included in the analysis were asthma, chronic obstructive pulmonary disease, kidney diseases, liver diseases, diabetes mellitus, cerebrovascular accident, and HIV or AIDS. MS Excel and STATA software were used for data management and analyses. Two-sided P-value < 0.05 was considered statistically significantResultsA total of 281 (58% male) patients completed the questionnaire. Mean (+/-SD) age of participants was 50.5 years (+/- 11.5 years). The influenza vaccination rate among the patients was 46% (n=129/281). Increasing age and number of co-morbidities were significantly associated with a positive influenza vaccination status. 52% received flu vaccine information and recommendation from their cardiologists. The probability of being vaccinated against flu was about 8 times higher among patients who received vaccination information and recommendation from a cardiologist (P