Indicator 10: Ever Had Pneumonia Vaccine

• Influenza and pneumonia kill thousands of older adults annually even though both diseases are largely preventable through vaccination. An average of 36,000 people, the majority of whom are aged 65 years or older, die annually from influenza and its complications, and about half of the 5,000 annual deaths from invasive pneumococcal disease occur in this age group.(1)
• Major racial and ethnic disparities have been reported for these two indicators. Hispanics and non-Hispanic blacks have the lowest rates of influenza and pneumonia vaccinations.
• Call to action:
  • Promoting healthy behaviors among older adults
  • Increasing older adults use of clinical preventive services
  • Increasing adult immunizations in racial/ethnic minority populations

Location Data C.I.* Rank† Grade‡ United States 64.7 n/a n/a n/a Alabama 60.1 (56.4 - 63.8) 44 Alaska 57.2 (48.7 - 65.4) 50 Arizona 68.6 (64.2 - 72.7) 10 Arkansas 62.0 (58.7 - 65.2) 40 California 63.6 (59.3 - 67.6) 35 Colorado 70.1 (66.5 - 73.5) 5 Connecticut 67.8 (65.0 - 70.5) 13 Delaware 66.3 (62.1 - 70.2) 18 District of Columbia 51.4 (46.0 - 56.7) 51 Florida 64.3 (61.5 - 67.1) 29 Georgia 59.4 (55.4 - 63.4) 47 Hawaii§ 69.4 (65.3 - 73.2) 8 Idaho 60.1 (56.6 - 63.6) 44 Illinois 58.3 (54.5 - 62.0) 48 Indiana 62.1 (59.2 - 64.9) 39 Iowa 68.2 (65.2 - 71.0) 11 Kansas 62.5 (60.3 - 64.8) 38 Kentucky 57.7 (54.2 - 61.1) 49 Louisiana 67.4 (64.7 - 70.0) 14 Maine 65.6 (61.8 - 69.3) 23 Maryland 64.0 (59.8 - 68.0) 32 Massachusetts 65.3 (62.2 - 68.3) 25 Michigan 60.0 (56.8 - 63.1) 46 Minnesota 67.9 (64.5 - 71.1) 12 Mississippi 64.5 (61.4 - 67.5) 28 Missouri 67.1 (63.6 - 70.4) 15 Montana 71.6 (68.1 - 74.8) 1 Nebraska 65.7 (63.2 - 68.1) 22 Nevada 66.7 (61.0 - 72.0) 17 New Hampshire 66.8 (63.5 - 69.9) 16 New Jersey 64.3 (62.2 - 66.3) 29 New Mexico 64.6 (61.8 - 67.4) 27 New York 63.0 (59.6 - 66.2) 37 North Carolina 64.3 (62.2 - 66.2) 29 North Dakota 70.3 (66.5 - 73.9) 3 Ohio 61.0 (56.3 - 65.6) 43 Oklahoma 70.0 (67.6 - 72.2) 6 Oregon 69.4 (66.3 - 72.4) 8 Pennsylvania 63.9 (61.2 - 66.6) 34 Rhode Island 70.0 (66.3 - 73.5) 6 South Carolina 64.0 (61.1 - 66.7) 32 South Dakota 66.2 (63.5 - 68.7) 19 Tennessee 63.5 (59.6 - 67.3) 36 Texas 61.4 (58.0 - 64.7) 42 Utah 65.8 (62.0 - 69.4) 20 Vermont 65.6 (63.0 - 68.2) 23 Virginia 61.6 (57.3 - 65.8) 41 Washington 65.8 (63.9 - 67.6) 20 West Virginia 64.7 (61.1 - 68.2) 26 Wisconsin 70.3 (66.7 - 73.7) 3 Wyoming 70.7 (67.3 - 73.9) 2

Make comparisons Healthy People 2010 Targets

= Upper Third (top performing 33%)   = Middle Third (middle 33%)   = Lower Third (lowest performing 33%)         * A confidence interval (CI) describes the level of uncertainty of an estimate and specifies the range in which the true value is likely to fall. The State of Aging and Health in America online report uses a 95% level of significance, which means that 95% of the time, the true value falls within these boundaries.         † Rankings are based on the relative numeric scores for each indicator, with a ranking of "1" indicating the highest rank.         ‡ Grades are calculated as tertiles (thirds) and show state performance relative to all other states.         § 2003 data are used for Hawaii because no 2004 data exist.           Note: When comparing prevalence of variables across states or years, we recommend the use of confidence intervals. If the confidence intervals overlap, the difference is not statistically significant.