- Tyler Lawrence, PhD, Behavioral Health Faculty, Sea Mar Marysville Family Medicine Residency, Marysville, WA.
- Max Zubatsky, PhD, Associate Professor, Saint Louis University, Department of Family and Community Medicine, St. Louis, MO.
- Dixie Meyer, PhD, Associate Professor, Saint Louis University, Department of Family and Community Medicine, St. Louis, MO.
Evidence suggests mental health diagnoses are associated with an increased likelihood of not having an influenza vaccine. However, little is known about this association in older adult primary care patients, a population vulnerable to flu-related sickness, hospitalization, and death. The purpose of this study was to determine the association between flu vaccine receipt in patients 65 to 80 years old and a depression and/or anxiety in a primary care setting. This study used a cross-sectional analysis of a retrospective cohort of EHR data from 4,102 patients who had a primary care appointment between July 2008 and June 2016. Conference attendees will learn the results of this study, including that adjusted analyses supported that any mental health diagnosis were associated with greater odds of vaccination in the total sample (aOR=1.47) and in a subset with physical comorbidities (aOR=1.77). No evidence for a relationship between mental health diagnosis and vaccination was found in the subset without physical comorbidities. The results highlight the prevalence of mental health concerns in primary care settings and the complex interplay between mental health, social determinants of health, and health behaviors. Results also provide further evidence for the comorbid relationship of mental and physical health which supports the role of behavioral health providers in primary care settings. This poster will directly address the conference theme social determinants of health by describing how racial and socioeconomic factors, as well as mental health factors, impact primary care patient’s health behaviors. The target audience for this poster will include integrated behavioral health, medical providers, or those in public health interested in learning about the interconnectedness of mental health, social determinants of health, and health behaviors. While study methodology may be more pertinent to those with an intermediate or advance content knowledge, the results summary will be applicable to all audience members.
- Describe the relationship between mental health diagnoses and influenza vaccine receipt among older adults.
- Discuss the relationship social determinants health and health behaviors.
- Identify how results from an original study further support the integration of behavioral health providers into primary care settings.