Determinants of tetanus, pneumococcal and influenza vaccination in the elderly: a representative cross-sectional study on knowledge, attitude and practice (KAP).
Identifieur interne : 000100 ( Main/Curation ); précédent : 000099; suivant : 000101Determinants of tetanus, pneumococcal and influenza vaccination in the elderly: a representative cross-sectional study on knowledge, attitude and practice (KAP).
Auteurs : Carolina J. Klett-Tammen [Allemagne] ; Gérard Krause [Allemagne] ; Linda Seefeld [Allemagne] ; Jördis J. Ott [Allemagne]Source :
- BMC public health [ 1471-2458 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Allemagne, Analyse statistique factorielle, Anatoxine tétanique (administration et posologie), Caractéristiques de l'habitat, Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, Facteurs socioéconomiques, Femelle, Humains, Modèles logistiques, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus, Vaccination (), Vaccins antigrippaux (administration et posologie), Vaccins antipneumococciques (administration et posologie), État de santé, Études transversales.
- MESH :
- administration et posologie : Anatoxine tétanique, Vaccins antigrippaux, Vaccins antipneumococciques.
- Adulte d'âge moyen, Allemagne, Analyse statistique factorielle, Caractéristiques de l'habitat, Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, Facteurs socioéconomiques, Femelle, Humains, Modèles logistiques, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus, Vaccination, État de santé, Études transversales.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Cross-Sectional Studies, Factor Analysis, Statistical, Female, Germany, Health Knowledge, Attitudes, Practice, Health Status, Humans, Influenza Vaccines (administration & dosage), Logistic Models, Male, Middle Aged, Pneumococcal Vaccines (administration & dosage), Residence Characteristics, Socioeconomic Factors, Surveys and Questionnaires, Tetanus Toxoid (administration & dosage), Vaccination (statistics & numerical data).
- MESH :
- chemical , administration & dosage : Influenza Vaccines, Pneumococcal Vaccines, Tetanus Toxoid.
- statistics & numerical data : Vaccination.
- Aged, Aged, 80 and over, Cross-Sectional Studies, Factor Analysis, Statistical, Female, Germany, Health Knowledge, Attitudes, Practice, Health Status, Humans, Logistic Models, Male, Middle Aged, Residence Characteristics, Socioeconomic Factors, Surveys and Questionnaires.
Abstract
Severity and incidence of vaccine-preventable infections with influenza viruses, s. pneumoniae and c. tetani increase with age. Furthermore, vaccine coverage in the elderly is often insufficient. The aim of this study is to identify socio-economic and knowledge-, attitude- and practice- (KAP)-related determinants of vaccination against influenza, pneumococcal disease and tetanus in the older German population.
DOI: 10.1186/s12889-016-2784-8
PubMed: 26846202
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pubmed:26846202Le document en format XML
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<term>Germany</term>
<term>Health Knowledge, Attitudes, Practice</term>
<term>Health Status</term>
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<term>Logistic Models</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pneumococcal Vaccines (administration & dosage)</term>
<term>Residence Characteristics</term>
<term>Socioeconomic Factors</term>
<term>Surveys and Questionnaires</term>
<term>Tetanus Toxoid (administration & dosage)</term>
<term>Vaccination (statistics & numerical data)</term>
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<term>Allemagne</term>
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<term>Anatoxine tétanique (administration et posologie)</term>
<term>Caractéristiques de l'habitat</term>
<term>Connaissances, attitudes et pratiques en santé</term>
<term>Enquêtes et questionnaires</term>
<term>Facteurs socioéconomiques</term>
<term>Femelle</term>
<term>Humains</term>
<term>Modèles logistiques</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<term>Vaccins antigrippaux (administration et posologie)</term>
<term>Vaccins antipneumococciques (administration et posologie)</term>
<term>État de santé</term>
<term>Études transversales</term>
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<term>Pneumococcal Vaccines</term>
<term>Tetanus Toxoid</term>
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<term>Vaccins antipneumococciques</term>
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<term>Cross-Sectional Studies</term>
<term>Factor Analysis, Statistical</term>
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<term>Middle Aged</term>
<term>Residence Characteristics</term>
<term>Socioeconomic Factors</term>
<term>Surveys and Questionnaires</term>
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<term>Allemagne</term>
<term>Analyse statistique factorielle</term>
<term>Caractéristiques de l'habitat</term>
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<front><div type="abstract" xml:lang="en">Severity and incidence of vaccine-preventable infections with influenza viruses, s. pneumoniae and c. tetani increase with age. Furthermore, vaccine coverage in the elderly is often insufficient. The aim of this study is to identify socio-economic and knowledge-, attitude- and practice- (KAP)-related determinants of vaccination against influenza, pneumococcal disease and tetanus in the older German population.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">26846202</PMID>
<DateCompleted><Year>2016</Year>
<Month>08</Month>
<Day>31</Day>
</DateCompleted>
<DateRevised><Year>2018</Year>
<Month>12</Month>
<Day>02</Day>
</DateRevised>
<Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2458</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>16</Volume>
<PubDate><Year>2016</Year>
<Month>Feb</Month>
<Day>04</Day>
</PubDate>
</JournalIssue>
<Title>BMC public health</Title>
<ISOAbbreviation>BMC Public Health</ISOAbbreviation>
</Journal>
<ArticleTitle>Determinants of tetanus, pneumococcal and influenza vaccination in the elderly: a representative cross-sectional study on knowledge, attitude and practice (KAP).</ArticleTitle>
<Pagination><MedlinePgn>121</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1186/s12889-016-2784-8</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Severity and incidence of vaccine-preventable infections with influenza viruses, s. pneumoniae and c. tetani increase with age. Furthermore, vaccine coverage in the elderly is often insufficient. The aim of this study is to identify socio-economic and knowledge-, attitude- and practice- (KAP)-related determinants of vaccination against influenza, pneumococcal disease and tetanus in the older German population.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We analysed data from a German nationally representative questionnaire-based KAP-survey on infection prevention and hygiene behavior in the elderly (n = 1223). We used logistic regressions to assess impacts of socio-demographic- and KAP-related variables on vaccine uptake in general and on tetanus-, influenza- and pneumococcal vaccination. To generate KAP-scores, we applied factor analyses and analysed scores as predictors of specific vaccinations.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A low rated personal health status was associated with a higher uptake of influenza vaccine whereas place of residence within Germany strongly impacted on pneumococcal vaccination. For tetanus and influenza vaccination, the strongest single vaccination predictor was attitude-related, i.e., the perceived importance of the vaccine (OR = 18.1, 95 % CI = 4.5-71.8; OR = 23.0, 95 % CI = 14.9-35.3, respectively). Pneumococcal vaccination was mostly knowledge-associated, i.e., knowing the recommendation predicted uptake (OR = 17.1, 95 % CI = 9.5-30.7). Regarding the generated KAP-scores, the practice-score reflecting vaccine related behavior such as having a vaccination record, was predictive for all vaccines considered. The knowledge-score was associated with influenza (OR = 1.3, 95 % CI = 1.0-1.6) and pneumococcal vaccination (OR = 1.2, 95 % CI = 1.0-1.5). Uniquely for influenza vaccination, the attitude-score was linked to vaccine uptake (OR = 1.1, 95 % CI = 1.0-1.1).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our results indicate that predictors of vaccination uptake in the elderly strongly depend on vaccine type and that scores of KAP are useful and valid to condense information from numerous individual KAP-variables. While awareness for vaccinations against influenza and tetanus is fairly high already it might have to be increased for vaccinations against pneumocoocal infections.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Klett-Tammen</LastName>
<ForeName>Carolina J</ForeName>
<Initials>CJ</Initials>
<AffiliationInfo><Affiliation>Department of Epidemiology, Helmholtz Centre for Infection Research, Inhoffenstrasse 7, 38124, Braunschweig, Germany. Carolina.Klett-Tammen@helmholtz-hzi.de.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany. Carolina.Klett-Tammen@helmholtz-hzi.de.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Krause</LastName>
<ForeName>Gérard</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Department of Epidemiology, Helmholtz Centre for Infection Research, Inhoffenstrasse 7, 38124, Braunschweig, Germany. Gerard.Krause@helmholtz-hzi.de.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany. Gerard.Krause@helmholtz-hzi.de.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Seefeld</LastName>
<ForeName>Linda</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Unit of Basic medical issues; preventive and medical activities in health education, Federal Centre for Health Education (BZgA), Maarweg 149-161, 50825, Köln, Germany. Linda.Seefeld@bzga.de.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ott</LastName>
<ForeName>Jördis J</ForeName>
<Initials>JJ</Initials>
<AffiliationInfo><Affiliation>Department of Epidemiology, Helmholtz Centre for Infection Research, Inhoffenstrasse 7, 38124, Braunschweig, Germany. Joerdis.Ott@helmholtz-hzi.de.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany. Joerdis.Ott@helmholtz-hzi.de.</Affiliation>
</AffiliationInfo>
</Author>
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<Language>eng</Language>
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<Month>02</Month>
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<MeshHeading><DescriptorName UI="D006304" MajorTopicYN="N">Health Status</DescriptorName>
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<MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName>
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<MeshHeading><DescriptorName UI="D013745" MajorTopicYN="N">Tetanus Toxoid</DescriptorName>
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