Does Frailty Modify the Effect of Race on Influenza Vaccination within Nursing Facilities in Michigan, 2005-2006?

摘要: Nursing home racial composition is associated with vaccine uptake; black residents are less well immunized than white residents. To determine if health status modifies the effect of race on receiving vaccination among nursing residents, we used cross-sectional data from Centers for Medicare & Medicaid Services Michigan October 1, 2005 through March 31, 2006 in 291 racially mixed facilities (n=66,895 residents). Analyses included multilevel models, stratified by proportion home, to assess whether frailty, measured Cognitive Performance Scale (CPS), Activities Daily Living (ADL), and Changes Health, End-stage disease Symptoms Signs (CHESS), contributed inequity (i.e., white-black difference) within homes. In few ( 50%) blacks, decreased increasing frailty (CPS: 8.7 0.8; ADL: 9.3 2.1; CHESS: 6.7 4.6). Frail minority a facility were likely be vaccinated either healthier or majority frail healthy.