Determinants of non-vaccination against seasonal influenza.
Identifieur interne : 000033 ( Main/Corpus ); précédent : 000032; suivant : 000034Determinants of non-vaccination against seasonal influenza.
Auteurs : Maxime Roy ; Lindsey Sherrard ; Ève Dubé ; Nicolas L. GilbertSource :
- Health reports [ 1209-1367 ] ; 2018.
English descriptors
- KwdEn :
- MESH :
- chemical : Influenza Vaccines.
- geographic : Canada.
- prevention & control : Influenza, Human.
- statistics & numerical data : Vaccination Refusal.
- trends : Vaccination Refusal.
- Adult, Age Factors, Aged, Cross-Sectional Studies, Female, Health Surveys, Humans, Male, Middle Aged, Seasons, Sex Factors, Young Adult.
Abstract
BACKGROUND
In Canada, vaccine coverage for seasonal influenza remains below targets. Few studies have sought to determine the sociodemographic factors associated with non-vaccination using a Canada-wide survey. This study aims to identify the determinants of, and the reasons for, non-vaccination.
DATA AND METHODS
Data from the 2013/2014 Canadian Community Health Survey (CCHS) were used. Respondents were divided into three groups: adults aged 18 to 64 years with a chronic medical condition (CMC), adults in the same age group with no CMC, and adults aged 65 years and older. Logistic regressions were used to measure the association between sociodemographic factors and non-vaccination.
RESULTS
Among adults aged 65 years and older, the proportion of non-vaccinated persons was 36.2%. This proportion was higher among adults aged 18 to 64 years with a CMC and those with no CMC (62.2% and 77.8%, respectively). Factors independently associated with non-vaccination in all groups included being young, having a lower level of education, and not having a family doctor. Among adults aged 65 years and older and 18 to 64 years with a CMC, excellent self-perceived health was also associated with non-vaccination. The belief that the vaccine is not necessary was the most common reason for non-vaccination.
DISCUSSION
Too few Canadians get the influenza vaccine. The main reasons for not getting vaccinated have more to do with personal decision than barriers to access. This illustrates the ongoing need to inform the public about the importance of the vaccine and the risks associated with influenza.
PubMed: 30329145
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Determinants of non-vaccination against seasonal influenza.</title><author><name sortKey="Roy, Maxime" sort="Roy, Maxime" uniqKey="Roy M" first="Maxime" last="Roy">Maxime Roy</name><affiliation><nlm:affiliation>Centre for Immunization and Respiratory Infectious Diseases of the Public Health Agency of Canada in Ottawa, Ontario; École de santé publique, Université de Montréal, Montréal, Québec.</nlm:affiliation></affiliation></author><author><name sortKey="Sherrard, Lindsey" sort="Sherrard, Lindsey" uniqKey="Sherrard L" first="Lindsey" last="Sherrard">Lindsey Sherrard</name><affiliation><nlm:affiliation>Centre for Immunization and Respiratory Infectious Diseases of the Public Health Agency of Canada in Ottawa, Ontario.</nlm:affiliation></affiliation></author><author><name sortKey="Dube, Eve" sort="Dube, Eve" uniqKey="Dube E" first="Ève" last="Dubé">Ève Dubé</name><affiliation><nlm:affiliation>Institut national de santé publique du Québec, Québec, Québec.</nlm:affiliation></affiliation></author><author><name sortKey="Gilbert, Nicolas L" sort="Gilbert, Nicolas L" uniqKey="Gilbert N" first="Nicolas L" last="Gilbert">Nicolas L. Gilbert</name><affiliation><nlm:affiliation>Centre for Immunization and Respiratory Infectious Diseases of the Public Health Agency of Canada in Ottawa, Ontario; École de santé publique, Université de Montréal, Montréal, Québec.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2018">2018</date><idno type="RBID">pubmed:30329145</idno><idno type="pmid">30329145</idno><idno type="wicri:Area/Main/Corpus">000033</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000033</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Determinants of non-vaccination against seasonal influenza.</title><author><name sortKey="Roy, Maxime" sort="Roy, Maxime" uniqKey="Roy M" first="Maxime" last="Roy">Maxime Roy</name><affiliation><nlm:affiliation>Centre for Immunization and Respiratory Infectious Diseases of the Public Health Agency of Canada in Ottawa, Ontario; École de santé publique, Université de Montréal, Montréal, Québec.</nlm:affiliation></affiliation></author><author><name sortKey="Sherrard, Lindsey" sort="Sherrard, Lindsey" uniqKey="Sherrard L" first="Lindsey" last="Sherrard">Lindsey Sherrard</name><affiliation><nlm:affiliation>Centre for Immunization and Respiratory Infectious Diseases of the Public Health Agency of Canada in Ottawa, Ontario.</nlm:affiliation></affiliation></author><author><name sortKey="Dube, Eve" sort="Dube, Eve" uniqKey="Dube E" first="Ève" last="Dubé">Ève Dubé</name><affiliation><nlm:affiliation>Institut national de santé publique du Québec, Québec, Québec.</nlm:affiliation></affiliation></author><author><name sortKey="Gilbert, Nicolas L" sort="Gilbert, Nicolas L" uniqKey="Gilbert N" first="Nicolas L" last="Gilbert">Nicolas L. Gilbert</name><affiliation><nlm:affiliation>Centre for Immunization and Respiratory Infectious Diseases of the Public Health Agency of Canada in Ottawa, Ontario; École de santé publique, Université de Montréal, Montréal, Québec.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Health reports</title><idno type="eISSN">1209-1367</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Canada</term><term>Cross-Sectional Studies</term><term>Female</term><term>Health Surveys</term><term>Humans</term><term>Influenza Vaccines</term><term>Influenza, Human (prevention & control)</term><term>Male</term><term>Middle Aged</term><term>Seasons</term><term>Sex Factors</term><term>Vaccination Refusal (statistics & numerical data)</term><term>Vaccination Refusal (trends)</term><term>Young Adult</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Influenza Vaccines</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Canada</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Vaccination Refusal</term></keywords><keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Vaccination Refusal</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Cross-Sectional Studies</term><term>Female</term><term>Health Surveys</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Seasons</term><term>Sex Factors</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>In Canada, vaccine coverage for seasonal influenza remains below targets. Few studies have sought to determine the sociodemographic factors associated with non-vaccination using a Canada-wide survey. This study aims to identify the determinants of, and the reasons for, non-vaccination.</p></div><div type="abstract" xml:lang="en"><p><b>DATA AND METHODS</b></p><p>Data from the 2013/2014 Canadian Community Health Survey (CCHS) were used. Respondents were divided into three groups: adults aged 18 to 64 years with a chronic medical condition (CMC), adults in the same age group with no CMC, and adults aged 65 years and older. Logistic regressions were used to measure the association between sociodemographic factors and non-vaccination.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Among adults aged 65 years and older, the proportion of non-vaccinated persons was 36.2%. This proportion was higher among adults aged 18 to 64 years with a CMC and those with no CMC (62.2% and 77.8%, respectively). Factors independently associated with non-vaccination in all groups included being young, having a lower level of education, and not having a family doctor. Among adults aged 65 years and older and 18 to 64 years with a CMC, excellent self-perceived health was also associated with non-vaccination. The belief that the vaccine is not necessary was the most common reason for non-vaccination.</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION</b></p><p>Too few Canadians get the influenza vaccine. The main reasons for not getting vaccinated have more to do with personal decision than barriers to access. This illustrates the ongoing need to inform the public about the importance of the vaccine and the risks associated with influenza.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30329145</PMID><DateCompleted><Year>2019</Year><Month>09</Month><Day>10</Day></DateCompleted><DateRevised><Year>2019</Year><Month>09</Month><Day>10</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1209-1367</ISSN><JournalIssue CitedMedium="Internet"><Volume>29</Volume><Issue>10</Issue><PubDate><Year>2018</Year><Month>10</Month><Day>17</Day></PubDate></JournalIssue><Title>Health reports</Title><ISOAbbreviation>Health Rep</ISOAbbreviation></Journal><ArticleTitle>Determinants of non-vaccination against seasonal influenza.</ArticleTitle><Pagination><MedlinePgn>12-22</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND">In Canada, vaccine coverage for seasonal influenza remains below targets. Few studies have sought to determine the sociodemographic factors associated with non-vaccination using a Canada-wide survey. This study aims to identify the determinants of, and the reasons for, non-vaccination.</AbstractText><AbstractText Label="DATA AND METHODS">Data from the 2013/2014 Canadian Community Health Survey (CCHS) were used. Respondents were divided into three groups: adults aged 18 to 64 years with a chronic medical condition (CMC), adults in the same age group with no CMC, and adults aged 65 years and older. Logistic regressions were used to measure the association between sociodemographic factors and non-vaccination.</AbstractText><AbstractText Label="RESULTS">Among adults aged 65 years and older, the proportion of non-vaccinated persons was 36.2%. This proportion was higher among adults aged 18 to 64 years with a CMC and those with no CMC (62.2% and 77.8%, respectively). Factors independently associated with non-vaccination in all groups included being young, having a lower level of education, and not having a family doctor. Among adults aged 65 years and older and 18 to 64 years with a CMC, excellent self-perceived health was also associated with non-vaccination. The belief that the vaccine is not necessary was the most common reason for non-vaccination.</AbstractText><AbstractText Label="DISCUSSION">Too few Canadians get the influenza vaccine. The main reasons for not getting vaccinated have more to do with personal decision than barriers to access. This illustrates the ongoing need to inform the public about the importance of the vaccine and the risks associated with influenza.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Roy</LastName><ForeName>Maxime</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Centre for Immunization and Respiratory Infectious Diseases of the Public Health Agency of Canada in Ottawa, Ontario; École de santé publique, Université de Montréal, Montréal, Québec.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sherrard</LastName><ForeName>Lindsey</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Centre for Immunization and Respiratory Infectious Diseases of the Public Health Agency of Canada in Ottawa, Ontario.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dubé</LastName><ForeName>Ève</ForeName><Initials>È</Initials><AffiliationInfo><Affiliation>Institut national de santé publique du Québec, Québec, Québec.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gilbert</LastName><ForeName>Nicolas L</ForeName><Initials>NL</Initials><AffiliationInfo><Affiliation>Centre for Immunization and Respiratory Infectious Diseases of the Public Health Agency of Canada in Ottawa, Ontario; École de santé publique, Université de Montréal, Montréal, Québec.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Canada</Country><MedlineTA>Health Rep</MedlineTA><NlmUniqueID>9012854</NlmUniqueID><ISSNLinking>0840-6529</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002170" MajorTopicYN="N" Type="Geographic">Canada</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006306" MajorTopicYN="N">Health Surveys</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007252" MajorTopicYN="Y">Influenza Vaccines</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012621" MajorTopicYN="Y">Seasons</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012737" MajorTopicYN="N">Sex Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000072758" MajorTopicYN="N">Vaccination Refusal</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName><QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Canada</Keyword><Keyword MajorTopicYN="Y">adults</Keyword><Keyword MajorTopicYN="Y">immunization</Keyword><Keyword MajorTopicYN="Y">influenza</Keyword><Keyword MajorTopicYN="Y">vaccination</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>10</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>10</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>9</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">30329145</ArticleId><ArticleId IdType="pii">82-003-X201801000003</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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