Accepted for/Published in: JMIR Public Health and Surveillance
Date Submitted: Oct 24, 2018
Open Peer Review Period: Oct 25, 2018 - Nov 16, 2018
Date Accepted: Mar 30, 2019
(closed for review but you can still tweet)
Pneumococcal Vaccination Uptake among Hispanic Long-term Colorectal Cancer Survivors
ABSTRACT
Background:
Colorectal cancer (CRC) is the second leading cancer-related cause of death in the United States, however survivorship has been increasing. Both cancer survivors and underserved populations experience unique health-related challenges, and disparities may exist among long-term CRC survivors as it relates to routine preventive care, specifically pneumococcal (PNM) vaccination.
Objective:
We seek to explore the relationship between long-term CRC survival and the receipt of pneumococcal vaccine among Hispanic Medicare recipients compared with non-Hispanic populations.
Methods:
Cross sectional assessment of SEER-Medicare claims data regarding receipt of PNM vaccination in long term CRC survivors as a function of Hispanic identity using the North American Association of Cancer Registries (NAACR) Hispanic Identification Algorithm. Multivariable logistic regression was performed to control for sociodemographic, comorbidity score, age, tumor stage, and SEER registry.
Results:
Our sample revealed 32,501 long-term CRC survivors; 1,509 were identified as Hispanic (less than 5%). In total, 16,252 persons, or 50.00% of our sample, received a PNM vaccination. Controlling for covariates, there was a 10% decreased odds of a Hispanic to have received a PNM vaccine compared with those who were not identified as Hispanic, which was only marginally significant (P=0.033).
Conclusions:
Disparities likely exist in uptake in PNM vaccination among long-term CRC survivors. Among Medicare beneficiaries, utilization of claims data regarding PNM vaccination highlight relative low uptake of guideline directed preventive care.
Citation
Per the author's request the PDF is not available.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.