Racial Disparities in Adult Pneumococcal Vaccination Indications and Pneumococcal Hospitalizations in the US
Racial Disparities in Adult Pneumococcal Vaccination Indications and Pneumococcal Hospitalizations in the US
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DOI：
10.1016/j.jnma.2019.04.011
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发表时间：
2019-10-01
影响因子：
3.3
通讯作者：
Smith, Kenneth J.
中科院分区：
文献类型：
--
作者：
Nowalk, Mary Patricia;Wateska, Angela R.;Smith, Kenneth J.
背景：美国成人肺炎球菌疫苗接种率的种族差异尽管降低了获得的障碍，但仍然存在。因此，少数种族和族裔患肺炎球菌病的比率高于白人。本研究调查了美国黑人和非黑人50岁人群中高危疾病和肺炎球菌住院的流行情况。方法：全国健康访谈调查。使用国家卫生统计中心和国家住院患者样本数据创建黑人和非黑人人群队列，确定肺炎球菌疾病的危险因素（肺炎球菌疫苗指征）并评估肺炎球菌住院的影响。每个种族队列根据免疫功能低下和其他肺炎球菌高危条件的存在进行分组。没有这些条件的人被分为吸烟者（也是肺炎球菌疫苗指征）和不吸烟者。死亡率根据NCHS生命表数据估计。国家信息系统的数据提供了与肺炎球菌病（包括菌血症、脑膜炎和非菌性肺炎）有关的住院时间和费用（根据费用与收费比率计算）。结果：免疫功能低下(
Background: Racial disparities in U.S. adult pneumococcal vaccination rates persist despite reduced barriers to access. Consequently, racial and ethnic minorities experience pneumococcal disease at higher rates than whites. This study examined prevalence of high-risk conditions and pneumococcal hospitalizations among U.S. black and non-black populations aged >= 50 years.Methods: National Health Interview Survey. National Center for Health Statistics and National Inpatient Sample data were used to create black and non-black population cohorts, determine risk factors for pneumococcal disease (pneumococcal vaccine indications) and assess the impact of pneumococcal hospitalization. Each racial cohort was segmented into groups based on the presence of immunocompromising a other pneumococcal high-risk conditions. Persons without those conditions were separated into smokers (also a pneumococcal vaccine indication) and nonsmokers. Mortality was estimated from NCHS life table data. NIS data provided length of stay and costs (calculated from cost to charge ratios) for admissions related to pneumococcal disease including bacteremia, meningitis and nonbacteremic pneumonia.Results: There were similar proportions of immunocompromised (