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Complete Health Indicator Report of 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.

Data Interpretation Issues

Data for this indicator report are from the Behavioral Risk Factor Surveillance System (BRFSS), an ongoing survey of adults regarding their health-related behaviors, health conditions, and preventive services. Data are collected in all 50 states, D.C., and U.S. territories. Responses have been weighted to reflect the New Mexico adult population by age, sex, ethnicity, geographic region, marital status, education level, home ownership and type of phone ownership. The survey is conducted using scientific telephone survey methods for landline and cellular phones (with cellular since 2011). The landline phone portion of the survey excludes adults living in group quarters such as college dormitories, nursing homes, military barracks, and prisons. The cellular phone portion of the survey includes adult students living in college dormitories but excludes other group quarters. Beginning with 2011, the BRFSS updated its surveillance methods by adding in calls to cell phones and changing its weighting methods. These changes improve BRFSS' ability to take into account the increasing proportion of U.S. adults using only cellular telephones as well as to adjust survey data to improve the representativeness of the estimates generated from the survey. Results have been adjusted for the probability of selection of the respondent, and have been weighted to the adult population by age, gender, phone type, detailed race/ethnicity, renter/owner, education, marital status, and geographic area. Lastly and importantly, these changes mean that the data from years prior to 2011 are not directly comparable to data from 2011 and beyond. Please see the [https://ibis.health.state.nm.us/view/docs/Query/BRFSS/BRFSS_fact_sheet_Aug2012.pdf BRFSS Method Change Factsheet]. The "missing" and "don't know" responses are removed before calculating a percentage.

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.

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

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 Practices

Immunizations 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.


Related Indicators

Related Relevant Population Characteristics Indicators:


Related Health Care System Factors Indicators:




Graphical Data Views

Percentage of New Mexico Adults Age 65+ Who Have Ever Had a Pneumonia Vaccination by Year, New Mexico and U.S., 2001-2017

::chart - missing::
confidence limits

BRFSS by weighting method by NM vs. U.S.YearPercentage ImmunizedLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 30
New Mexico, Old Weighting Method200464.6%61.8%67.4%9541,504
New Mexico, Old Weighting Method200564.7%61.7%67.5%8951,432
New Mexico, Old Weighting Method200664.5%61.5%67.4%9761,530
New Mexico, Old Weighting Method200763.2%60.3%65.9%1,0581,668
New Mexico, Old Weighting Method200866.1%63.4%68.7%1,0641,678
New Mexico, Old Weighting Method200967.6%65.4%69.7%1,6892,550
New Mexico, Old Weighting Method201068.6%66.2%70.8%1,4992,225
New Mexico, New Weighting Method201169.2%67.0%71.3%1,8312,627
New Mexico, New Weighting Method201270.8%68.6%73.0%1,6862,392
New Mexico, New Weighting Method201368.7%66.0%71.2%1,7032,480
New Mexico, New Weighting Method201470.3%67.8%72.7%1,8452,656
New Mexico, New Weighting Method201572.7%69.6%75.6%1,5462,120
New Mexico, New Weighting Method201672.6%69.9%75.2%1,3961,964
New Mexico, New Weighting Method201773.0%70.2%75.7%1,5732,135
U.S., Old Weighting Method200162.3%
U.S., Old Weighting Method200263.0%
U.S., Old Weighting Method200364.7%
U.S., Old Weighting Method200464.7%
U.S., Old Weighting Method200565.9%
U.S., Old Weighting Method200666.9%
U.S., Old Weighting Method200767.3%
U.S., Old Weighting Method200866.9%
U.S., Old Weighting Method200968.5%
U.S., Old Weighting Method201068.8%
U.S., New Weighting Method201169.6%69.1%70.1%143,073
U.S., New Weighting Method201268.3%67.8%68.8%140,103
U.S., New Weighting Method201368.4%67.9%68.9%140,851
U.S., New Weighting Method201469.3%68.8%69.8%143,522
U.S., New Weighting Method201571.9%71.4%72.4%132,781
U.S., New Weighting Method201672.4%71.9%72.9%156,325

Data Notes

Question 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.   Estimates for 2011 and forward should not be compared to earlier years (please refer to Data Interpretation Issues, below).

Data Sources

  • Behavioral 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/]


Percentage of New Mexico Adults Age 65+ Who Have Ever Had a Pneumonia Vaccination by County, New Mexico, 2013-2017

::chart - missing::
confidence limits

CountyPercentage ImmunizedLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 34
Bernalillo76.4%73.5%79.1%1,1341,456
Catron47.4%34.6%60.5%3569
Chaves68.6%63.1%73.7%286405
Cibola71.2%63.7%77.7%276396
Colfax68.4%58.2%77.1%77116
Curry66.2%59.1%76.2%168249
De Baca**Rate was suppressed due to small sample size.33
Dona Ana69.7%66.3%72.8%7561,059
Eddy66.5%60.8%71.7%276407
Grant70.4%63.7%76.3%168244
Guadalupe**Rate was suppressed due to small sample size.26
Harding**Rate was suppressed due to small sample size.11
Hidalgo**Rate was suppressed due to small sample size.33
Lea59.7%53.2%66.0%187303
Lincoln61.4%54.8%67.6%181289
Los Alamos86.0%76.1%92.2%90105
Luna60.2%51.2%68.6%103163
McKinley65.3%59.0%71.1%331485
Mora**Rate was suppressed due to small sample size.40
Otero70.9%65.3%75.8%301417
Quay60.6%49.3%70.8%6397
Rio Arriba70.0%63.1%76.2%242331
Roosevelt65.3%56.0%73.6%87135
Sandoval80.6%75.0%85.2%365470
San Juan70.3%67.1%73.3%1,2251,695
San Miguel67.0%57.7%75.1%122185
Santa Fe70.9%67.5%74.2%7371,045
Sierra68.7%59.4%76.7%104152
Socorro69.4%55.2%80.7%6693
Taos66.4%59.2%72.9%175266
Torrance70.1%52.6%83.2%4559
Union**Rate was suppressed due to small sample size.45
Valencia74.0%65.8%80.8%254317
New Mexico71.4%70.2%72.6%8,06311,355

Data Notes

Question 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 Sources

  • Behavioral 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/]


Percentage of New Mexico Adults Age 65+ Who Have Ever Had a Pneumonia Vaccination by Race/Ethnicity, New Mexico, 2013-2017

::chart - missing::
confidence limits

Race/EthnicityPercentage ImmunizedLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 5
American Indian/Alaska Native68.3%62.4%73.6%341508
Asian/Pacific Islander**Rate was suppressed due to small sample size.42
Black/African American63.2%51.5%73.6%62109
Hispanic64.4%61.7%67.1%1,6112,490
White75.5%74.2%76.7%5,8187,901

Data Notes

Question 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.   **Note: Percentages based on fewer than 50 completed surveys are not shown because they do not meet the DOH standard for data release. Data are provisional for race/ethnicity views.

Data Source

Behavioral 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.


Percentage of New Mexico Adults Age 65+ Who Have Ever Had a Pneumonia Vaccination by U.S. States, 2016

::chart - missing::
confidence limits

StatePercentage ImmunizedLower LimitUpper LimitDenom- inator
Record Count: 52
Alabama71.1%68.7%73.5%2,125
Alaska69.8%64.3%75.3%725
Arizona73.4%71.5%75.3%4,717
Arkansas72.4%69.5%75.3%2,350
California72.4%69.9%74.9%2,373
Colorado79.1%77.6%80.6%4,488
Connecticut73.4%71.6%75.2%3,797
Delaware75.1%72.1%78.1%1,298
District of Columbia64.4%60.7%68.1%946
Florida65.6%63.7%67.5%13,542
Georgia72.3%69.7%74.9%1,826
Hawaii67.6%64.8%70.4%2,479
Idaho71.8%69.1%74.5%1,926
Illinois69.6%66.7%72.5%1,489
Indiana73.3%71.5%75.1%4,228
Iowa76.3%74.3%78.3%2,563
Kansas74.9%73.3%76.5%3,898
Kentucky72.6%70.3%74.9%3,115
Louisiana73.1%70.2%76.0%1,887
Maine76.7%74.8%78.6%3,640
Maryland75.3%73.7%76.9%6,065
Massachucetts76.4%73.7%79.1%2,357
Michigan71.8%70.0%73.6%3,734
Minnesota77.9%76.5%79.3%4,654
Mississippi65.6%62.6%68.6%1,649
Missouri75.4%73.1%77.7%2,714
Montana73.3%70.7%75.9%2,170
Nebraska75.9%74.2%77.6%5,060
Nevada65.9%61.9%69.9%1,384
New Hampshire79.7%77.7%81.7%2,268
New Jersey66.5%63.3%69.7%2,298
New Mexico72.6%69.9%75.3%1,964
New York69.3%67.2%71.4%10,396
North Carolina73.4%70.9%75.9%1,801
North Dakota74.9%72.6%77.2%1,950
Ohio74.7%72.8%76.6%4,426
Oklahoma77.5%75.5%79.5%2,607
Oregon76.5%74.1%78.9%1,564
Pennsylvania74.8%72.1%77.5%1,765
Rhode Island75.9%73.3%78.5%1,720
South Carolina71.4%69.6%73.2%4,170
South Dakota75.8%72.4%79.2%1,992
Tennessee74.1%71.5%76.7%1,962
Texas71.3%68.1%74.5%4,227
Utah74.3%72.2%76.4%2,972
Vermont76.8%74.4%79.2%2,037
Virginia75.9%73.8%78.0%2,735
Washington76.3%74.7%77.9%4,750
West Virginia72.7%70.6%74.8%2,147
Wisconsin79.4%76.9%81.9%1,619
Wyoming70.3%67.2%73.4%1,756
United States72.4%71.9%72.9%156,325

Data Notes

Question 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.

Data Source

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/]

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

Page Content Updated On 01/31/2019, Published on 01/31/2019
The information provided above is from the New Mexico Department of Health's NM-IBIS web site (http://ibis.health.state.nm.us). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Thu, 17 October 2019 from New Mexico Department of Health, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.nm.us".

Content updated: Thu, 31 Jan 2019 16:32:01 MST