干旱区生态环境知识资源中心(Arid): Pharmacy deserts and patients with breast cancer receipt of influenza vaccines

Arid

DOI	10.1016/j.japh.2021.07.006
	Pharmacy deserts and patients with breast cancer receipt of influenza vaccines
	Neuner, Joan M.; Zhou, Yuhong; Fergestrom, Nicole; Winn, Aaron; Pezzin, Liliana; Laud, Purushottam W.; Beyer, Kirsten
通讯作者	Neuner, JM (corresponding author), Med Coll Wisconsin, Ctr Adv Populat Sci, HRC, 8701 Watertown Plank Rd, Milwaukee, WI 53226 USA. ; Neuner, JM (corresponding author), Med Coll Wisconsin, HRC, Dept Med, 8701 Watertown Plank Rd, Milwaukee, WI 53226 USA.
来源期刊	JOURNAL OF THE AMERICAN PHARMACISTS ASSOCIATION
ISSN	1544-3191
EISSN	1544-3450
出版年	2021
卷号	61 期号:6 页码:E25-E31
英文摘要	Background: Yearly influenza vaccination is strongly recommended at age 65 and reimbursed by Medicare without copays or deductibles at pharmacies and clinical settings. Uptake is low among patients with a high risk for influenza complications and good access to specialist care, such as recent cancer survivors. We hypothesized that more accessible pharmacies could be associated with higher immunization uptake in such patients. Objectives: To determine whether pharmacy access is associated with influenza vaccination in subjects recently diagnosed with breast cancer, and whether this association differs by additional risk factors for influenza complications. Methods: We examined a cohort of patients with stage 0-III breast cancer diagnosed 2011-2015 from the Surveillance, Epidemiology, and End Results-Medicare cancer registry. All retail pharmacies in the United States were identified, and pharmacy access was measured by assessing supply and demand in each census tract using a 2-stage floating catchment area approach that accounted for pharmacy driving distances recommended by the Centers for Medicare and Medicaid Services. We examined the association of pharmacy access with influenza vaccination after breast cancer diagnosis in regression models. Results: More than 11% of 45,722 patients with breast cancer lived in census tracts where no pharmacies were within recommended driving distances from the population-weighted tract center. Vaccination in the year after diagnosis was less likely for patients in these very low -access tracts (adjusted odds ratio 0.92 [95% CI 0.86-0.96]), black (0.55 [0.51-0.60]) and Hispanic (0.76 [0.70-0.83]) women, and Medicaid recipients (0.74 [0.69-0.79]). Vaccination was inversely associated with per capita income in the subject's census tract, but there was no difference in the pharmacy effect by race, ethnicity, or census tract income. Conclusion: Very low pharmacy access is associated with modest reductions in vaccination that could be useful for policy and planning regarding vaccinator resources and outreach. (C) 2021 American Pharmacists Association (R). Published by Elsevier Inc. All rights reserved.
类型	Article
语种	英语
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000717904400007
WOS关键词	HEALTH-CARE ; ETHNIC DISPARITIES ; ACCESS ; VACCINATION ; MORTALITY ; SURVIVORS ; QUALITY ; DEATH
WOS类目	Pharmacology & Pharmacy
WOS研究方向	Pharmacology & Pharmacy
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/373820
作者单位	[Neuner, Joan M.; Pezzin, Liliana] Med Coll Wisconsin, Dept Med, Milwaukee, WI 53226 USA; [Neuner, Joan M.] Med Coll Wisconsin, Ctr Adv Populat Sci CAPS, Milwaukee, WI USA; [Zhou, Yuhong; Pezzin, Liliana; Laud, Purushottam W.; Beyer, Kirsten] Med Coll Wisconsin, Inst Hlth & Equ & Epidemiol, Milwaukee, WI 53226 USA; [Fergestrom, Nicole; Winn, Aaron; Pezzin, Liliana; Laud, Purushottam W.; Beyer, Kirsten] Med Coll Wisconsin, Ctr Adv Populat Sci CAPS, Milwaukee, WI 53226 USA; [Winn, Aaron] Sch Pharm, Dept Clin Sci, Milwaukee, WI USA; [Winn, Aaron] Med Coll Wisconsin, Milwaukee, WI 53226 USA
推荐引用方式 GB/T 7714	Neuner, Joan M.,Zhou, Yuhong,Fergestrom, Nicole,et al. Pharmacy deserts and patients with breast cancer receipt of influenza vaccines[J],2021,61(6):E25-E31.
APA	Neuner, Joan M..,Zhou, Yuhong.,Fergestrom, Nicole.,Winn, Aaron.,Pezzin, Liliana.,...&Beyer, Kirsten.(2021).Pharmacy deserts and patients with breast cancer receipt of influenza vaccines.JOURNAL OF THE AMERICAN PHARMACISTS ASSOCIATION,61(6),E25-E31.
MLA	Neuner, Joan M.,et al."Pharmacy deserts and patients with breast cancer receipt of influenza vaccines".JOURNAL OF THE AMERICAN PHARMACISTS ASSOCIATION 61.6(2021):E25-E31.