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. 2020 Sep 29;73(11):e4361–e4368. doi: 10.1093/cid/ciaa1484

Table 1.

Adjusted Probability Vaccination Status Stratified by Percent Black Residents in Nursing Homes by State—Minimum Data Set, United States, 2018–2019

Facilities Grouped by Percent Black Residents
0% Blacks 0.1% –4.9% Blacks 5%–19.9% Blacks 20%–49.9% Blacks ≥50% Blacks
Vaccinated
Reporting Area White–Black Gap % Black Residents in State White White Black White Black White Black White Black
States with ≥10 percentage point influenza vaccination inequities
Illinois 20.6 17.2 85.9 79.3 75.3 70.2 64.9 68.6 63.2 48.8 42.9
Michigan 17.7 17.0 85.8 78.8 73.9 72.1 67.8 56.9 51.4 43.2 40.8
Kansas 17.6 6.2 89.5 86.8 83.1 68.1 60.6 49.7 46.1
District of Columbia 15.7 77.8 65.9 64.0
Minnesota 14.7 3.4 88.9 82.6 76.2 73.9 66.3 78.6 71.7
Indiana 13.7 8.2 83.2 80.7 76.9 68.2 62.6 61.1 54.6 63.1 59.5
Missouri 13.6 11.5 85.9 84.4 80.9 84.0 80.4 74.4 69.9 67.3 60.1
Ohio 12.0 13.8 82.4 78.0 73.6 70.5 65.2 61.8 55.6 64.3 58.5
Maryland 12.0 35.0 90.5 84.2 84.6 85.6 84.5 77.1 76.4 56.5 54.7
Pennsylvania 10.6 11.0 87.0 80.2 76.9 72.8 69.2 71.7 67.8 72.0 68.4
Wisconsin 10.6 4.6 86.3 81.0 77.3 66.9 61.8 66.1 61.1 81.5 77.8
Iowa 10.2 1.8 90.6 85.4 83.8 80.8 77.4
Alabama 10.2 25.4 88.6 78.0 73.8 69.7 64.3 71.3 65.5 66.6 60.3
Nebraska 10.0 3.6 90.3 86.2 84.0 87.7 85.1 74.6 71.1
Median 11.3 87.0 81.0 76.9 72.1 66.3 70.0 64.4 65.1 59.8
States with 5–9.9 percentage point influenza vaccination inequities
Georgia 9.5 33.1 80.1 78.0 74.7 80.8 77.8 71.5 68.6 72.5 67.8
Kentucky 9.1 7.7 83.9 75.6 71.4 78.8 75.0 83.8 80.6
New York 9.1 17.8 92.4 84.3 82.2 71.4 68.6 72.5 69.2 77.5 75.0
New Jersey 8.2 16.4 92.7 78.0 75.9 75.3 73.3 68.0 65.4 76.9 74.6
North Carolina 8.0 24.0 87.6 86.8 85.3 78.1 75.4 64.8 61.8 66.9 67.3
Tennessee 7.8 14.1 82.6 80.4 78.1 79.0 77.5 83.4 81.6 63.2 60.8
Rhode Island 7.7 4.3 90.9 83.5 82.3 79.2 77.3
Oregon 7.5 2.1 76.7 78.5 74.6 75.2 70.2
West Virginia 7.5 3.5 85.8 83.8 79.3 79.0 74.7
Virginia 7.3 22.6 90.9 84.1 80.0 80.8 76.4 72.4 68.5 71.2 67.5
Louisiana 7.3 30.5 86.6 84.1 80.9 77.5 79.1 75.3 69.5 65.1
Delaware 6.9 20.9 92.9 90.5 85.8 81.4 83.8 78.0
Massachusetts 6.8 5.7 86.8 81.0 78.6 78.0 75.1 75.9 73.2 85.1 83.0
Connecticut 6.7 9.6 90.9 84.0 81.9 77.3 75.2 82.2 79.9
Oklahoma 6.4 7.1 89.4 88.2 85.5 85.1 82.1 80.7 76.4
Mississippi 6.0 33.3 76.5 73.6 84.6 82.7 84.4 82.1 70.7 67.4
Arizona 5.8 4.2 69.1 60.2 61.4 78.4 79.3
California 5.6 10.1 88.6 74.5 70.9 72.2 68.4 69.4 65.4 71.2 67.4
Texas 5.3 12.9 83.1 77.7 76.2 73.6 71.9 69.8 68.1 51.4 49.4
Florida 5.1 13.7 89.0 57.1 55.7 50.2 49.4 46.8 45.3 64.6 63.2
Nevada 5.0 10.7 70.9 58.3 60.2 50.4 52.1 39.9 41.3
Median 12.9 87.2 80.4 78.1 78.4 75.2 72.5 69.2 71.0 67.4
States with 1–4.9 percentage point influenza vaccination inequities
South Carolina 4.7 28.4 85.0 84.7 87.2 87.0 78.5 78.2 69.6 69.1
Washington 4.0 3.6 80.8 75.6 72.8 78.4 75.9 73.5 70.8
Colorado 3.7 4.4 85.8 74.4 74.5 74.2 74.4 62.8 63.1
Arkansas 3.6 13.0 85.0 89.5 86.7 88.6 85.6 88.3 85.2 86.6 83.2
New Mexico 3.2 2.1 71.5 65.6 65.6 83.8 80.3
Median 4.4 82.9 75.6 74.5 83.8 80.3 76.0 74.5 78.1 76.2
Overall Median 13.6 87.2 80.3 77.3 74.2 70.6 70.5 67.0 66.9 62.6

Includes anyone who lived in a nursing home for at least 1 day between 1 October 2018 and 31 March 2019.

Results from multilevel models for each state including sex, age, race, total number residents in the facility during influenza season, and proportion Black residents in the facility. Vaccination coverage in nursing homes with 0% Black residents and ≥50% Black residents is bolded to show the differences in the most disparate strata. Dash (–) indicates strata with <5 facilities.