Evidence map›Paper›PMID 25900133›Full record

ArticleVaccine2015

Decomposing racial/ethnic disparities in influenza vaccination among the elderly.

Byung-Kwang Yoo, Takuya Hasebe, Peter G Szilagyi

Open access · greenAbstract read
In one paragraph

Article in Vaccine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.5field-weighted citation impact, top 17% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. Asthma and Chronic Obstructive Pulmonary Disease.Clinics in chest medicine · 2023
    Review
  2. Article
  3. Article
  4. Factors That Contribute to Cost Differences Based on ICU of Admission in Neonates Undergoing Congenital Heart Surgery: A Novel Decomposition Analysis.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2020
    Article
  5. Article
  6. Chronic Obstructive Pulmonary Disease in Hispanics. A 9-Year Update.American journal of respiratory and critical care medicine · 2018
    Review
  7. Article
  8. Article
  9. RCGP Research and Surveillance Centre Annual Report 2014-2015: disparities in presentations to primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017
    Article
  10. Review
  11. Review
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

3 authors at 2 institutions in 1 country.

Byung-Kwang YooDepartment of Public Health Sciences, University of California Davis School of Medicine, One Shields Ave. Medical Sciences 1C, Davis, CA 95616, USA. Electronic address: byoo@ucdavis.edu.
Takuya HasebeDepartment of Public Health Sciences, University of California Davis School of Medicine, One Shields Ave. Medical Sciences 1C, Davis, CA 95616, USA; Faculty of Liberal Arts, Sophia University, 7-1 Kioi-cho, Chiyoda-ku, Tokyo 102-8554, Japan. Electronic address: thasebe@sophia.ac.jp.
Peter G SzilagyiDepartment of Pediatrics, University of California Los Angeles (UCLA), LeConte Avenue, Los Angeles, CA 10833, USA. Electronic address: pszilagyi@mednet.ucla.edu.
University of California, Davis · USUniversity of California, Los Angeles · US

Funding

FACTORS AFFECTING DISPARITIES IN INFLUENZA VACCINATION AMONG MEDICARE ELDERLYR03AG042646 · NIA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI YOO, BYUNG-KWANG · 2013 to 2014
$154k
NIA NIH HHS R03 AG042646NIA NIH HHS R03AG042646
6 · The paper itself

Abstract

While persistent racial/ethnic disparities in influenza vaccination have been reported among the elderly, characteristics contributing to disparities are poorly understood. This study aimed to assess characteristics associated with racial/ethnic disparities in influenza vaccination using a nonlinear Oaxaca-Blinder decomposition method. We performed cross-sectional multivariable logistic regression analyses for which the dependent variable was self-reported receipt of influenza vaccine during the 2010-2011 season among community dwelling non-Hispanic African-American (AA), non-Hispanic White (W), English-speaking Hispanic (EH) and Spanish-speaking Hispanic (SH) elderly, enrolled in the 2011 Medicare Current Beneficiary Survey (MCBS) (un-weighted/weighted N=6,095/19.2 million). Using the nonlinear Oaxaca-Blinder decomposition method, we assessed the relative contribution of seventeen covariates - including socio-demographic characteristics, health status, insurance, access, preference regarding healthcare, and geographic regions - to disparities in influenza vaccination. Unadjusted racial/ethnic disparities in influenza vaccination were 14.1 percentage points (pp) (W-AA disparity, p<0.001), 25.7 pp (W-SH disparity, p<0.001) and 0.6 pp (W-EH disparity, p>.8). The Oaxaca-Blinder decomposition method estimated that the unadjusted W-AA and W-SH disparities in vaccination could be reduced by only 45% even if AA and SH groups become equivalent to Whites in all covariates in multivariable regression models. The remaining 55% of disparities were attributed to (a) racial/ethnic differences in the estimated coefficients (e.g., odds ratios) in the regression models and (b) characteristics not included in the regression models. Our analysis found that only about 45% of racial/ethnic disparities in influenza vaccination among the elderly could be reduced by equalizing recognized characteristics among racial/ethnic groups. Future studies are needed to identify additional modifiable characteristics causing disparities in influenza vaccination.

Indexed as

EthnicityHealthcare DisparitiesHealth Services for the AgedAdultAgedAged, 80 and overCross-Sectional StudiesFemaleHumansInfluenza, HumanInfluenza VaccinesLogistic ModelsMiddle AgedOdds RatioTime FactorsVaccinationInfluenza VaccinesElderly populationInfluenza vaccinationNon-linear Oaxaca–Blinder decomposition methodRacial/ethnic disparities

Identifiers

PMID25900133
PMCPMC4458200
OpenAlexW2039563496

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.