Racial/Ethnic Differences in Adult Vaccination Among Individuals With Diabetes
Leonard E. Egede, MD, MS and
Deyi Zheng, PhD, MB
Leonard E. Egede is with the Department of Medicine and Deyi Zheng is with the Department of Biometry and Epidemiology, Medical University of South Carolina, Charleston, SC.
Correspondence: Requests for reprints should be sent to Leonard E. Egede, MD, MS, Medical University of South Carolina, Division of General Internal Medicine and Geriatrics, 326 Calhoun St, PO Box 250100, Charleston, SC 29401 (e-mail: egedel{at}musc.edu).
Objectives. This study examined whether differences in accessto health care, health coverage, and socioeconomic status (SES)explained racial differences in influenza and pneumococcal vaccinationrates in individuals with diabetes.
Methods. We analyzed data on 1906 individuals from the 1998National Health Interview Survey. We used multiple logisticregression to adjust for race/ethnicity, age, access to care,health insurance, and SES, and used SUDAAN for statistical analysesto yield national estimates.
Results. Whites had higher vaccination rates than did AfricanAmericans or Hispanics. After adjustment for covariates, race/ethnicitypredicted receipt of both vaccines independent of age, accessto care, health care coverage, and SES.
Conclusions. Racial disparity in vaccination rates for adultswith diabetes is independent of access to care, health carecoverage, and SES. (Am J Public Health. 2003;93:324329)
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