Posted Mar 23 , 2017 02:47 PM
Vaccination Coverage Among Adults With Diagnosed Diabetes: United States, 2015
Villarreol MA and Vharatian A. NCHS Data Brief #265, December 2016
What were the findings (extracted from the Brief)?
- Among adults aged 18 and over with diagnosed diabetes, 61.6% had an influenza vaccination in the past year.
- A total of 52.6% of adults with diagnosed diabetes had a pneumococcal vaccine and 17.1% had the 3-dose vaccination schedule for hepatitis B at some point in the past.
- Among adults aged 60 and over with diagnosed diabetes, 27.2% had a shingles vaccine.
- Among those with diagnosed diabetes, the vaccination coverage for influenza, pneumococcal and shingles was lowest among poor adults, increased with age and varied by race and ethnicity with age.
- Hepatitis vaccination coverage was lowest among poor adults and it decreased with age.
Why is this important?
The Standards of Medical Care in Diabetes recommend influenza, pneumococcal and hepatitis B immunizations (Diabetes Care 2017 Jan; 40(Supplement 1): S25-S32 –Table 3.1) for adults with diabetes. In addition, Centers for Medicare and Medicaid Services (CMS) recommends vaccination for influenza, pneumococcal disease and hepatitis B as part of the preventive services it covers (https://www.cms.gov/Medicare/Prevention/PrevntionGenInfo/Downloads/MPS-QuickReferenceChart-1TextOnly.pdf). Herpes Zoster (Shingles) vaccine is relatively new compared with the other vaccines, and while not currently a recommendation of the American Diabetes Association or CMS, it is clear that diabetes is a significant risk factor for the development of Shingles (Hata A , et al. Infection. 2011 Dec;39(6):537). Do you check to see if your patients with diabetes have had all these vaccinations?
Read the Data Brief: