Pneumococcal Vaccination in Low-Income Latinos: An Unexpected Trend in Oregon Community Health Centers
Pneumococcal Vaccination in Low-Income Latinos: An Unexpected Trend in Oregon Community Health Centers
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DOI：
10.1353/hpu.2016.0159
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发表时间：
2016-11-01
影响因子：
1.4
通讯作者：
Marino, Miguel
中科院分区：
文献类型：
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作者：
Heintzman, John;Bailey, Steffani R.;Marino, Miguel
背景在横断面研究中，65岁及以上的拉丁裔和西班牙裔美国居民接受肺炎球菌疫苗接种的可能性低于非西班牙裔白人。方法.我们在23个俄勒冈州社区卫生中心对研究期间（2009-2013年; n = 1，248）年满65岁的低收入患者进行了事件发生时间队列分析。结局指标是按人种/种族、首选语言和保险状态列出的研究期间接受PPSV-23的情况。结果有保险的拉丁裔患者比有保险的非西班牙裔白人更有可能接受PPSV-23（HR = 2.05，p < .001）。未投保的拉丁裔老年人与投保的非西班牙裔白人在PPSV-23接收方面没有差异（HR = 1.26，p = .381），除非他们平均每年不到一次诊所就诊（HR = 1.80，p = .001）。结论.俄勒冈州社区卫生中心的低收入拉丁裔老年人比有保险的非西班牙裔白人更频繁地接种肺炎球菌疫苗，尽管这一发现在没有保险的拉丁裔中有所缓解。这一发现需要进一步研究，以减少整个社会的成人免疫差距。
Background. In cross-sectional studies, Latino and Spanish-speaking U.S. residents age 65 and over are less likely to receive pneumococcal vaccination than non-Hispanic Whites. Methods. We performed a time-to-event, cohort analysis, in 23 Oregon community health centers of low-income patients who turned 65 in the study period (2009-2013; n = 1,248). The outcome measure was receipt of PPSV-23 in the study period by race/ethnicity, preferred language, and insurance status. Results. Insured Latino patients were more likely to receive PPSV-23 than insured non-Hispanic Whites (HR = 2.05, p < .001). Uninsured Latino seniors showed no difference from insured non-Hispanic Whites in PPSV-23 receipt (HR = 1.26, p = .381) unless they averaged fewer than one clinic visit yearly (HR = 1.80, p = .001). Conclusions. Low-income Latino seniors in Oregon community health centers were immunized against pneumococcus more frequently than insured non-Hispanic Whites, although this finding was mitigated in Latinos without insurance. This finding needs further research in order to reduce adult immunization disparities in the society at large.