Pneumococcal vaccination in low-income latinos: An unexpected trend in oregon community health centers

John Heintzman, Steffani R. Bailey, Stuart Cowburn, Eve Dexter, Joseph Carroll, Miguel Marino

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)1733-1744
Number of pages12
JournalJournal of health care for the poor and underserved
Issue number4
StatePublished - Nov 2016


  • Community health centers
  • Health disparities
  • Latino/as
  • Pneumococcal vaccination

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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