糖尿病患者的乙肝疫苗接种率:种族和社会经济差异的评估

A. Aytaman, N. Ojike, Samantha Zizi, S. Pandi-Perumal, I. Lukolic, A. Bhanvadia, F. Nwamaghinna, H. Kamran, A. Akivis, Olusegun Bankole, M. Salifu, Samy I McFarlane
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引用次数: 2

摘要

不卫生地使用血糖监测设备,如血糖仪、刺刀、指棒装置或其他糖尿病护理设备,如注射器或胰岛素笔,往往使糖尿病患者暴露于乙型肝炎感染。本研究评估了糖尿病患者接种乙肝疫苗的情况。方法采用2000-2013年全国健康访谈调查(NHIS)数据。不同种族背景的成人糖尿病患者的疫苗接种率被访问并使用卡方检验进行比较。采用多变量logistic回归模型比较糖尿病患者接种乙肝疫苗的影响因素。结果该人群糖尿病粗患病率为5.4%。糖尿病患者的疫苗接种率因种族而异(亚洲人31.8% vs黑人30.7%;白人26.5%;p < 0.01)。多因素回归后,影响乙肝疫苗接种的主要因素包括年龄(40-60岁)(OR=0.51, 95% CI= 0.47-0.57, p<0.01)、缺乏大学教育(OR=0.71,95% CI= 0.64-0.79, p<0.01)、外国出生(OR=0.83, 95% CI= 0.72-0.95, p<0.01)、西班牙裔(OR=0.88, 95% CI= 0.78-1.00, p< 0.05)。结论社会经济因素——教育程度、保险状况、年龄、贫困程度和出生地影响糖尿病患者的疫苗接种率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hepatitis B Vaccination Rate in Patients with Diabetes: Assessment of Racial and Socioeconomic Disparity
Introduction Less hygienic use of blood glucose monitoring equipment such as blood glucose meters, lancets, finger stick devices or other diabetes-care equipment such as syringes or insulin pens by self-administration often exposes the diabetic patient to Hepatitis B infection. This study evaluates hepatitis B vaccination among individuals with diabetes. Methods The study used data from the 2000–2013 National Health Interview Survey (NHIS). Vaccination rates among adult individuals with diabetes of various ethnic backgrounds was accessed and compared using chis-square tests. Multivariable logistic regression model was used to compare factors affecting hepatitis B vaccination among individuals with diabetes. Results The crude rate of diabetes in this population was 5.4%. The rate of vaccination among individuals with diabetes differed across racial groups (Asians 31.8% vs. blacks 30.7%; and whites 26.5%; p<0.01). After multivariate regression, the leading factors affecting hepatitis B vaccination included Age (40–60 years) (OR=0.51, 95% CI=0.47–0.57, p<0.01), lack of college education (OR=0.71,95% CI=0.64–0.79, p<0.01), foreign birth (OR=0.83, 95% CI=0.72–0.95, p<0.01), and Hispanic ethnicity (OR=0.88, 95% CI=0.78–1.00, P<0.05). Conclusion Social and economic factors-education, insurance status, age, poverty level, and place of birth affect rates of vaccination among individuals with diabetes.
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