Evidence map›Paper›PMID 21143440›Full record

ArticleJournal of the American Geriatrics Society2010

Understanding the reasons for the underuse of pneumococcal vaccination by community-dwelling older African Americans.

Linda G Jones, Yan Zhang, Mustafa I Ahmed, O James Ekundayo, Shamima Akhter, Patricia Sawyer, Inmaculada Aban, Richard V Sims, Ali Ahmed

Registry-linked trialOpen access · greenAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Geriatrics Society, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03239665 (Randomized Trial of Peer-to-Peer Versus Pharmacist Education to Improve Older Adults' Vaccination Knowledge Through the Senior Center Model of Care), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03239665 nacompletednot on this mapstarted 2017, after this paper: background citation

Randomized Trial of Peer-to-Peer Versus Pharmacist Education to Improve Older Adults' Vaccination Knowledge Through the Senior Center Model of Care

TypeinterventionalSponsorRutgers, The State University of New JerseyRan2017 to 2019Enrolled335ConditionsInfectious Disease, Pneumonia, Bacterial, Influenza, ZosterArmsPharmacist-led Intervention (PHARM), Peer-led Intervention (PEER)
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Understanding Black Patients' Refusal of Pneumococcal Vaccination.Journal of racial and ethnic health disparities · 2017
    Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Linda G JonesSection of Geriatrics and Extended Care, Veterans Affairs Medical Center, Birmingham, Alabama, USA.
Yan Zhang
Mustafa I Ahmed
O James Ekundayo
Shamima Akhter
Patricia Sawyer
Inmaculada Aban
Richard V Sims
Ali Ahmed
University of Alabama at Birmingham · USUniversity of California, Los Angeles · US

Funding

Heart failure, chronic kidney disease, and renin-angiotensin system inhibitionR01HL085561 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI AHMED, ALI · 2006 to 2009
$1.5M
Neurohormonal Blockade and Outcomes in Diastolic Heart FailureR01HL097047 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI AHMED, ALI · 2009 to 2010
$915k
NHLBI NIH HHS R01 HL085561NHLBI NIH HHS R01-HL085561NHLBI NIH HHS R01 HL097047NHLBI NIH HHS R01-HL097047
6 · The paper itself

Abstract

objectivesTo understand the potential roles of various patient and provider factors in the underuse of pneumococcal vaccination in Medicare-eligible older African Americans.

designThe Cardiovascular Health Study.

settingFour U.S. states.

participantsSeven hundred ninety-five pairs of community-dwelling Medicare-eligible African-American and white adults aged 65 and older, balanced according to age and sex. MEASUREMENTS: Data on self-reported race, receipt of pneumococcal vaccination, and other important sociodemographic and clinical variables were collected at baseline.

resultsParticipants had a mean age ± standard deviation of 73 ± 6; 63% were female. Pneumococcal vaccination rates were 22% for African Americans and 28% for whites (unadjusted odds ratios (OR) for African Americans=0.75; 95% confidence interval (CI)=0.60-0.94; P=.01). This association remained significant despite adjustment for sociodemographic and clinical confounders, including education, income, chronic obstructive pulmonary disease, and prior pneumonia (OR=0.74, 95% CI=0.56-0.97; P=.03), but the association was no longer significant after additional adjustment for the receipt of influenza vaccination (OR=0.79, 95% CI=0.59-1.06; P=.12). Receipt of influenza vaccination was associated with higher odds of receiving pneumococcal vaccination (unadjusted OR=6.43, 95% CI=5.00-8.28; P<.001), and the association between race and pneumococcal vaccination lost significance when adjusted for influenza vaccination alone (OR=0.81, 95% CI=0.63-1.03; P=.09).

conclusionThe strong association between receipt of influenza and pneumococcal vaccinations suggests that patient and provider attitudes toward vaccination, rather than traditional confounders such as education and income, may help explain the underuse of pneumococcal vaccination in older African Americans.

Indexed as

AgedBlack or African AmericanCohort StudiesConfidence IntervalsFemaleHealth Knowledge, Attitudes, PracticeHumansImmunization ProgramsInfluenza, HumanInfluenza VaccinesMaleMedicareOdds RatioPatient Acceptance of Health CarePneumococcal VaccinesPneumonia, BacterialInfluenza VaccinesPneumococcal Vaccines

Identifiers

PMID21143440
PMCPMC3058385
OpenAlexW1664152810

What OpenQuestion holds

Textmetadata
LicenceTDM
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.