Health Highlight Report for San Juan County
Immunization - Pneumonia Vaccination, Adults Age 65+: Percentage Immunized, 2013-2017
San Juan County70.3% 95% Confidence Interval(67.1% - 73.3%)Description of the Confidence IntervalThe confidence interval indicates the range of probable true values for the level of risk in the community.
A value of "DNA" (Data Not Available) will appear if the confidence interval was not published with the IBIS indicator data for this measure.
Statistical StabilityStableDescription of Statistical Stability
- Stable = This count or rate is relatively stable and should provide a good estimate of your community risk.
- Unstable = This count or rate is statistically unstable (RSE >0.30), and may fluctuate widely due to random variation (chance).
- Very Unstable = This count or rate is extremely unstable (RSE >0.50). This value should not be used to represent your population risk. You should combine years or otherwise increase the population denominator in this calculation.
- DNA = Data Not Available. The required community value and/or confidence interval was not available for this measure.
New Mexico71.4% U.S. DNADNA=Data not available.
San Juan County Compared to State
Description of Dashboard Gauge
Description of the Dashboard GaugeThis "dashboard" type graphic is based on the community data on the right. It compares the community value on this indicator to the state overall value.
The community value is considered statistically significantly different from the state value if the state value is outside the range of the community's 95% confidence interval. If the community's data or 95% confidence interval information is not available, a blank gauge image will be displayed with the message, "missing information."NOTE: The labels used on the gauge graphic are meant to describe the community's status in plain language. The placement of the gauge needle is based solely on the statistical difference between the community and state values. When selecting priority health issues to work on, a community should take into account additional factors such as how much improvement could be made, the U.S. value, the statistical stability of the community number, the severity of the health condition, and whether the difference is clinically significant.
- Excellent = The community's value on this indicator is BETTER than the state value, and the difference IS statistically significant.
- Watch = The community's value is BETTER than state value, but the difference IS NOT statistically significant.
- Improvement Needed = The community's value on this indicator is WORSE than the state value, but the difference IS NOT statistically significant.
- Reason for Concern = The community's value on this indicator is WORSE than the state value, and the difference IS statistically significant.
Why Is This Important?Recommended immunizations for adults aged 65 years and older include a yearly immunization against influenza (flu) and a one-time immunization against pneumococcal disease. Most of the deaths and serious illnesses caused by influenza and pneumococcal disease occur in older adults and others at increased risk for complications of these diseases because of other risk factors or medical conditions. Barriers to adult immunization include not knowing immunizations are needed, misconceptions about vaccines, and lack of recommendations from health care providers.
How Are We Doing?In New Mexico, only two out of three Hispanics age 65 or older has ever received a pneumococcal immunization.
Evidence-based PracticesImmunizations are one of the most effective public health tools for preventing and eradicating disease; yet adult immunizations have not reached the coverage levels of childhood immunizations, particularly among members of minority groups. The low rates of immunization among adults is the result of many factors including: lack of access to preventive health services; the belief that adult immunizations are not necessary; and/or they lack basic knowledge about the high risks of disease and death linked to pneumonia/influenza in the elderly.
Healthy People Objective IID-13.1:Increase the percentage of adults who are vaccinated against pneumococcal disease: Noninstitutionalized adults aged 65 years and older
U.S. Target: 90 percent
Relevant Population Characteristics:
Health Care System Factors:
NoteQuestion wording: Have you ever had a pneumonia shot? A pneumonia shot or pneumococcal vaccine is usually given only once or twice in a persons lifetime and is different from the flu shot. Have you ever had a pneumonia shot? U.S. is median value for 50 U.S. states and D.C. **Percentages based on fewer than 50 completed surveys are not shown because they do not meet the DOH standard for data release. The county-level BRFSS data used for this indicator report were weighted to be representative of the New Mexico Health Region populations. Had the data been weighted to be representative of each county population, the results would likely have been different.
Data SourcesBehavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau. U.S. Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System (BRFSS), accessed through AdultVaxView Interactive [https://www.cdc.gov/vaccines/imz-managers/coverage/adultvaxview/]
Measure Description for Immunization - Pneumonia Vaccination, Adults Age 65+
Definition: The estimated percentage of New Mexico adults age 65 and older who have ever had a pneumonia immunization as reported by the Behavioral Risk Factor Surveillance System.
Numerator: The number of survey respondents age 65 and older who have ever had a pneumonia immunization . Data were weighted to adjust for effects of sample design and to represent the population distribution of adults by sex, age group, and area of residence.
Denominator: The total number of survey respondents age 65 and older, excluding missing, "Don't Know" and "Refused" responses.