Socioeconomic risk factors for bacteraemic pneumococcal pneumonia in adults

Demographic and clinical risk factors are important in guiding vaccination policy for pneumococcal pneumonia. We present data on these variables from a population-based surveillance network covering adult bacteraemic pneumococcal pneumonia (BPP) in the Delaware Valley region from 2002 to 2004. Surve...

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Bibliographic Details
Published in:Epidemiology and infection 2009-05, Vol.137 (5), p.717-726
Main Authors: FLORY, J. H., JOFFE, M., FISHMAN, N. O., EDELSTEIN, P. H., METLAY, J. P.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adults
Age
Aged
Aged, 80 and over
Asthma
Bacteremia - epidemiology
Bacteremia - microbiology
Bacterial diseases
Bacterial sepsis
Bacteriology
Biological and medical sciences
Censuses
Data collection
Datasets
Diabetes
Disease prevention
Disparity
Epidemiology
Ethnic Groups
Female
Fundamental and applied biological sciences. Psychology
Gender
High schools
Hospitalization
Human bacterial diseases
Humans
Immunization
income
Infectious diseases
Laboratories
Male
Median income
Medical sciences
Meningitis
Microbiology
Middle Aged
Miscellaneous
Missing data
Pneumococcal pneumonia
pneumococcus
Pneumonia
Pneumonia and Septicaemia
Pneumonia, Pneumococcal - complications
Pneumonia, Pneumococcal - epidemiology
Population
Predisposing factors
Prevalence
race
Risk Factors
Socioeconomic Factors
Streptococcus infections
Streptococcus pneumoniae
Streptococcus pneumoniae - isolation & purification
Surveillance
United States - epidemiology
Vaccination
Vaccines
Young Adult
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Description
Summary:Demographic and clinical risk factors are important in guiding vaccination policy for pneumococcal pneumonia. We present data on these variables from a population-based surveillance network covering adult bacteraemic pneumococcal pneumonia (BPP) in the Delaware Valley region from 2002 to 2004. Surveillance data were used with U.S. Census data and a community health survey to calculate stratified incidence rates. Missing data were handled using multiple imputation. Overall rates of adult BPP were 10·6 cases/100 000 person-years. Elevated rates were seen in the elderly (>65 years), Native Americans, African Americans, the less-educated (less than high-school education), the poor, smokers, and individuals with histories of asthma, cancer, or diabetes. Multivariable modelling suggested that income was more robustly associated with risk than African American race. Of methodological interest, this association was not apparent if census block-group median income was used as a proxy for self-reported income. Further research on socioeconomic risk factors for BPP is needed.
ISSN:0950-2688
1469-4409
DOI:10.1017/S0950268808001489