Vaccination Coverage Among Adults With Diagnosed Diabetes: United States, 2015

December 6, 2016
Maria A. Villarroel, Ph.D., Health Statistician

Maria A. Villarroel, Ph.D., Health Statistician

Questions for Maria A. Villarroel, Ph.D., Health Statistician and Lead Author on “Vaccination Coverage Among Adults With Diagnosed Diabetes: United States, 2015.”

Q: Why did you decide to look at vaccination coverage with diagnosed diabetes?

MV: Persons with diabetes are at an increased risk for complications from vaccine-preventable infections, and a number of these of vaccines are recommended for adults living with diabetes. We wanted to examine the vaccine coverage among different segments of adults with diagnosed diabetes. This report describes the receipt of select vaccinations among adults with diagnosed diabetes by sex, age, race and ethnicity, and poverty status.


Q: Overall, which vaccinations were more prevalent for adults with diagnosed diabetes?

MV: We examined vaccination coverage for influenza, pneumococcal, hepatitis B and shingles among adults with diagnosed diabetes. Among adults aged 18 and over with diagnosed diabetes, influenza vaccination (61.6%) was more prevalent than pneumococcal (52.6%) and hepatitis B (17.1%) vaccination. The shingles vaccine is indicated for those aged 60 and older and we found that fewer than 3 in 10 (27.2%) adults aged 60 and over with diagnosed diabetes had been vaccinated for shingles.


Q: How did the vaccination rates for adults with diagnosed diabetes vary by age?

MV: We compared vaccination coverage for influenza, pneumococcal and hepatitis B among adults diagnosed with diabetes who were aged 18-44, 45-59, 60-74 and 75 and over. Vaccination coverage was not the same across age groups. Vaccination for influenza and pneumococcal disease increased with age. In contrast, vaccination for Hepatitis B decreased with age. We also examined vaccination coverage for shingles among adults aged 60 and over, and those who were aged 75 and over were likely to have been vaccinated than those aged 60-74.


Q: How did the vaccination rates for adults with diagnosed diabetes vary by race and ethnicity?

MV: We compared vaccination coverage among adults with diagnosed diabetes who were Hispanic, Non-Hispanic white, non-Hispanic black and Non-Hispanic Asian. Non-Hispanic white adults were more likely than non-Hispanic black and Hispanic adults to have been vaccinated for influenza in the past year and to have ever been vaccinated for pneumococcal disease and shingles at some point in the past. Non-Hispanic Asian adults were more likely than non-Hispanic black and Hispanic adults to have been vaccinated for influenza, but these groups did not differ from one another on pneumococcal and shingles vaccination.


Q: Were there any findings that surprised you?

MV: It was surprising to see the difference in the vaccination coverage for vaccines that are recommended for all adults with diabetes. In addition to differences by age and race and ethnicity, we observed wide differences in vaccination coverage by income status. Adults with diagnosed diabetes who were not living in poverty were consistently the most likely group to have been vaccinated for influenza, pneumococcal disease, hepatitis B, and shingles. From other reports, diagnosed diabetes is more common among poor and near poor adults, yet this report showed that these group are the least likely to get vaccinated.


Any Visit to the Eye Doctor in the Past 12 Months Among Adults Diagnosed With Diabetes, by Years Since Diabetes Diagnosis and by Age: United States, 2012-2013

August 5, 2015

Increasing time since diabetes diagnosis is strongly associated with severe vision loss. A comprehensive eye examination by an optometrist or ophthalmologist at least annually or biannually is recommended for persons with diabetes, to identify changes in the blood vessels of the retina. The effectiveness of treatment is well established, warranting screening for diabetic retinopathy and for assessing retinopathy progression. However, the use of select health screenings and therapeutic services may be less common in younger adults with diabetes.

A new NCHS Health E-Stat provides information on the percentage of U.S. adults with diagnosed diabetes who visited an eye doctor in the past year, by years since diabetes diagnosis and by age group, using data from the 2012–2013 National Health Interview Survey. Survey respondents were asked about having seen an “optometrist, ophthalmologist, or eye doctor” in the past year, but they were not asked about the services provided at the visit (including assessment of retinopathy).


Health Care Utilization Among U.S. Adults With Diagnosed Diabetes, 2013

February 3, 2015

Diabetes is a chronic medical condition that affects 1 in 10 adults in the United States. Diabetes can affect multiple organs and lead to serious health complications. Ongoing medical care is recommended for persons of any age who have diabetes in order to manage levels of glucose, obtain preventive care services, and treat diabetes-related complications.

A new NCHS report describes differences by age in the utilization of selected medical care services among adults aged 18 and over with diagnosed diabetes, based on data from the 2013 National Health Interview Survey.

Key Findings from the Report:

  • Nine percent of adults aged 18 and over have diagnosed diabetes, and more than 8 in 10 of these adults had contact with a doctor or health care professional in the past 6 months.
  • The percentage of adults with diagnosed diabetes who were taking any medication to control their glucose levels increased with age.
  • The percentage of adults with diagnosed diabetes who had contact with an eye or foot care specialist in the past 12 months increased with age.
  • Among adults with diagnosed diabetes, those aged 18–39 were the least likely to have had their blood pressure or blood cholesterol checked by a doctor, nurse, or other health professional during the past 12 months.

Racial Differences in Life Expectancy

July 22, 2013

The trend in U.S. life expectancy since 1900 has been gradually improving.  In 2010, life expectancy at birth was 78.7 years, an increase of 11% since 1970. For the white population, life expectancy increased 10%, and for the black population the increase was 17%. Nevertheless, differences in life expectancy by race have been observed and have persisted at least since official estimates have been recorded.

A new report from NCHS looks at these disparities by looking at the leading causes of death and how these causes influence life expectancy at birth. In this report, differences in the leading causes of death among black and white populations are examined to determine which causes contributed to the difference in life expectancy between the black and white populations in 2010.

Key Findings from the Report: 

  • In 2010, life expectancy for the black population was 3.8 years lower than that of the white population. This difference was due to higher death rates for the black population for heart disease, cancer, homicide, diabetes, and perinatal conditions.
  • Life expectancy for black males was 4.7 years lower than that of white males. This difference was due to higher death rates for black males for heart disease, homicide, cancer, stroke, and perinatal conditions.
  • Life expectancy for black females was 3.3 years lower than that of white females. This difference was due to higher death rates for black females for heart disease, cancer, diabetes, perinatal conditions, and stroke.

How’s your state doing?

December 16, 2009

NCHS now has an easy way for you to check out where your state stands on a variety of health measures compared with the nation as a whole and other states, including the following:

  • Mortality from leading causes of death
  • Birth data, including births to unmarried mothers, teen births, cesarean deliveries, low birthweight births, prenatal care, and preterm births
  • Households using only wireless phones
  • Infant mortality rates
  • Marriage and divorce rates
  • Percentage of people under 65 without health insurance

To use this tool, click on the image below.


Births–Using the NCHS Vital Stats Tool

April 8, 2009

 

NCHS birth tables with a variety of variables for selection are available at http://www.cdc.gov/nchs/datawh/vitalstats/VitalStatsbirths.htm.

By selecting the national or subnational (i.e., state and some county) levels, you can find specific statistics for national, state, and some county birth rates, fertility rates, method of delivery (vaginal or cesarean), length of pregnancy, birthweight, characteristics of the mother (i.e., age, race, marital status, education), prenatal care, and risk factors (i.e., diabetes, hypertension, and smoking). For journalists who need assistance, feel free to contact the NCHS press office.


America’s Children: Key National Indicators of Well-Being

July 19, 2007

Last Friday we released the 10th anniversary edition of America’s Children, a product of the Federal Interagency Forum on Child and Family Statistics.

The Federal Interagency Forum on Child and Family Statistics (Forum) is a collection of 22 Federal government agencies involved in research and activities related to children and families. The Forum was founded in 1994 and formally established in April 1997 under Executive Order No. 13045. The mission of the Forum is to foster coordination and collaboration and to enhance and improve consistency in the collection and reporting of Federal data on children and families. The Forum also aims to improve the reporting and dissemination of information on the status of children and families.

Quite a bit of media interest was generated (here | here) on the subject of teen sexual behavior but there was much more to the report. The full report is available here and our overview of the data on health indicators which we contributed to is below the fold.

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