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Int. J. Environ. Res. Public Health 2017, 14(8), 849; doi:10.3390/ijerph14080849

A Multiyear Model of Influenza Vaccination in the United States

Information Systems and Operations Management Department, Sawyer Business School, Suffolk University, Boston, MA 02108, USA
Alivia Technology, Boston, MA 02114, USA
Lexington High School, Lexington, MA 02421, USA
Author to whom correspondence should be addressed.
Received: 19 May 2017 / Revised: 24 July 2017 / Accepted: 25 July 2017 / Published: 28 July 2017
(This article belongs to the Section Global Health)
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Vaccinating adults against influenza remains a challenge in the United States. Using data from the Centers for Disease Control and Prevention, we present a model for predicting who receives influenza vaccination in the United States between 2012 and 2014, inclusive. The logistic regression model contains nine predictors: age, pneumococcal vaccination, time since last checkup, highest education level attained, employment, health care coverage, number of personal doctors, smoker status, and annual household income. The model, which classifies correctly 67 percent of the data in 2013, is consistent with models tested on the 2012 and 2014 datasets. Thus, we have a multiyear model to explain and predict influenza vaccination in the United States. The results indicate room for improvement in vaccination rates. We discuss how cognitive biases may underlie reluctance to obtain vaccination. We argue that targeted communications addressing cognitive biases could be useful for effective framing of vaccination messages, thus increasing the vaccination rate. Finally, we discuss limitations of the current study and questions for future research. View Full-Text
Keywords: adults; influenza vaccination; public health; communication; cognitive bias adults; influenza vaccination; public health; communication; cognitive bias

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Kamis, A.; Zhang, Y.; Kamis, T. A Multiyear Model of Influenza Vaccination in the United States. Int. J. Environ. Res. Public Health 2017, 14, 849.

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