| Titre : | The science of eliminating health disparities. Racial Disparities in Receipt of Influenza and Pneumococcus Vaccinations Among US Nursing-Home Residents. (2010) |
| Auteurs : | . YUE LI ; Howard-K KOH ; Dana-B MUKAMEL ; Juleigh-M NOWINSKI ; RUFFIN (John) : USA. National Center on Minority Health and Health Disparities. National Institutes of Health. Bethesda. MD. ; Health Policy Research Institute and the Department of Medicine. University of California. Irvine. USA ; Office of the Assistant Secretary for Health. Office of the Secretary. Department of Health and Human Services. Washington. DC. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 100, 2010) |
| Pagination : | S256-S262 |
| Langues: | Anglais |
| Mots-clés : | Race ; Grippe ; Prévention santé ; Vaccination ; Long séjour ; Maison retraite ; Homme ; Virose ; Infection ; Bactérie ; Bénéficiaire |
| Résumé : | [BDSP. Notice produite par INIST-CNRS I7JkBR0x. Diffusion soumise à autorisation]. Objectives. We examined racial disparities in receipt and documentation of influenza and pneumococcus vaccinations among nursing-home residents. Methods. We performed secondary analyses of data from a nationally representative survey of White (n=11448) and Black (n=1174) nursing-home residents in 2004. Bivariate and multivariate analyses determined racial disparities in receipt of influenza vaccination in 2003 and 2004, receipt of pneumococcus vaccination ever, and having a documented history for each vaccination. Results. The overall vaccination rate was 76.2% for influenza and 48.5% for pneumococcus infection. Compared with Whites, Blacks showed a 13% lower vaccination rate and a 5% higher undocumentation rate for influenza, and a 15% lower vaccination rate and a 7% higher undocumentation rate for pneumococcus. For influenza, the odds ratio (OR) for Blacks being unvaccinated was 1.84 (P<=001), and the OR for Blacks having undocumented vaccination was 1.85 (P=001). For pneumococcus infection, the OR for Blacks being unvaccinated was 1.70 (P<=001), and the OR for Blacks having undocumented vaccination was 1.95 (P<=001). Stratified analyses confirmed persistent racial disparities among subpopulations. Conclusions. Racial disparities exist in vaccination coverage among US nursing-home residents. Targeted interventions to improve vaccination coverage for minority nursing-home residents are warranted. |
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