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Matthew M. Davis, MD, MAPP

JAMA. 2004;291:2253-2255.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The first National Healthcare Disparities Report,¹ released last December, laments the "inequality in quality" of health care received by members of different race and ethnic groups in the United States. The report highlights racial disparities in vaccination rates for adult influenza and pneumococcal disease as a prime target for clinician-based and community-based interventions, principally by reducing missed opportunities to administer adult immunizations.

Among individuals aged 65 years or older, immunization rates for influenza (66%) and pneumococcal disease (62%)² fall well short of the national health objective of 90% coverage set in Healthy People 2010; moreover, rates for non-Hispanic blacks are only about one half to two thirds the rates for non-Hispanic whites.³ Disparities between non-Hispanic blacks and non-Hispanic whites are more pronounced for pneumococcal vaccination than for influenza vaccination, not only among elderly individuals (32.8% for non-Hispanic blacks vs 57.3% for non-Hispanic whites)⁴ but . . . [Full Text of this Article]

Author Affiliations: Divisions of General Pediatrics and Communicable Diseases and General Internal Medicine and Gerald R. Ford School of Public Policy, University of Michigan, Ann Arbor.

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