دورية أكاديمية
Vaccination Rates Among Patients Age 65 Years and Older Who Require Interpreter Services in the State of Minnesota.
العنوان: | Vaccination Rates Among Patients Age 65 Years and Older Who Require Interpreter Services in the State of Minnesota. |
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المؤلفون: | Mendoza De la Garza M; Division of Community Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. mendoza.maria1@mayo.edu., Quigg SM; Division of Community Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA., De Lorenzo SB; Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA., Schroeder DR; Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, USA., Takahashi PY; Division of Community Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. |
المصدر: | Journal of community health [J Community Health] 2021 Aug; Vol. 46 (4), pp. 703-710. Date of Electronic Publication: 2020 Oct 22. |
نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural |
اللغة: | English |
بيانات الدورية: | Publisher: Springer Country of Publication: Netherlands NLM ID: 7600747 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-3610 (Electronic) Linking ISSN: 00945145 NLM ISO Abbreviation: J Community Health Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Amsterdam : Springer Original Publication: New York, Human Sciences Press. |
مواضيع طبية MeSH: | Healthcare Disparities* , Vaccination*, Aged ; Cohort Studies ; Humans ; Logistic Models ; Minnesota ; United States |
مستخلص: | In the United States, the growing population of older adults with limited English language proficiency (LEP) faces profound health care disparities. Previous research on vaccination of older adults has been based on self-reported data, without clinical verification. We compared pneumococcal vaccination rates between a patient group with LEP and a group of English speakers in an older community-dwelling population. A population-nested matched cohort of participants age 65 years and older was identified in Minnesota. Patients with LEP were identified through an electronic alert within the electronic health record, designed to determine the need for an interpreter. Patients were matched 1 to 1 for age, sex, and Charlson comorbidity index. We used conditional logistic regression for the final analysis. In total, 24,052 patients were identified as older patients (mean [SD] age, 74 [7] years). Of them, 617 patients (2.6%) had LEP. The most common primary languages were Somali (24%), Vietnamese (15%), and Spanish (13%). We found lower rates of vaccination with 13-valent pneumococcal conjugate vaccine (PCV13) in the LEP group compared with English speakers [62% vs 77%; odds ratio (OR) (95% CI) 2.07 (1.61-2.66); P < 0.001]. Results were similar for 23-valent pneumococcal polysaccharide vaccine (PPSV23) [60% vs 75%; OR (95% CI) 1.97 91.54-2.51); P < 0.001]. These data are suggestive that older adults who required a language interpreter during health care encounters were less likely to be vaccinated with PCV13 and PPSV23 than older adults who did not require an interpreter. Effectiveness studies are needed to determine which interventions can help improve vaccination rates in the LEP population of elderly patients. (© 2020. Springer Science+Business Media, LLC, part of Springer Nature.) |
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معلومات مُعتمدة: | UL1 TR002377 United States TR NCATS NIH HHS |
فهرسة مساهمة: | Keywords: Elderly persons; Immunizations; Interpreter |
تواريخ الأحداث: | Date Created: 20201022 Date Completed: 20211125 Latest Revision: 20240812 |
رمز التحديث: | 20240813 |
مُعرف محوري في PubMed: | PMC8060358 |
DOI: | 10.1007/s10900-020-00927-4 |
PMID: | 33090304 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1573-3610 |
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DOI: | 10.1007/s10900-020-00927-4 |