{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T19:49:02Z","timestamp":1791143342632,"version":"4.1.0"},"reference-count":27,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2008,10,17]],"date-time":"2008-10-17T00:00:00Z","timestamp":1224201600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2009,5]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:p>Demographic and clinical risk factors are important in guiding vaccination policy for pneumococcal pneumonia. We present data on these variables from a population-based surveillance network covering adult bacteraemic pneumococcal pneumonia (BPP) in the Delaware Valley region from 2002 to 2004. Surveillance data were used with U.S. Census data and a community health survey to calculate stratified incidence rates. Missing data were handled using multiple imputation. Overall rates of adult BPP were 10\u00b76 cases\/100 000 person-years. Elevated rates were seen in the elderly (&gt;65 years), Native Americans, African Americans, the less-educated (less than high-school education), the poor, smokers, and individuals with histories of asthma, cancer, or diabetes. Multivariable modelling suggested that income was more robustly associated with risk than African American race. Of methodological interest, this association was not apparent if census block-group median income was used as a proxy for self-reported income. Further research on socioeconomic risk factors for BPP is needed.<\/jats:p>","DOI":"10.1017\/s0950268808001489","type":"journal-article","created":{"date-parts":[[2008,10,17]],"date-time":"2008-10-17T08:46:34Z","timestamp":1224233194000},"page":"717-726","source":"Crossref","is-referenced-by-count":58,"title":["Socioeconomic risk factors for bacteraemic pneumococcal pneumonia in adults"],"prefix":"10.1017","volume":"137","author":[{"given":"J. H.","family":"FLORY","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"JOFFE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N. O.","family":"FISHMAN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. H.","family":"EDELSTEIN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. P.","family":"METLAY","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2008,10,17]]},"reference":[{"key":"S0950268808001489_ref026","first-page":"1","article-title":"Prevention of pneumococcal disease: recommendations of the Advisory Committee on Immunization Practices (ACIP)","volume":"46","year":"1997","journal-title":"MMWR Recommended Reports"},{"key":"S0950268808001489_ref003","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.18.2197"},{"key":"S0950268808001489_ref021","unstructured":"21. Rothman K . Modern Epidemiology, 2nd edn. Lippincott Williams & Wilkins, 1998."},{"key":"S0950268808001489_ref027","doi-asserted-by":"publisher","DOI":"10.1097\/01.md.0000164302.03972.d7"},{"key":"S0950268808001489_ref002","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.5.575"},{"key":"S0950268808001489_ref010","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.18.2253"},{"key":"S0950268808001489_ref007","unstructured":"7. The Ambulatory Care Quality Alliance Recommended Starter Set. Clinical Performance Measures for Ambulatory Care. Agency for Healthcare Research and Quality. Rockville, MD (http:\/\/www.ahrq.gov\/qual\/aqastart.htm). Accessed 30 September 2008."},{"key":"S0950268808001489_ref005","first-page":"148","volume-title":"The Pneumococcus","author":"Butler","year":"2004"},{"key":"S0950268808001489_ref011","doi-asserted-by":"publisher","DOI":"10.1542\/peds.106.2.362"},{"key":"S0950268808001489_ref023","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa044113"},{"key":"S0950268808001489_ref022","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a009611"},{"key":"S0950268808001489_ref008","doi-asserted-by":"publisher","DOI":"10.1177\/027298902237711"},{"key":"S0950268808001489_ref006","first-page":"248","volume-title":"Vol. 3: Specifications for survey measures","year":"2005"},{"key":"S0950268808001489_ref004","doi-asserted-by":"publisher","DOI":"10.1001\/jama.287.7.833"},{"key":"S0950268808001489_ref001","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa051642"},{"key":"S0950268808001489_ref013","doi-asserted-by":"publisher","DOI":"10.3201\/eid1708.060017"},{"key":"S0950268808001489_ref018","unstructured":"18. SAS Online Documentation (http:\/\/support.sas.com\/documentation\/onlinedoc\/91pdf\/sasdoc_913\/whatsnew_10878.pdf). Accessed 5 September 2008."},{"key":"S0950268808001489_ref016","unstructured":"16. Ruggles S , Integrated Public Use Microdata Series: Version 3.0 [Machine-readable database]. Minneapolis, MN: Minnesota Population Center; 2004 (http:\/\/www.ipums.org). Accessed 1 December 2005."},{"key":"S0950268808001489_ref009","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.13.1729"},{"key":"S0950268808001489_ref017","unstructured":"17. Southeastern Pennsylvania Household Health Survey. Philadelphia, PA: Philadelphia Health Management Corporation, 2004."},{"key":"S0950268808001489_ref015","unstructured":"15. United States Census 2000. Washington, DC: US Census Bureau, 2005 (http:\/\/www.census.gov\/main\/www\/cen2000.html). Accessed 1 December 2005."},{"key":"S0950268808001489_ref024","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.5.1143"},{"key":"S0950268808001489_ref012","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2005.07.095"},{"key":"S0950268808001489_ref025","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200003093421002"},{"key":"S0950268808001489_ref014","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2004.07.091"},{"key":"S0950268808001489_ref020","doi-asserted-by":"publisher","DOI":"10.4135\/9781412985079"},{"key":"S0950268808001489_ref019","doi-asserted-by":"publisher","DOI":"10.1177\/0962280206075304"}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268808001489","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,30]],"date-time":"2019-04-30T17:36:24Z","timestamp":1556645784000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268808001489\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,10,17]]},"references-count":27,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2009,5]]}},"alternative-id":["S0950268808001489"],"URL":"https:\/\/doi.org\/10.1017\/s0950268808001489","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,10,17]]}}}