Individual- and neighborhood-level characteristics associated with support of in-pharmacy vaccination among ESAP-registered pharmacies: pharmacists' role in reducing racial/ethnic disparities in influenza vaccinations in New York City

J Urban Health. 2011 Feb;88(1):176-85. doi: 10.1007/s11524-010-9541-6.

Abstract

New York State (NYS) passed legislation authorizing pharmacists to administer immunizations in 2008. Racial/socioeconomic disparities persist in vaccination rates and vaccine-preventable diseases such as influenza. Many NYS pharmacies participate in the Expanded Syringe Access Program (ESAP), which allows provision of non-prescription syringes to help prevent transmission of HIV, and are uniquely positioned to offer vaccination services to low-income communities. To understand individual and neighborhood characteristics of pharmacy staff support for in-pharmacy vaccination, we combined census tract data with baseline pharmacy data from the Pharmacies as Resources Making Links to Community Services (PHARM-Link) study among ESAP-registered pharmacies. The sample consists of 437 pharmacists, non-pharmacist owners, and technicians enrolled from 103 eligible New York City pharmacies. Using multilevel analysis, pharmacy staff who expressed support of in-pharmacy vaccination services were 69% more likely to support in-pharmacy HIV testing services (OR, 1.69; 95% CI 1.39-2.04). While pharmacy staff who worked in neighborhoods with a high percent of minority residents were less likely to express support of in-pharmacy vaccination, those in neighborhoods with a high percent of foreign-born residents were marginally more likely to express support of in-pharmacy vaccination. While educational campaigns around the importance of vaccination access may be needed among some pharmacy staff and minority community residents, we have provided evidence supporting scale-up of vaccination efforts in pharmacies located in foreign-born/immigrant communities which has potential to reduce disparities in vaccination rates and preventable influenza-related mortality.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Community Health Services
  • Continental Population Groups
  • Ethnic Groups
  • Female
  • Health Knowledge, Attitudes, Practice
  • Health Services Accessibility
  • Health Services Needs and Demand
  • Health Status Disparities*
  • Humans
  • Influenza, Human / epidemiology
  • Influenza, Human / prevention & control
  • Male
  • Multivariate Analysis
  • New York City / epidemiology
  • Patient Acceptance of Health Care
  • Pharmacies*
  • Pharmacists*
  • Professional Role*
  • Residence Characteristics*
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Vaccination / statistics & numerical data*