Influence of area-level social vulnerability on all-cause pneumonia incidence among adult Medicare and Medicaid enrollees.

ABSTRACT:

Background

The incidence of pneumonia varies by demographic and clinical factors, but less is known about the influence of area-level social determinants of health.

Methods

Using Medicare and Medicaid claims, we characterized the relationship between the county-level Minority Health Social Vulnerability Index (MHSVI) and all-cause pneumonia (ACP), pneumococcal pneumonia (PP) and invasive pneumococcal disease (IPD) incidence from 2016 to 2019.

Results

We show that in Medicare ( ≥ 65 years, 55% female) and Medicaid (ages 19-64, 58% female), ACP incidence is 8052 and 1819 per 100,000 person-years, respectively. Across both cohorts, rates are highest among enrollees who are male, non-Hispanic white, older, at high risk for pneumococcal disease (those with immunocompromisi

SUBMITTER: Mohanty S 

PROVIDER: S-EPMC12618641 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature