Promoting Wisconsin Influenza Vaccine Equity Through Pharmacy Engagement.

Area of Science:

• Public Health
• Epidemiology
• Health Equity

Background:

• Wisconsin's influenza immunization rates are below target (38% in 2022-2023).
• Vaccination rates show disparities across demographics and geography.
• Pharmacists are key to addressing vaccine access and equity.

Purpose of the Study:

• To analyze influenza vaccination data in Wisconsin for the 2022-2023 season.
• To determine the proportion of vaccinations administered by pharmacies.
• To identify barriers and facilitators to pharmacy-based influenza vaccination equity.

Main Methods:

• Analysis of Wisconsin Immunization Registry data by demographic and geographic subgroups.
• Focus groups to explore pharmacy roles in vaccine equity.
• Thematic content analysis of qualitative data.

Main Results:

• 30.6% of influenza vaccinations were administered at pharmacies.
• Vaccination rates varied by sex, age, race, and ethnicity, with lower rates in most minority groups.
• Barriers included vaccine burnout and staffing shortages; promotors included trusted messengers and improved access.

Conclusions:

• Persistent disparities in influenza vaccination exist in Wisconsin.
• Understanding patient and provider factors is crucial for improving vaccination rates and equity.