Key result
Black and Hispanic older adults had almost 50% lower odds of shingles vaccination compared to non-Hispanic Whites.
Why the study?
Only about one-third of older adults in the United States are vaccinated against shingles, contributing to approximately 1 million cases annually.
What sociodemographic and health factors are associated with shingles vaccine uptake in older US adults?
Cross-Sectional (n=208,301)
What sociodemographic and health factors are associated with shingles vaccine uptake in older US adults?
Effect estimate: almost 50% lower odds
Significant racial and sociodemographic disparities exist in shingles vaccine uptake among older US adults, highlighting the need for targeted public health interventions.
Racial disparities in shingles vaccination may warrant targeted outreach; leaves open causal drivers and intervention efficacy.
OBJECTIVE: Only about one-third of older adults in the United States are vaccinated against shingles, contributing to approximately 1 million shingles cases annually. This study examines how sociodemographic characteristics, health behaviors, and self-rated health are associated with shingles vaccine uptake. METHOD: Data come from the 2017 wave of the Behavioral Risk Factor Surveillance System survey, using a subset of older adults aged 60-plus (N = 208,301). Logistic regression models test (a) for associations between individual-level sociodemographic characteristics and vaccine uptake and (b) whether health behaviors and self-rated health moderate these associations. RESULTS: Black and Hispanic older adults have almost 50% lower odds of shingles vaccination, compared to non-Hispanic Whites. Abstaining from alcohol, being employed, living with children, and having poor self-rated health are also associated with lower uptake. Unmarried (vs married) individuals have lower odds of vaccination that are explained by broad differences in health behavior. DISCUSSION: Our study contributes to understanding how shingles vaccination coverage systematically differs among social groups. In doing so, it provides guidance for public health interventions to increase uptake. This line of research is increasingly salient in a world facing novel virus threats and antivaccine social movements.
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Vogelsang et al. (2021) conducted a cross-sectional in Shingles vaccination (n=208,301). Black and Hispanic race/ethnicity vs. Non-Hispanic Whites was evaluated on Shingles vaccine uptake (almost 50% lower odds). Black and Hispanic older adults had almost 50% lower odds of shingles vaccination compared to non-Hispanic Whites.
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