Abstract 13632: The Relationship Between Health Information Technology Use and Pneumococcal Vaccine Uptake in Adults With Heart Disease

Abstract

Introduction: Health information technology (HIT) has been shown to influence medication adherence and healthy behaviors. This influence may increase the uptake of vaccines especially in high risk groups. Hypothesis: HIT use may be associated with increase pneumococcal vaccine uptake in adults ≥ 40 years with heart disease. Methods: Using the National Health Interview Survey data, 2,134 united states adults ≥ 40 years with heart disease were analyzed in this cross-sectional study. The independent variables were: Use of the internet to (1) to look up health information (2) to fill a prescription and (3) to schedule a medical appointment and use of an email (4) to communicate with a healthcare provider, which were dichotomous. The dependent variable was pneumococcal vaccine uptake which was also dichotomous. Chi-square analysis was used to identify group differences. Multiple logistic regression was used to analyze the association between HIT utilization and pneumococcal vaccine uptake. Results: Those who use the internet to fill up prescription and to communicate with their healthcare provider were more likely to take up the PCV [AOR 1.56; 95% CI 1.03, 2.37, p =.035] and [AOR 1.95; 95% CI 1.23, 3.10, p =.005] respectively. Compared to those who did not use HIT in any form, those who used HIT in at least three or four forms had a higher PCV uptake [AORs 1.93; 95% CI 1.19, 3.13, p-value .008] and [AOR 2.33 95% CI 1.22, 4.47, p-value .011] respectively. Conclusions: Our analysis shows a positive association of HIT utilization and pneumococcal vaccine uptake. It further stresses the importance of electronic health in preventive medicine. Larger studies should evaluate the relationship between different uses of health information technology and different vaccines uptake.