Bergen County Public Health Profile Report
Immunizations - Pneumoccocal Vaccination: Estimated Percent, 2015
Bergen70.2% 95% Confidence Interval(59.1% - 79.4%)Description of the Confidence IntervalThe confidence interval indicates the range of probable true values for the level of risk in the community.
A value of "NA" (Not Available) will appear if the confidence interval was not published with the NJSHAD indicator data for this measure.
State65.1% U.S. NANA=Data not available.
Bergen Compared to State
Description of Gauge
Description of the GaugeThis graphic is based on the county data to the left. It compares the county value of this indicator to the state overall value.
The county value is considered statistically significantly different from the state value if the state value is outside the range of the county's 95% confidence interval. If the county's data or 95% confidence interval information is not available, a blank gauge image will be displayed with the message, "missing information."NOTE: The labels used on the gauge graphic are meant to describe the county's status in plain language. The placement of the gauge needle is based solely on the statistical difference between the county and state values. When selecting priority health issues to work on, a county should take into account additional factors such as how much improvement could be made, the U.S. value, the statistical stability of the county number, the severity of the health condition, and whether the difference is clinically significant.
- Excellent = The county's value on this indicator is BETTER than the state value, and the difference IS statistically significant.
- Watch = The county's value is BETTER than state value, but the difference IS NOT statistically significant.
- Improvement Needed = The county's value on this indicator is WORSE than the state value, but the difference IS NOT statistically significant.
- Reason for Concern = The county's value on this indicator is WORSE than the state value, and the difference IS statistically significant.
Why Is This Important?Pneumococcal disease is a serious infection of the lungs, blood or outer lining of the brain. High death rates from pneumonia persist despite the existence of an effective vaccine against pneumococcus. (Note that not all pneumonia is caused by pneumococcus.). Relatively low rates of pneumococcal vaccination, particularly among the non-Hispanic Black population, are related to the high volume of deaths. Persons living in institutional settings are at particularly high risk.
How Are We Doing?Lifetime pneumococcal vaccination rates for adults 65+ have significantly improved since 1999. The 1999 rate was 55%% (95% confidence interval, 50%-60%%) and by 2015 it had increased to 65% (61.6%-64.4%). However, due to a change in the BRFSS methodology in 2011, it is not possible to know if this is a significant change from 2010.
What Is Being Done?Since 1998, NJDOH has adopted regulations requiring nursing homes to offer pneumococcal and influenza immunizations to all residents, and for hospitals to offer them to seniors who have been admitted for treatment. Education and outreach methods have also been made throughout the state.
Healthy People Objective IID-13.1:Increase the percentage of adults who are vaccinated against pneumococcal disease: Noninstitutionalized adults aged 65 years and older
U.S. Target: 90 percent
State Target: To be determined
NoteStarting in 2011, BRFSS protocol requires that the NJBRFS incorporate a fixed quota of interviews from cell phone respondents along with a new weighting methodology called iterative proportional fitting or "raking". The new weighting methodology incorporates additional demographic information (such as education, race, and marital status) in the weighting process. These methodological changes were implemented to account for the underrepresentation of certain demographic groups in the land line sample (which resulted in part from the increasing number of U.S. households without land line phones). Comparisons between 2011 and prior years should therefore be made with caution. (More details about these changes can be found at http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6122a3.htm.)
Data SourcesBehavioral Risk Factor Survey, Center for Health Statistics, New Jersey Department of Health, [http://www.state.nj.us/health/chs/njbrfs/]
Measure Description for Immunizations - Pneumoccocal Vaccination
Definition: Percentage of adults age 65+ who reported ever receiving a pneumococcal vaccination in their lifetime.
Numerator: Number of survey respondents age 65+ who reported ever receiving a pneumococcal vaccine anytime during their life
Denominator: Number of survey respondents age 65+