Influenza and pneumococcal vaccination delivery in older Hispanic populations in the United States.
Influenza and pneumococcal vaccination delivery in older Hispanic populations in the United States.
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DOI：
10.1111/jgs.17589
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发表时间：
2022-03
影响因子：
6.3
通讯作者：
Marino, Miguel
中科院分区：
文献类型：
--
作者：
Heintzman, John;Hwang, Jun;Quinones, Ana R.;Guzman, Cirila Estela Vasquez;Bailey, Steffani R.;Lucas, Jennifer;Giebultowicz, Sophia;Chan, Brian;Marino, Miguel
国家报告表明，西班牙裔患者可能没有充分利用流感和肺炎球菌疫苗接种，尽管研究有时在这一点上存在冲突。更清楚地了解老年西班牙裔患者的成人免疫接种利用情况，对于确保成人疫苗接种的公平性是必要的。使用来自21个州的648个社区卫生中心（CHC）的电子健康记录，我们比较了2012-2017年期间年龄≥50岁的英语偏好西班牙裔患者，西班牙裔患者和非西班牙裔白色（NHW）成年人的五种结局：1）65岁以后接受肺炎球菌疫苗接种的几率，2）≥ 65岁的人接受≥2次肺炎球菌疫苗接种的几率，3）50至64岁糖尿病或心脏病患者接种疫苗的几率，4）流感疫苗的几率，5）流感疫苗的年接种率。在我们的总研究样本（N= 143，869）中，整个研究期间有85，562例年龄在50-64岁之间，65，977例在研究期间的某个时间点≥65岁。在50-64岁的患者中，偏好西班牙语的西班牙裔患者更有可能接种过流感疫苗（协变量调整比值比[aOR]=1.33，95% CI=1.29-1.37），每年流感疫苗接种率较高（协变量调整率比[aRR]=1.41，95%CI =1.38-1.44），肺炎球菌疫苗接种的几率（aOR=1.87，95%CI =1.76-1.98）高于NHW患者。这些结果在≥65岁的西班牙语偏好西班牙裔患者中相似。与NHW患者相比，英语偏好≥65岁的西班牙裔患者接种流感疫苗的可能性较低（aOR=0.91，95% CI=0.85-0.98），并且曾经接受过至少一次（aOR=0.92，95% CI=0.86-0.99）或两次（aOR=0.86，95% CI=0.77-0.95）肺炎球菌疫苗接种。在一个多州的CHC网络中，偏好西班牙语的西班牙裔患者比NHW患者更有可能接受流感和肺炎球菌疫苗接种;偏好英语的老年西班牙裔患者往往比NHW患者接受这些疫苗接种的可能性更小。在疫苗接种计划中，偏好英语的西班牙裔患者可能面临更高的疫苗接种不公平风险。
National reports suggest that Hispanic patients may underutilize influenza and pneumococcal vaccination, although studies sometimes conflict on this point. A clearer picture of adult immunization utilization in older Hispanic patients is necessary to ensure equity in adult vaccinations. Using electronic health records from 648 community health centers (CHCs) across 21 states, we compared English-preferring Hispanic patients, Spanish-preferring Hispanic patients, and Non-Hispanic White (NHW) adults aged ≥50 years across five outcomes between 2012–2017: 1) Odds of ever receiving pneumococcal vaccination after age 65, 2) Odds of ever receiving ≥2 pneumococcal vaccinations for those ≥ 65, 3) odds of vaccination between the ages of 50 and 64 for those with diabetes or heart disease, 4) odds of influenza vaccine, and 5) annual rate of influenza vaccination. Of our total study sample (N=143,869), 85,562 were age 50–64 during the entire study period, and 65,977 were ≥65 at some point during the study period. In patients aged 50–64, Spanish-preferring Hispanic patients were more likely to have ever had an influenza vaccination (covariate-adjusted odds ratio [aOR]=1.33, 95% CI=1.29–1.37), had higher rates of annual influenza vaccination (covariate-adjusted rate ratio [aRR]=1.41, 95% CI=1.38–1.44), and higher odds of pneumococcal vaccination (aOR=1.87, 95% CI=1.76–1.98) than NHW patients. These findings were similar in Spanish-preferring Hispanic patients ≥65. English-preferring Hispanics ≥65 were less likely than NHW patients to ever have an influenza vaccination (aOR=0.91, 95% CI=0.85–0.98) and to have ever received at least one (aOR=0.92, 95% CI=0.86–0.99) or two (aOR=0.86, 95% CI=0.77–0.95) pneumococcal vaccine doses. In a multistate CHC network, Spanish-preferring Hispanic patients were more likely to receive influenza and pneumococcal vaccinations than NHW patients; older English-preferring Hispanic patients were often less likely than NHW patients to receive these vaccinations. In vaccine initiatives, English-preferring Hispanic patients may be at higher risk of vaccination inequity.
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影响因子：
3.7
作者：
Lu D;Qiao Y;Brown NE;Wang J
通讯作者：
Wang J
DOI：
10.3122/jabfm.2020.05.190468
发表时间：
2020-09
期刊：
Journal of the American Board of Family Medicine : JABFM
影响因子：
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作者：
Heintzman J;Kaufmann J;Lucas J;Suglia S;Garg A;Puro J;Giebultowicz S;Ezekiel-Herrera D;Bazemore A;Marino M
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3.3
作者：
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通讯作者：
Bridges, Carolyn
影响因子：
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作者：
Huguet, Nathalie;Kaufmann, Jorge;Marino, Miguel
通讯作者：
Marino, Miguel
影响因子：
5.9
作者：
Costas-Muniz, Rosario;Jandorf, Lina;DuHamel, Katherine
通讯作者：
DuHamel, Katherine