+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Comparison of racial/ethnic disparities in adult immunization and cancer screening



Comparison of racial/ethnic disparities in adult immunization and cancer screening



American Journal of Preventive Medicine 29(5): 404-411



Racial/ethnic disparities in adult influenza and pneumococcal vaccination are marked and poorly understood. The purpose of this study was to contrast these disparities with disparities in other clinical preventive services--mammography and colorectal cancer screening--that are targeted to older populations. Data from the 2000 National Health Interview Survey were analyzed in 2004 to determine to what degree race/ethnicity remains a predictor of the receipt of each service after adjusting for personal and health characteristics, socioeconomic status (SES), and access to and utilization of care variables. Blacks and Hispanics were significantly less likely to report receipt of nearly all preventive services examined. Among whites, 57%, 67%, 67%, and 40% reported pneumococcal vaccination, influenza vaccination, mammography, and colorectal cancer screening, respectively. Among blacks, those proportions were 31%, 48%, 60% and 33%, respectively; among English-speaking Hispanics, 35%, 60%, 60%, and 30%, respectively; and among Spanish-speaking Hispanics, 24%, 49%, 52%, and 19%, respectively. After adjusting for personal and health characteristics, socioeconomic factors, and measures of access to and utilization of care, blacks and English- and Spanish-speaking Hispanics remained significantly less likely than whites to report the receipt of pneumococcal vaccination; blacks remained significantly less likely to report influenza vaccination than whites; and Spanish-speaking Hispanics remained significantly less to report colorectal cancer screening than whites. Most racial/ethnic disparities seen in breast and colorectal cancer screening are explained by differences in SES. In contrast, racial/ethnic disparities in adult immunization persist, and especially for pneumococcal vaccination, suggesting that different barriers may be involved.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 011885318

Download citation: RISBibTeXText

PMID: 16376703

DOI: 10.1016/j.amepre.2005.08.009


Related references

Addressing racial and ethnic disparities in adult immunization, Chicago. Journal of Public Health Management and Practice 12(4): 321-329, 2006

Cancer screening among racial/ethnic and insurance groups in the United States: a comparison of disparities in 2000 and 2008. Journal of Health Care for the Poor and Underserved 22(3): 945-961, 2011

Best-practice models that work: the CDC's Racial and Ethnic Adult Disparities Immunization Initiative (READII) Programs. Ethnicity & Disease 15(2 Suppl 3): S3-17-S3-20, 2005

Factors associated with vaccination of medicare beneficiaries in five U.S. communities: Results from the racial and ethnic adult disparities in immunization initiative survey, 2003. Journal of the American Geriatrics Society 54(2): 303-310, 2006

Racial and ethnic disparities in colorectal cancer screening persisted despite expansion of Medicare's screening reimbursement. Cancer Epidemiology Biomarkers and Prevention 20(5): 811-817, 2011

The Effect of an Organized Screening Program on Racial and Ethnic Disparities and Choice of Colorectal Cancer Screening Test. Gastroenterology 146(5): S-168-S-169, 2014

Determinants of racial/ethnic colorectal cancer screening disparities. Archives of Internal Medicine 168(12): 1317-1324, 2008

Racial/Ethnic Disparities in Cervical Cancer Screening and Outcomes. Acta Cytologica 60(6): 518-526, 2016

Cancer screening in California: racial and ethnic disparities persist. Policy Brief 2003(Pb2003-4): 1-6, 2003

Racial and Ethnic Disparities in Colon Cancer Screening in North Carolina. North Carolina Medical Journal 77(3): 185-186, 2016

Racial/Ethnic Disparities in Colorectal Cancer Screening Across Healthcare Systems. American Journal of Preventive Medicine 51(4): E107-E115, 2016

Racial and ethnic disparities among state Medicaid programs for breast cancer screening. Preventive Medicine 102: 59-64, 2017

Does Medicare coverage of colonoscopy reduce racial/ethnic disparities in cancer screening among the elderly?. Health Affairs 25(4): 1153-1162, 2006

Reducing racial and ethnic disparities in colorectal cancer screening is likely to require more than access to care. Health Affairs 31(12): 2747-2754, 2012

Racial and ethnic disparities in cancer screening: the importance of foreign birth as a barrier to care. Journal of General Internal Medicine 18(12): 1028-1035, 2003