TY - JOUR
T1 - Pneumococcal vaccination in low-income latinos
T2 - An unexpected trend in oregon community health centers
AU - Heintzman, John
AU - Bailey, Steffani R.
AU - Cowburn, Stuart
AU - Dexter, Eve
AU - Carroll, Joseph
AU - Marino, Miguel
N1 - Publisher Copyright:
© Meharry Medical College.
PY - 2016/11
Y1 - 2016/11
N2 - 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.
AB - 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.
KW - Community health centers
KW - Health disparities
KW - Latino/as
KW - Pneumococcal vaccination
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U2 - 10.1353/hpu.2016.0159
DO - 10.1353/hpu.2016.0159
M3 - Article
C2 - 27818435
AN - SCOPUS:84994602799
SN - 1049-2089
VL - 27
SP - 1733
EP - 1744
JO - Journal of health care for the poor and underserved
JF - Journal of health care for the poor and underserved
IS - 4
ER -