Health information technology use and influenza vaccine uptake among US adults

Tiffany B Kindratt, Librada Callender, Marjan Cobbaert, Jordan Wondrack, Frank Bandiera, Deborah Salvo

Research output: Contribution to journalArticle

Abstract

Objective: This study aims to estimate the association between health information technology (HIT)use and influenza vaccine uptake among US adults. Materials and methods: Data analysis was conducted using 2011–2015 National Health Interview Survey (NHIS)adult data (n = 169,912). HIT use was defined as having used computers (past 12 months)to seek health information, fill prescriptions, schedule appointments, communicate with health providers via email, and/or use online health chat groups. Crude and multivariable logistic regression models were used to estimate the odds of influenza vaccine uptake among HIT users versus non-users. Interactions were tested and stratified results were reported. Results: Among US adults, 39.8% received an influenza vaccine in the past 12 months, while 48.6% reported any HIT use. After adjusting for covariates, any HIT users had 1.23 times greater odds (95% CI = 1.19, 1.27)of influenza vaccine uptake relative to non-HIT users. HIT use for looking up health information on the internet (OR = 1.19, 95% CI = 1.15, 1.23), filling prescriptions (OR = 1.56; 95% CI = 1.50, 1.66), scheduling appointments (OR = 1.56; 95% CI = 1.50, 1.66), and communicating with providers via email (OR = 1.51; 95% CI = 1.44, 1.59)were significantly associated with influenza vaccine uptake. Discussion: HIT use is positively associated with influenza vaccine uptake. Each category of HIT use was independently associated with influenza vaccine uptake. To our knowledge, no other studies have evaluated the relationship between HIT use and influenza vaccine uptake. Our results are exploratory and represent an association, not a causal relationship. Longitudinal, confirmatory studies are also needed to verify our cross-sectional findings.

Original languageEnglish (US)
Pages (from-to)37-42
Number of pages6
JournalInternational Journal of Medical Informatics
Volume129
DOIs
StatePublished - Sep 1 2019

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Medical Informatics
Influenza Vaccines
Health
Prescriptions
Appointments and Schedules
Logistic Models
Health Surveys
Internet
Longitudinal Studies
Interviews
Technology

Keywords

  • Health information technology
  • Influenza vaccine
  • National health interview survey

ASJC Scopus subject areas

  • Health Informatics

Cite this

Health information technology use and influenza vaccine uptake among US adults. / Kindratt, Tiffany B; Callender, Librada; Cobbaert, Marjan; Wondrack, Jordan; Bandiera, Frank; Salvo, Deborah.

In: International Journal of Medical Informatics, Vol. 129, 01.09.2019, p. 37-42.

Research output: Contribution to journalArticle

Kindratt, Tiffany B ; Callender, Librada ; Cobbaert, Marjan ; Wondrack, Jordan ; Bandiera, Frank ; Salvo, Deborah. / Health information technology use and influenza vaccine uptake among US adults. In: International Journal of Medical Informatics. 2019 ; Vol. 129. pp. 37-42.
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abstract = "Objective: This study aims to estimate the association between health information technology (HIT)use and influenza vaccine uptake among US adults. Materials and methods: Data analysis was conducted using 2011–2015 National Health Interview Survey (NHIS)adult data (n = 169,912). HIT use was defined as having used computers (past 12 months)to seek health information, fill prescriptions, schedule appointments, communicate with health providers via email, and/or use online health chat groups. Crude and multivariable logistic regression models were used to estimate the odds of influenza vaccine uptake among HIT users versus non-users. Interactions were tested and stratified results were reported. Results: Among US adults, 39.8{\%} received an influenza vaccine in the past 12 months, while 48.6{\%} reported any HIT use. After adjusting for covariates, any HIT users had 1.23 times greater odds (95{\%} CI = 1.19, 1.27)of influenza vaccine uptake relative to non-HIT users. HIT use for looking up health information on the internet (OR = 1.19, 95{\%} CI = 1.15, 1.23), filling prescriptions (OR = 1.56; 95{\%} CI = 1.50, 1.66), scheduling appointments (OR = 1.56; 95{\%} CI = 1.50, 1.66), and communicating with providers via email (OR = 1.51; 95{\%} CI = 1.44, 1.59)were significantly associated with influenza vaccine uptake. Discussion: HIT use is positively associated with influenza vaccine uptake. Each category of HIT use was independently associated with influenza vaccine uptake. To our knowledge, no other studies have evaluated the relationship between HIT use and influenza vaccine uptake. Our results are exploratory and represent an association, not a causal relationship. Longitudinal, confirmatory studies are also needed to verify our cross-sectional findings.",
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