Impact of Race on Immunization Status in Long-Term Care Facilities

Objectives This study examined the relationship between resident race and immunization status in long-term care facilities (LTCFs). Race was captured at the resident and the facility racial composition level. Design Thirty-six long-term care facilities varying in racial composition and size were sel...

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Bibliographic Details
Published in:Journal of racial and ethnic health disparities 2019-02, Vol.6 (1), p.153-159
Main Authors: Barrett, Stacey C., Schmaltz, Stephen, Kupka, Nancy, Rasinski, Kenneth A.
Format: Article
Language:English
Subjects:
African Americans
African Continental Ancestry Group - statistics & numerical data
Aged
Black people
Composition
Epidemiology
European Continental Ancestry Group - statistics & numerical data
Generalized linear models
Healthcare Disparities - ethnology
Humans
Immunization
Immunization - statistics & numerical data
Influenza
Long term health care
Long term hospitals
Long-Term Care
Medicine
Medicine & Public Health
Older people
ORIGINAL PAPERS
Pneumonia
Quality of Life Research
Race
Race factors
Racial inequality
Random effects
Refusal
Residential Facilities
Seasons
Site visits
Social Inequality
Social Structure
Vaccines
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Summary:Objectives This study examined the relationship between resident race and immunization status in long-term care facilities (LTCFs). Race was captured at the resident and the facility racial composition level. Design Thirty-six long-term care facilities varying in racial composition and size were selected for site visits. Setting LTCFs were urban and rural, CMS certified, and non-hospital administered. Measurements Chart abstraction was used to determine race, immunization, and refusal status for the 2010–2011 flu season (influenza 1), the 2011–2012 flu season (influenza 2), and the pneumococcal pneumonia vaccine for all residents over 65 years old. Results Thirty-five LTCFs submitted sufficient data for inclusion, and 2570 resident records were reviewed. Overall immunization rates were 70.5% for influenza 1, 74.1% for influenza 2, and 65.6% for pneumococcal pneumonia. Random effects logistic regression indicated that as the percent of Black residents increased, the immunization rate significantly decreased (immunization 1, p  
ISSN:2197-3792
2196-8837
DOI:10.1007/s40615-018-0510-1