​Summary: The Asian population comprises the third-largest ethnic minority in the state of California. However, influenza vaccination coverage amongst the overall Asian population, and first- and third-generation Asians have not been widely studied. Previous literature exploring generational status as a corelate of influenza immunization amongst Mexican identified Latino adults confirms disparities in influenza vaccination coverage by generation.

This study aims to report on the prevalence of influenza vaccination coverage amongst the overall first- and third-generation Asians in California and examine the correlates of influenza vaccination coverage in the aforementioned population. This study used data from the 2016 the California Health Interview Survey (CHIS).

Findings: The first generation comprised the highest proportion of the Asian ethnic group. Influenza vaccination coverage was reported as 61.2% amongst the overall, 61.1% amongst the first generation and 70.9% amongst the third generation, respectively. All predictor variables were significant amongst the first generation, however amongst the third generation, all variables except for location and living in a household of 3 and more, were significant predictors of influenza vaccination coverage.

Compared to the other ethnic groups in California, the Asian respondents reported a higher percentage of influenza vaccination coverage. Influenza vaccination coverage was the highest amongst the third-generation Asians. Increased influenza vaccination coverage amongst the Asian ethnic group can be ascribed to higher educational attainment, a higher proportion choosing to visit a doctor as well as increased insurance coverage.

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• Journal Article: Prevalence of Influenza Vaccination Coverage Amongst the First and Third Generation Asian Adults in California, United States of America