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Aging, Health, and Longevity in the Mexican-Origin Population pp 159–171Cite as

Access to Vaccines for Latin American and Caribbean Older Adults with Disability

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Abstract

Influenza and tetanus vaccine utilization is assessed according to health insurance coverage among older adults with disabilities. A cross-sectional analysis was performed on 8,682 men and women aged 60 and older from six cities of the Health, Well-Being and Aging in Latin America and the Caribbean Study (SABE, 1999–2000). In multivariate analyses of the combined sample of six cities, being uninsured and functionally disabled – having any functional difficulty with instrumental activities of daily living (IADL) or activities of daily living (ADL) – was associated with lower odds for receiving the influenza vaccination within the last year (OR 0.23 95% CI 0.16–0.36), and the tetanus vaccination within the last 10 years (OR 0.36 95% CI 0.24–0.52), compared to being insured and functionally disabled. Also, being uninsured and sensory disabled – reporting any fair/poor vision or hearing – was associated with lower odds for receiving the influenza vaccination (OR 0.42 95% CI 0.31–0.57) and the tetanus vaccination (OR 0.54 95% CI 0.41–0.70), compared to being insured and sensory disabled. Thus, being uninsured was significantly associated with lower numbers of influenza and tetanus vaccine utilization among functionally or sensory disabled Latin American and Caribbean older adults.

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Authors and Affiliations

  1. Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA, USA

    Carlos A. Reyes-Ortiz

  2. University of North Texas Health Science Center, Fort Worth, TX, USA

    Diana M. Davalos & Maria F. Montoya

  3. Universidad del Valle in Cali, Cali, Colombia

    Daniel Escobar

Authors
  1. Carlos A. Reyes-Ortiz
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  2. Diana M. Davalos
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  3. Maria F. Montoya
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  4. Daniel Escobar
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Corresponding author

Correspondence to Carlos A. Reyes-Ortiz .

Editor information

Editors and Affiliations

  1. Dept. Sociology, University of Texas, Austin, University Station 1, Austin, 78712, Texas, USA

    Jacqueline L. Angel

  2. , Center for Policy Research on Aging, University of California, Los Angeles, Public Affairs Building 5341, Los Angeles, 90095, California, USA

    Fernando Torres-Gil

  3. University of Texas Medical Branch at Ga, Rte. 1153 1.128 Ewin, Galveston, 77555, Texas, USA

    Kyriakos Markides

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Reyes-Ortiz, C.A., Davalos, D.M., Montoya, M.F., Escobar, D. (2012). Access to Vaccines for Latin American and Caribbean Older Adults with Disability. In: Angel, J., Torres-Gil, F., Markides, K. (eds) Aging, Health, and Longevity in the Mexican-Origin Population. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-1867-2_12

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