Racial Disparities in Exposure, Susceptibility, and Access to Health Care in the US H1N1 Influenza Pandemic
Identifieur interne : 000649 ( Pmc/Curation ); précédent : 000648; suivant : 000650Racial Disparities in Exposure, Susceptibility, and Access to Health Care in the US H1N1 Influenza Pandemic
Auteurs : Sandra Crouse Quinn ; Supriya Kumar ; Vicki S. Freimuth ; Donald Musa ; Nestor Casteneda-Angarita ; Kelley KidwellSource :
- American Journal of Public Health [ 0090-0036 ] ; 2011.
Abstract
Url:
DOI: 10.2105/AJPH.2009.188029
PubMed: 21164098
PubMed Central: 3020202
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Racial Disparities in Exposure, Susceptibility, and Access to Health Care in the US H1N1 Influenza Pandemic</title><author><name sortKey="Quinn, Sandra Crouse" sort="Quinn, Sandra Crouse" uniqKey="Quinn S" first="Sandra Crouse" last="Quinn">Sandra Crouse Quinn</name></author><author><name sortKey="Kumar, Supriya" sort="Kumar, Supriya" uniqKey="Kumar S" first="Supriya" last="Kumar">Supriya Kumar</name></author><author><name sortKey="Freimuth, Vicki S" sort="Freimuth, Vicki S" uniqKey="Freimuth V" first="Vicki S." last="Freimuth">Vicki S. Freimuth</name></author><author><name sortKey="Musa, Donald" sort="Musa, Donald" uniqKey="Musa D" first="Donald" last="Musa">Donald Musa</name></author><author><name sortKey="Casteneda Angarita, Nestor" sort="Casteneda Angarita, Nestor" uniqKey="Casteneda Angarita N" first="Nestor" last="Casteneda-Angarita">Nestor Casteneda-Angarita</name></author><author><name sortKey="Kidwell, Kelley" sort="Kidwell, Kelley" uniqKey="Kidwell K" first="Kelley" last="Kidwell">Kelley Kidwell</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21164098</idno><idno type="pmc">3020202</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3020202</idno><idno type="RBID">PMC:3020202</idno><idno type="doi">10.2105/AJPH.2009.188029</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">000649</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000649</idno><idno type="wicri:Area/Pmc/Curation">000649</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000649</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Racial Disparities in Exposure, Susceptibility, and Access to Health Care in the US H1N1 Influenza Pandemic</title><author><name sortKey="Quinn, Sandra Crouse" sort="Quinn, Sandra Crouse" uniqKey="Quinn S" first="Sandra Crouse" last="Quinn">Sandra Crouse Quinn</name></author><author><name sortKey="Kumar, Supriya" sort="Kumar, Supriya" uniqKey="Kumar S" first="Supriya" last="Kumar">Supriya Kumar</name></author><author><name sortKey="Freimuth, Vicki S" sort="Freimuth, Vicki S" uniqKey="Freimuth V" first="Vicki S." last="Freimuth">Vicki S. Freimuth</name></author><author><name sortKey="Musa, Donald" sort="Musa, Donald" uniqKey="Musa D" first="Donald" last="Musa">Donald Musa</name></author><author><name sortKey="Casteneda Angarita, Nestor" sort="Casteneda Angarita, Nestor" uniqKey="Casteneda Angarita N" first="Nestor" last="Casteneda-Angarita">Nestor Casteneda-Angarita</name></author><author><name sortKey="Kidwell, Kelley" sort="Kidwell, Kelley" uniqKey="Kidwell K" first="Kelley" last="Kidwell">Kelley Kidwell</name></author></analytic><series><title level="j">American Journal of Public Health</title><idno type="ISSN">0090-0036</idno><idno type="eISSN">1541-0048</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Objectives.</italic> We conducted the first empirical examination of disparities in H1N1 exposure, susceptibility to H1N1 complications, and access to health care during the H1N1 influenza pandemic.</p><p><italic>Methods.</italic> We conducted a nationally representative survey among a sample drawn from more than 60 000 US households. We analyzed responses from 1479 adults, including significant numbers of Blacks and Hispanics. The survey asked respondents about their ability to impose social distance in response to public health recommendations, their chronic health conditions, and their access to health care.</p><p><italic>Results.</italic> Risk of exposure to H1N1 was significantly related to race and ethnicity. Spanish-speaking Hispanics were at greatest risk of exposure but were less susceptible to complications from H1N1. Disparities in access to health care remained significant for Spanish-speaking Hispanics after controlling for other demographic factors. We used measures based on prevalence of chronic conditions to determine that Blacks were the most susceptible to complications from H1N1.</p><p><italic>Conclusions.</italic> We found significant race/ethnicity-related disparities in potential risk from H1N1 flu. Disparities in the risks of exposure, susceptibility (particularly to severe disease), and access to health care may interact to exacerbate existing health inequalities and contribute to increased morbidity and mortality in these populations.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Public Health</journal-id><journal-id journal-id-type="publisher-id">ajph</journal-id><journal-title-group><journal-title>American Journal of Public Health</journal-title></journal-title-group><issn pub-type="ppub">0090-0036</issn><issn pub-type="epub">1541-0048</issn><publisher><publisher-name>American Public Health Association</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">21164098</article-id><article-id pub-id-type="pmc">3020202</article-id><article-id pub-id-type="publisher-id">188029</article-id><article-id pub-id-type="doi">10.2105/AJPH.2009.188029</article-id><article-categories><subj-group subj-group-type="hwp-journal-coll"><subject>36</subject><subject>41</subject><subject>58</subject><subject>60</subject><subject>66</subject><subject>96</subject></subj-group><subj-group subj-group-type="heading"><subject>Research and Practice</subject></subj-group></article-categories><title-group><article-title>Racial Disparities in Exposure, Susceptibility, and Access to Health Care in the US H1N1 Influenza Pandemic</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Quinn</surname><given-names>Sandra Crouse</given-names></name><degrees>PhD</degrees></contrib><contrib contrib-type="author"><name><surname>Kumar</surname><given-names>Supriya</given-names></name><degrees>PhD, MPH</degrees></contrib><contrib contrib-type="author"><name><surname>Freimuth</surname><given-names>Vicki S.</given-names></name><degrees>PhD</degrees></contrib><contrib contrib-type="author"><name><surname>Musa</surname><given-names>Donald</given-names></name><degrees>DrPH</degrees></contrib><contrib contrib-type="author"><name><surname>Casteneda-Angarita</surname><given-names>Nestor</given-names></name><degrees>MS</degrees></contrib><contrib contrib-type="author"><name><surname>Kidwell</surname><given-names>Kelley</given-names></name><degrees>BS</degrees></contrib></contrib-group><aff>Sandra Crouse Quinn is with the Department of Family Science, School of Public Health, University of Maryland, College Park. Supriya Kumar is with the Department of Environmental and Occupational Health, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA. Vicki S. Freimuth is with the Department of Speech Communication, Franklin College of Arts and Sciences, and the Grady College of Journalism and Mass Communication, University of Georgia, Athens. Donald Musa is with the University Center for Social and Urban Research, University of Pittsburgh, Pittsburgh. Nestor Casteneda-Angarita is with the Department of Political Science, University of Pittsburgh, Pittsburgh. Kelley Kidwell is with the Department of Biostatistics, Graduate School of Public Health, University of Pittsburgh, Pittsburgh.</aff><author-notes><corresp>Correspondence should be sent to Sandra Crouse Quinn, Department of Family Science, School of Public Health, University of Maryland, 2242CC SPH Building #255, College Park, MD 20742-2611 (e-mail: <email>scquinn@umd.edu</email>). Reprints can be ordered at <ext-link ext-link-type="uri" xlink:href="http://www.ajph.org">http://www.ajph.org</ext-link> by clicking the “Reprints/Eprints” button.</corresp><fn><p>Peer Reviewed</p></fn><fn><p><bold>Contributors</bold></p><p>S. C. Quinn and V. S. Freimuth obtained all funding for the study. S. C. Quinn, S. Kumar, and V. S. Freimuth designed and conducted the study and led the analyses. S. C. Quinn and S. Kumar led the writing of the article. K. Kidwell did the initial data cleaning and preliminary analyses. N. Casteneda-Angarita and D. Musa conducted all further statistical analyses and participated in the preparation of the methods section and tables. All authors contributed to article preparation, reviewed article drafts, and approved the final article.</p></fn></author-notes><pub-date pub-type="ppub"><month>2</month><year>2011</year></pub-date><volume>101</volume><issue>2</issue><fpage>285</fpage><lpage>293</lpage><history><date date-type="accepted"><day>15</day><month>4</month><year>2010</year></date></history><permissions><copyright-statement>© American Public Health Association 2011</copyright-statement><copyright-year>2011</copyright-year></permissions><abstract><p><italic>Objectives.</italic> We conducted the first empirical examination of disparities in H1N1 exposure, susceptibility to H1N1 complications, and access to health care during the H1N1 influenza pandemic.</p><p><italic>Methods.</italic> We conducted a nationally representative survey among a sample drawn from more than 60 000 US households. We analyzed responses from 1479 adults, including significant numbers of Blacks and Hispanics. The survey asked respondents about their ability to impose social distance in response to public health recommendations, their chronic health conditions, and their access to health care.</p><p><italic>Results.</italic> Risk of exposure to H1N1 was significantly related to race and ethnicity. Spanish-speaking Hispanics were at greatest risk of exposure but were less susceptible to complications from H1N1. Disparities in access to health care remained significant for Spanish-speaking Hispanics after controlling for other demographic factors. We used measures based on prevalence of chronic conditions to determine that Blacks were the most susceptible to complications from H1N1.</p><p><italic>Conclusions.</italic> We found significant race/ethnicity-related disparities in potential risk from H1N1 flu. Disparities in the risks of exposure, susceptibility (particularly to severe disease), and access to health care may interact to exacerbate existing health inequalities and contribute to increased morbidity and mortality in these populations.</p></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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