Racial and Ethnic Disparities in Hospitalizations and Deaths Associated with 2009 Pandemic Influenza A (H1N1) Virus Infections in the United States

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dc.contributor.authorDee, Deborah L.
dc.contributor.authorBensyl, Diana M.
dc.contributor.authorGindler, Jacqueline
dc.contributor.authorTruman, Benedict I.
dc.contributor.authorAllen, Barbara G.
dc.contributor.authorD’Mello, Tiffany
dc.contributor.authorPérez, Alejandro
dc.contributor.authorKamimoto, Laurie
dc.contributor.authorBiggerstaff, Matthew
dc.contributor.authorBlanton, Lenee
dc.contributor.authorFowlkes, Ashley
dc.contributor.authorGlover, Maleeka J.
dc.contributor.authorSwerdlow, David L.
dc.contributor.authorFinelli, Lyn
dc.date.accessioned2019-08-14T15:03:40Z
dc.date.available2019-08-14T15:03:40Z
dc.date.issued2011
dc.description.abstractPURPOSE: Concerns have been raised regarding possible racial-ethnic disparities in 2009 pandemic influenza A (H1N1) (pH1N1) illness severity and health consequences for U.S. minority populations. METHODS: Using data from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System, Emerging Infections Program Influenza-Associated Hospitalization Surveillance, and Influenza-Associated Pediatric Mortality Surveillance, we calculated race-ethnicity-specific, age-adjusted rates of self-reported influenza-like illness (ILI) and pH1N1-associated hospitalizations. We used χ(2) tests to evaluate racial-ethnic disparities in ILI-associated health care-seeking behavior and pH1N1 hospitalization. To evaluate pediatric deaths, we compared racial-ethnic proportions of deaths against U.S. population distributions. RESULTS: Prevalence of self-reported ILI was lower among Hispanics (6.5%), higher among American Indians/Alaska Natives (16.2%), and similar among non-Hispanic blacks (7.7%) compared with non-Hispanic whites (8.5%). No racial-ethnic differences were identified in ILI-associated health care-seeking behavior. Age-adjusted pH1N1-associated Emerging Infections Program hospitalization rates were higher among all minority populations (range: 8.1-10.9/100,000 population) compared with non-Hispanic whites (3.0/100,000). The proportion of pH1N1-associated pediatric deaths was higher than expected among Hispanics (31%) and lower than expected among non-Hispanic whites (45%) given the proportions of the U.S. population they comprise (22% and 58%, respectively). CONCLUSIONS: Racial-ethnic disparities in pH1N1-associated hospitalizations and pediatric deaths were identified. Vaccination remains the primary intervention for preventing influenza.
dc.description.urihttp://dx.doi.org/10.1016/j.annepidem.2011.03.002
dc.identifierhttps://doi.org/10.13016/prns-khuv
dc.identifier.citationDee, Deborah L. and Bensyl, Diana M. and Gindler, Jacqueline and Truman, Benedict I. and Allen, Barbara G. and D’Mello, Tiffany and Pérez, Alejandro and Kamimoto, Laurie and Biggerstaff, Matthew and Blanton, Lenee and Fowlkes, Ashley and Glover, Maleeka J. and Swerdlow, David L. and Finelli, Lyn (2011) Racial and Ethnic Disparities in Hospitalizations and Deaths Associated with 2009 Pandemic Influenza A (H1N1) Virus Infections in the United States. Annals of Epidemiology, 21 (8). pp. 623-630.
dc.identifier.issn10472797
dc.identifier.otherEprint ID 2881
dc.identifier.urihttp://hdl.handle.net/1903/23519
dc.subjectDisparities
dc.subjectResearch
dc.subjectH1N1 Virus
dc.subjectHealth Status Disparities
dc.subjectHealth Care Disparities
dc.subjectBehavioral Risk Factor Surveillance System
dc.subjectInfluenza
dc.titleRacial and Ethnic Disparities in Hospitalizations and Deaths Associated with 2009 Pandemic Influenza A (H1N1) Virus Infections in the United States
dc.typeArticle

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