{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T14:39:16Z","timestamp":1792075156301,"version":"4.4.0"},"reference-count":50,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,11,10]],"date-time":"2020-11-10T00:00:00Z","timestamp":1604966400000},"content-version":"vor","delay-in-days":314,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["U54 TR001627"],"award-info":[{"award-number":["U54 TR001627"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["2U54MD007598"],"award-info":[{"award-number":["2U54MD007598"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R25 MD007610"],"award-info":[{"award-number":["R25 MD007610"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p>\n                    <jats:italic>Background<\/jats:italic>\n                    . Racial disparities in influenza vaccination among underserved minority older adults are a public health problem. Understanding the factors that impact influenza vaccination behaviors among underserved older African\u2010Americans could lead to more effective communication and delivery strategies.\n                    <jats:italic>Aims<\/jats:italic>\n                    . We aimed to investigate rate and factors associated with seasonal influenza vaccination among underserved African\u2010American older adults. We were particularly interested in the roles of demographic factors, socioeconomic status, and continuity and patient satisfaction with medical care, as well as physical and mental health status.\n                    <jats:italic>Methods<\/jats:italic>\n                    . This community\u2010based cross\u2010sectional study recruited 620 African\u2010American older adults residing in South Los Angeles, one of the most under\u2010resources areas within Los Angeles County, with a population of over one million. Bivariate and multiple regression analyses were performed to document independent correlates of influenza vaccination.\n                    <jats:italic>Results<\/jats:italic>\n                    . One out of three underserved African\u2010American older adults aged 65 years and older residing in South Los Angeles had never been vaccinated against the influenza. Only 49% of participants reported being vaccinated within the 12 months prior to the interview. One out of five participants admitted that their health care provider recommended influenza vaccination. However, only 45% followed their provider\u2019s recommendations. Multivariate logistic regression shows that old\u2010old (\u226575 years), participants who lived alone, those with a lower level of continuity of care and satisfaction with the accessibility, availability, and quality of care, and participants with a higher number of depression symptoms were less likely to be vaccinated. As expected, participants who indicated that their physician had advised them to obtain a flu vaccination were more likely to be vaccinated. Our data shows that only gender was associated with self\u2010report of being advised to have a flu shot.\n                    <jats:italic>Discussion<\/jats:italic>\n                    . One of the most striking aspects of this study is that no association between influenza vaccination and being diagnosed with chronic obstructive pulmonary disease or other major chronic condition was detected. Our study confirmed that both continuity of care and satisfaction with access, availability, and quality of medical care are strongly associated with current influenza vaccinations. We documented that participants with a higher number of depression symptoms were less likely to be vaccinated.\n                    <jats:italic>Conclusion<\/jats:italic>\n                    . These findings highlight the role that culturally acceptable and accessible usual source of care van play as a gatekeeper to facilitate and implement flu vaccination among underserved minority older adults. Consistent disparities in influenza vaccine uptake among underserved African\u2010American older adults, coupled with a disproportionate burden of chronic diseases, places them at high risk for undesired outcomes associated with influenza. As depression is more chronic\/disabling and is less likely to be treated in African\u2010Americans, there is a need to screen and treat depression as a strategy to enhance preventive care management such as vaccination of underserved African\u2010American older adults. Quantification of associations between lower vaccine uptake and both depression symptoms as well as living alone should enable health professionals target underserved African\u2010American older adults who are isolated and suffer from depression to reduce vaccine\u2010related inequalities.\n                  <\/jats:p>","DOI":"10.1155\/2020\/2160894","type":"journal-article","created":{"date-parts":[[2020,11,11]],"date-time":"2020-11-11T11:45:38Z","timestamp":1605095138000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Influenza Vaccination among Underserved African\u2010American Older Adults"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6153-7870","authenticated-orcid":false,"given":"Mohsen","family":"Bazargan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheryl","family":"Wisseh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Adinkrah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hoorolnesa","family":"Ameli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delia","family":"Santana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Cobb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5054-6250","authenticated-orcid":false,"given":"Shervin","family":"Assari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,11,10]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.15444"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1101\/2020.06.24.20129817"},{"key":"e_1_2_11_3_2","doi-asserted-by":"crossref","unstructured":"Roller-WirnsbergerR. 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