Skip to main content

Pneumococcal Vaccination Utilization Among Hispanic Long-Term Colorectal Cancer Survivors: Cross-Sectional Assessment of Claims.

Publication ,  Journal Article
Moran, RJ; Waalen, J; Murphy, J; Nalawade, V; Schiaffino, M
Published in: JMIR public health and surveillance
May 2019

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 that may exist among long-term CRC survivors as it relates to routine preventive care, specifically pneumococcal (PNM) vaccination.The aim of this study was to explore the relationship between long-term CRC survival and the receipt of PNM vaccine among Hispanic Medicare recipients compared with non-Hispanic populations.This study is a cross-sectional analysis of the Surveillance, Epidemiology, and End Results (SEER)-Medicare claims data examining ethnic differences in the receipt of PNM vaccination among long-term CRC survivors. Multivariable logistic regression models considered Hispanic ethnicity while controlling for sociodemographic characteristics, comorbidity score, age, tumor stage, and SEER registry.Our sample revealed 32,501 long-term CRC survivors, and 1509 identified as Hispanic (4.64%) based on an established SEER algorithm. In total, 16,252 CRC survivors, or 50.00% of our sample, received a PNM vaccination. We found that Hispanic CRC survivors had 10% decreased odds of having received a PNM vaccine compared with non-Hispanic survivors (P=.03).Disparities likely exist in the utilization of PNM vaccination among long-term CRC survivors. Among Medicare beneficiaries, the use of claims data regarding PNM vaccination highlights the relatively poor utilization of guideline-directed preventive care.

Duke Scholars

Published In

JMIR public health and surveillance

DOI

EISSN

2369-2960

ISSN

2369-2960

Publication Date

May 2019

Volume

5

Issue

2

Start / End Page

e12603

Related Subject Headings

  • 4203 Health services and systems
  • 4202 Epidemiology
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Moran, R. J., Waalen, J., Murphy, J., Nalawade, V., & Schiaffino, M. (2019). Pneumococcal Vaccination Utilization Among Hispanic Long-Term Colorectal Cancer Survivors: Cross-Sectional Assessment of Claims. JMIR Public Health and Surveillance, 5(2), e12603. https://doi.org/10.2196/12603
Moran, Ryan J., Jill Waalen, James Murphy, Vinit Nalawade, and Melody Schiaffino. “Pneumococcal Vaccination Utilization Among Hispanic Long-Term Colorectal Cancer Survivors: Cross-Sectional Assessment of Claims.JMIR Public Health and Surveillance 5, no. 2 (May 2019): e12603. https://doi.org/10.2196/12603.
Moran RJ, Waalen J, Murphy J, Nalawade V, Schiaffino M. Pneumococcal Vaccination Utilization Among Hispanic Long-Term Colorectal Cancer Survivors: Cross-Sectional Assessment of Claims. JMIR public health and surveillance. 2019 May;5(2):e12603.
Moran, Ryan J., et al. “Pneumococcal Vaccination Utilization Among Hispanic Long-Term Colorectal Cancer Survivors: Cross-Sectional Assessment of Claims.JMIR Public Health and Surveillance, vol. 5, no. 2, May 2019, p. e12603. Epmc, doi:10.2196/12603.
Moran RJ, Waalen J, Murphy J, Nalawade V, Schiaffino M. Pneumococcal Vaccination Utilization Among Hispanic Long-Term Colorectal Cancer Survivors: Cross-Sectional Assessment of Claims. JMIR public health and surveillance. 2019 May;5(2):e12603.

Published In

JMIR public health and surveillance

DOI

EISSN

2369-2960

ISSN

2369-2960

Publication Date

May 2019

Volume

5

Issue

2

Start / End Page

e12603

Related Subject Headings

  • 4203 Health services and systems
  • 4202 Epidemiology