Racial and Ethnic Disparities in Seasonal Influenza Vaccination among Dialysis Facilities in the United States.
Identifieur interne : 000296 ( Main/Exploration ); précédent : 000295; suivant : 000297Racial and Ethnic Disparities in Seasonal Influenza Vaccination among Dialysis Facilities in the United States.
Auteurs : John Danziger [États-Unis] ; Eric Weinhandl [États-Unis] ; David Friedman [États-Unis] ; Kenneth J. Mukamal [États-Unis]Source :
- Journal of the American Society of Nephrology : JASN [ 1533-3450 ] ; 2020.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Betacoronavirus (MeSH), Dialyse rénale (MeSH), Disparités d'accès aux soins (MeSH), Défaillance rénale chronique (thérapie), Humains (MeSH), Infections à coronavirus (épidémiologie), Pandémies (MeSH), Pneumopathie virale (épidémiologie), Population d'origine africaine (MeSH), Saisons (MeSH), Sujet âgé (MeSH), Vaccination (statistiques et données numériques), Vaccins antigrippaux (immunologie).
- MESH :
- immunologie : Vaccins antigrippaux.
- statistiques et données numériques : Vaccination.
- thérapie : Défaillance rénale chronique.
- épidémiologie : Infections à coronavirus, Pneumopathie virale.
- Adulte d'âge moyen, Betacoronavirus, Dialyse rénale, Disparités d'accès aux soins, Humains, Pandémies, Population d'origine africaine, Saisons, Sujet âgé.
English descriptors
- KwdEn :
- African Continental Ancestry Group (MeSH), Aged (MeSH), Betacoronavirus (MeSH), Coronavirus Infections (epidemiology), Healthcare Disparities (MeSH), Humans (MeSH), Influenza Vaccines (immunology), Kidney Failure, Chronic (therapy), Middle Aged (MeSH), Pandemics (MeSH), Pneumonia, Viral (epidemiology), Renal Dialysis (MeSH), Seasons (MeSH), Vaccination (statistics & numerical data).
- MESH :
- chemical , immunology : Influenza Vaccines.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- statistics & numerical data : Vaccination.
- therapy : Kidney Failure, Chronic.
- African Continental Ancestry Group, Aged, Betacoronavirus, Healthcare Disparities, Humans, Middle Aged, Pandemics, Renal Dialysis, Seasons.
Abstract
BACKGROUND
Racial and ethnic disparities in vaccination rates for seasonal influenza exist. Whether such disparities extend to patients with ESKD, who simultaneously are at risk for complications of infection and have extensive contact with health care providers, has not been investigated.
METHODS
To determine whether the proportion of patients vaccinated at a dialysis facility differs according to the facility's racial and ethnic composition, we examined dialysis facility data reported to the Centers for Medicare and Medicaid Services. The main outcome was the proportion of facility patients vaccinated for influenza among 6735 Medicare-certified facilities operating between 2014 and 2017.
RESULTS
Among dialysis facilities, the mean percentage of patients vaccinated during the influenza season was 72.1%. Facilities with higher proportions of Black and Hispanic patients had significantly lower vaccination percentages than less diverse facilities. The average proportion of patients vaccinated at each facility decreased significantly from 2014 to 2017 (a decrease of 1.05% vaccinated per year) and decreased significantly more so among facilities with higher minority proportions. The share of vaccinated patients in facilities in the quartile with the highest proportion of Black patients decreased 1.21% per year compared with a decrease of 0.88% per year in facilities in the quartile with the lowest proportion of Black patients. We found similar trends for Hispanic patients.
CONCLUSIONS
Rates of seasonal influenza vaccination are modestly but significantly lower among dialysis facilities with larger proportions of minority patients, and the gap seems to be widening over time. As wide-scale vaccination efforts grow more urgent amid the current COVID-19 pandemic, these disparities must be addressed to protect patients and communities equitably.
DOI: 10.1681/ASN.2020040483
PubMed: 32817310
PubMed Central: PMC7461680
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Mukamal</name><affiliation wicri:level="2"><nlm:affiliation>Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of the American Society of Nephrology : JASN</title><idno type="eISSN">1533-3450</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>African Continental Ancestry Group (MeSH)</term><term>Aged (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Coronavirus Infections (epidemiology)</term><term>Healthcare Disparities (MeSH)</term><term>Humans (MeSH)</term><term>Influenza Vaccines (immunology)</term><term>Kidney Failure, Chronic (therapy)</term><term>Middle Aged (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (epidemiology)</term><term>Renal Dialysis (MeSH)</term><term>Seasons (MeSH)</term><term>Vaccination (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Dialyse rénale (MeSH)</term><term>Disparités d'accès aux soins (MeSH)</term><term>Défaillance rénale chronique (thérapie)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (épidémiologie)</term><term>Pandémies (MeSH)</term><term>Pneumopathie virale (épidémiologie)</term><term>Population d'origine africaine (MeSH)</term><term>Saisons (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Vaccination (statistiques et données numériques)</term><term>Vaccins antigrippaux (immunologie)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="immunology" xml:lang="en"><term>Influenza Vaccines</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="immunologie" xml:lang="fr"><term>Vaccins antigrippaux</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Kidney Failure, Chronic</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Défaillance rénale chronique</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" xml:lang="en"><term>African Continental Ancestry Group</term><term>Aged</term><term>Betacoronavirus</term><term>Healthcare Disparities</term><term>Humans</term><term>Middle Aged</term><term>Pandemics</term><term>Renal Dialysis</term><term>Seasons</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Betacoronavirus</term><term>Dialyse rénale</term><term>Disparités d'accès aux soins</term><term>Humains</term><term>Pandémies</term><term>Population d'origine africaine</term><term>Saisons</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Racial and ethnic disparities in vaccination rates for seasonal influenza exist. Whether such disparities extend to patients with ESKD, who simultaneously are at risk for complications of infection and have extensive contact with health care providers, has not been investigated.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>To determine whether the proportion of patients vaccinated at a dialysis facility differs according to the facility's racial and ethnic composition, we examined dialysis facility data reported to the Centers for Medicare and Medicaid Services. The main outcome was the proportion of facility patients vaccinated for influenza among 6735 Medicare-certified facilities operating between 2014 and 2017.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Among dialysis facilities, the mean percentage of patients vaccinated during the influenza season was 72.1%. Facilities with higher proportions of Black and Hispanic patients had significantly lower vaccination percentages than less diverse facilities. The average proportion of patients vaccinated at each facility decreased significantly from 2014 to 2017 (a decrease of 1.05% vaccinated per year) and decreased significantly more so among facilities with higher minority proportions. The share of vaccinated patients in facilities in the quartile with the highest proportion of Black patients decreased 1.21% per year compared with a decrease of 0.88% per year in facilities in the quartile with the lowest proportion of Black patients. We found similar trends for Hispanic patients.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Rates of seasonal influenza vaccination are modestly but significantly lower among dialysis facilities with larger proportions of minority patients, and the gap seems to be widening over time. As wide-scale vaccination efforts grow more urgent amid the current COVID-19 pandemic, these disparities must be addressed to protect patients and communities equitably.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32817310</PMID><DateCompleted><Year>2020</Year><Month>09</Month><Day>07</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>16</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1533-3450</ISSN><JournalIssue CitedMedium="Internet"><Volume>31</Volume><Issue>9</Issue><PubDate><Year>2020</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Journal of the American Society of Nephrology : JASN</Title><ISOAbbreviation>J Am Soc Nephrol</ISOAbbreviation></Journal><ArticleTitle>Racial and Ethnic Disparities in Seasonal Influenza Vaccination among Dialysis Facilities in the United States.</ArticleTitle><Pagination><MedlinePgn>2117-2121</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1681/ASN.2020040483</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Racial and ethnic disparities in vaccination rates for seasonal influenza exist. Whether such disparities extend to patients with ESKD, who simultaneously are at risk for complications of infection and have extensive contact with health care providers, has not been investigated.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">To determine whether the proportion of patients vaccinated at a dialysis facility differs according to the facility's racial and ethnic composition, we examined dialysis facility data reported to the Centers for Medicare and Medicaid Services. The main outcome was the proportion of facility patients vaccinated for influenza among 6735 Medicare-certified facilities operating between 2014 and 2017.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Among dialysis facilities, the mean percentage of patients vaccinated during the influenza season was 72.1%. Facilities with higher proportions of Black and Hispanic patients had significantly lower vaccination percentages than less diverse facilities. The average proportion of patients vaccinated at each facility decreased significantly from 2014 to 2017 (a decrease of 1.05% vaccinated per year) and decreased significantly more so among facilities with higher minority proportions. The share of vaccinated patients in facilities in the quartile with the highest proportion of Black patients decreased 1.21% per year compared with a decrease of 0.88% per year in facilities in the quartile with the lowest proportion of Black patients. We found similar trends for Hispanic patients.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Rates of seasonal influenza vaccination are modestly but significantly lower among dialysis facilities with larger proportions of minority patients, and the gap seems to be widening over time. As wide-scale vaccination efforts grow more urgent amid the current COVID-19 pandemic, these disparities must be addressed to protect patients and communities equitably.</AbstractText><CopyrightInformation>Copyright © 2020 by the American Society of Nephrology.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Danziger</LastName><ForeName>John</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts jdanzige@bidmc.harvard.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Weinhandl</LastName><ForeName>Eric</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Pharmaceutical Care and Health Systems, University of Minnesota, Minneapolis, Minnesota.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Chronic Disease Research Group, Hennepin Healthcare Research Institute, Minneapolis, Minnesota.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Friedman</LastName><ForeName>David</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mukamal</LastName><ForeName>Kenneth J</ForeName><Initials>KJ</Initials><AffiliationInfo><Affiliation>Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>13</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Am Soc Nephrol</MedlineTA><NlmUniqueID>9013836</NlmUniqueID><ISSNLinking>1046-6673</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance></Chemical></ChemicalList><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D044383" MajorTopicYN="N">African Continental Ancestry Group</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D054625" MajorTopicYN="Y">Healthcare Disparities</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007252" MajorTopicYN="N">Influenza Vaccines</DescriptorName><QualifierName UI="Q000276" MajorTopicYN="Y">immunology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007676" MajorTopicYN="N">Kidney Failure, Chronic</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006435" MajorTopicYN="Y">Renal Dialysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012621" MajorTopicYN="N">Seasons</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">disparities</Keyword><Keyword MajorTopicYN="N">vaccination</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>04</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>06</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="pmc-release"><Year>2021</Year><Month>09</Month><Day>01</Day></PubMedPubDate><PubMedPubDate 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sort="Danziger, John" uniqKey="Danziger J" first="John" last="Danziger">John Danziger</name></region><name sortKey="Friedman, David" sort="Friedman, David" uniqKey="Friedman D" first="David" last="Friedman">David Friedman</name><name sortKey="Mukamal, Kenneth J" sort="Mukamal, Kenneth J" uniqKey="Mukamal K" first="Kenneth J" last="Mukamal">Kenneth J. Mukamal</name><name sortKey="Weinhandl, Eric" sort="Weinhandl, Eric" uniqKey="Weinhandl E" first="Eric" last="Weinhandl">Eric Weinhandl</name><name sortKey="Weinhandl, Eric" sort="Weinhandl, Eric" uniqKey="Weinhandl E" first="Eric" last="Weinhandl">Eric Weinhandl</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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