The Economic Impact of Herpes Zoster Vaccine Disparities in Elderly United States Blacks

被引：1

作者：

Wingate, La'Marcus T. ^{[1
,2
]}

Stubbs, Keisha ^{[3
]}

Ahmed, Iman ^{[3
]}

Mayaka, Rachel K. ^{[1
]}

Maneno, Mary K. ^{[1
,2
]}

Ettienne, Earl ^{[1
,2
]}

Elekwachi, Oluchi ^{[4
]}

Clarke-Tasker, Veronica ^{[5
]}

机构：

[1] Ctr Minor Hlth Serv Res, 2300 4th St NW,Annex 3, Washington, DC 20059 USA

[2] Howard Univ, Res Ctr Minor Inst, 520 W St NW,Room 436, Washington, DC 20059 USA

[3] Howard Univ, Coll Pharm, 2300 4th St NW,Chauncey Cooper Hall, Washington, DC 20059 USA

[4] US FDA, Off Minor Hlth, 10903 New Hampshire Ave, Silver Spring, MD 20993 USA

[5] Howard Univ, Coll Nursing & Allied Hlth Sci, 516 Bryant St NW, Washington, DC 20059 USA

来源：

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH | 2018年 / 15卷 / 10期

基金：

美国国家卫生研究院;

关键词：

herpes zoster; shingles; vaccination; elderly; blacks; seniors; POSTHERPETIC NEURALGIA; IMMUNIZATION PRACTICES; ADVISORY-COMMITTEE; COST-EFFECTIVENESS; ADULT-POPULATIONS; SUBUNIT VACCINE; OLDER; COVERAGE; RECOMMENDATIONS; PRODUCTIVITY;

D O I：

10.3390/ijerph15102128

中图分类号：

X [环境科学、安全科学];

学科分类号：

08 ; 0830 ;

摘要：

There are persistent disparities with regard to receipt of herpes zoster vaccine among elderly blacks, but no data is available regarding the public health or economic impact of these disparities. A decision tree was constructed with multiple Markov nodes in order to estimate the preventable cases of herpes zoster occurring among elderly blacks due to disparities in receipt of herpes zoster vaccine and to quantify the economic costs associated with these disparities. The model was constructed to examine the number of herpes zoster cases occurring among elderly blacks from the age of 60 to 84 over a 20 year period and also calculated costs due to herpes zoster complications and lost productivity. Achievement of health equity would prevent over 34,500 cases of herpes zoster from occurring in the future and avert over $180 million in lost productivity and treatment costs as a result of these cases of herpes zoster. These results help to show that thousands of cases of herpes zoster could be prevented if blacks were vaccinated at the same frequency as whites and help to show the benefit of implementing viable strategies to achieving this goal.

引用

页数：10

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