Racial/Ethnic Differences in Adult Vaccination Among Individuals With Diabetes

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Abstract
Objectives. This study examined whether differences in access to health care, health coverage, and socioeconomic status (SES) explained racial differences in influenza and pneumococcal vaccination rates in individuals with diabetes. Methods. We analyzed data on 1906 individuals from the 1998 National Health Interview Survey. We used multiple logistic regression to adjust for race/ethnicity, age, access to care, health insurance, and SES, and used SUDAAN for statistical analyses to yield national estimates. Results. Whites had higher vaccination rates than did African Americans or Hispanics. After adjustment for covariates, race/ethnicity predicted receipt of both vaccines independent of age, access to care, health care coverage, and SES. Conclusions. Racial disparity in vaccination rates for adults with diabetes is independent of access to care, health care coverage, and SES. (Am J Public Health. 2003;93:324–329)