Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jan-Dec:14:21501319231191681.
doi: 10.1177/21501319231191681.

Joint Prevalence of Influenza Preventive Behaviors Among Adults-United States, 2020

Bryant J Webber  1 , Anne G Wheaton  1 , Peng-Jun Lu  2 , Geoffrey P Whitfield  1
Affiliations

Joint Prevalence of Influenza Preventive Behaviors Among Adults-United States, 2020

Bryant J Webber et al. J Prim Care Community Health. 2023 Jan-Dec.

Abstract

Introduction/objectives: The Centers for Disease Control and Prevention recognizes routine vaccination, sufficient sleep, and adequate physical activity as behavioral approaches to reduce the incidence of influenza. We aimed to determine the joint national prevalence of these health behaviors among U.S. adults, which has not been reported.

Methods: We used the 2020 National Health Interview Survey to assess prevalence of receiving influenza vaccination in the past 12 months, obtaining sufficient sleep, and achieving adequate physical activity among U.S. adults (n = 30,312). We calculated the joint prevalence overall and by sociodemographic and health-related variables.

Results and conclusions: The overall joint prevalence was 8.5% (95% CI, 8.0-9.0). Prevalence was lower among older persons (vs younger); Hispanic and non-Hispanic Black persons (vs non-Hispanic White); current and former smokers (vs never smokers); postpartum women (vs neither pregnant nor postpartum); and those with a history of coronary heart disease, hypertension, stroke, diabetes, and chronic obstructive pulmonary disease (vs not having those respective condition). In addition to recommending annual vaccination, primary care providers might encourage sufficient sleep and adequate physical activity-especially among patients who have increased risk for influenza complications and are less likely to achieve these behaviors.

Keywords: disease management; health promotion; lifestyle change; physical activity; prevention.

PubMed Disclaimer

Conflict of interest statement

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

References

    1. Centers for Disease Control and Prevention. Disease burden of flu. March 2, 2023. Updated October 4, 2022. Accessed March 2, 2023. https://www.cdc.gov/flu/about/burden/index.html
    1. Putri WCWS, Muscatello DJ, Stockwell MS, Newall AT. Economic burden of seasonal influenza in the United States. Vaccine. 2018;36(27):3960-3966. doi:10.1016/j.vaccine.2018.05.057 - DOI - PubMed
    1. Centers for Disease Control and Prevention. Healthy habits to help protect against flu. Updated August 26, 2021. Accessed January 12, 2023. https://www.cdc.gov/flu/prevent/actions-prevent-flu.htm
    1. National Center for Health Statistics. NHIS data, questionnaires and related documentation. Updated February 8, 2022. Accessed June 5, 2022. https://www.cdc.gov/nchs/nhis/data-questionnaires-documentation.htm
    1. National Center for Health Statistics. 2020. National Health Interview Survey (NHIS) survey description. March 27, 2023. Updated September 2021. Accessed March 27, 2023. https://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/NHI...