Determinants of tetanus and seasonal influenza vaccine uptake in adults living in Germany.
Identifieur interne : 000297 ( Main/Exploration ); précédent : 000296; suivant : 000298Determinants of tetanus and seasonal influenza vaccine uptake in adults living in Germany.
Auteurs : Merle M. Böhmer [Allemagne] ; Dietmar Walter ; Gérard Krause ; Stephan Müters ; Antje Gösswald ; Ole WichmannSource :
- Human vaccines [ 1554-8619 ] ; 2011.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Allemagne (épidémiologie), Anatoxine tétanique (administration et posologie), Connaissances, attitudes et pratiques en santé, Enquêtes sur les soins de santé, Entretiens comme sujet, Femelle, Grippe humaine (), Humains, Jeune adulte, Mâle, Personnel de santé, Sujet âgé, Sujet âgé de 80 ans ou plus, Téléphone, Tétanos (), Vaccination (), Vaccins antigrippaux (administration et posologie).
- MESH :
- administration et posologie : Anatoxine tétanique, Vaccins antigrippaux.
- épidémiologie : Allemagne.
- Adolescent, Adulte, Adulte d'âge moyen, Connaissances, attitudes et pratiques en santé, Enquêtes sur les soins de santé, Entretiens comme sujet, Femelle, Grippe humaine, Humains, Jeune adulte, Mâle, Personnel de santé, Sujet âgé, Sujet âgé de 80 ans ou plus, Téléphone, Tétanos, Vaccination.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Germany (epidemiology), Health Care Surveys, Health Knowledge, Attitudes, Practice, Health Personnel, Humans, Influenza Vaccines (administration & dosage), Influenza, Human (prevention & control), Interviews as Topic, Male, Middle Aged, Telephone, Tetanus (prevention & control), Tetanus Toxoid (administration & dosage), Vaccination (statistics & numerical data), Young Adult.
- MESH :
- chemical , administration & dosage : Influenza Vaccines, Tetanus Toxoid.
- epidemiology : Germany.
- prevention & control : Influenza, Human, Tetanus.
- statistics & numerical data : Vaccination.
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Health Care Surveys, Health Knowledge, Attitudes, Practice, Health Personnel, Humans, Interviews as Topic, Male, Middle Aged, Telephone, Young Adult.
Abstract
The primary objective of this study was to assess determinants of vaccine uptake in adults living in Germany exemplified by one standard vaccination (tetanus) and one vaccination targeting specific risk-groups (seasonal influenza). Data from 21,262 telephone household-interviews representative of the adult population in Germany were collected in 2009 and analysed. A total 73.1% of the adult population had a sufficient tetanus vaccination status according to national recommendations (i.e. last tetanus shot ≤10 years ago). Influenza vaccination coverage in the target population (i.e. persons ≥60 years, chronically ill, healthcare workers) was 44.1%. Persons who received professional vaccination advice within the past five years were more frequently vaccinated against tetanus and influenza than persons without (p< 0.001). Private physicians were identified as the most important source for vaccination advice. Having a statutory health insurance, last physician contact < 1 year ago, and living in the eastern part of Germany were independently associated with higher tetanus and influenza vaccine uptake. Low socio-economic status, two-sided migration background, and the feeling of being insufficiently informed on the benefits of vaccination were independently associated with low uptake of tetanus but not influenza vaccines. Our results show that tetanus vaccination coverage in the general adult population and influenza vaccination coverage in the target population are unsatisfactorily low in Germany. Since physicians' advice has a major impact on the vaccination decision, physician reminder systems could provide a method to increase vaccination coverage in adults. For tetanus, information activities should target population groups with an increased risk of being undervaccinated.
DOI: 10.4161/hv.7.12.18130
PubMed: 22108034
Affiliations:
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Böhmer</name><affiliation wicri:level="3"><nlm:affiliation>Immunization Unit, Robert Koch Institute, Berlin, Germany. BoehmerM@rki.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Immunization Unit, Robert Koch Institute, Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Walter, Dietmar" sort="Walter, Dietmar" uniqKey="Walter D" first="Dietmar" last="Walter">Dietmar Walter</name></author><author><name sortKey="Krause, Gerard" sort="Krause, Gerard" uniqKey="Krause G" first="Gérard" last="Krause">Gérard Krause</name></author><author><name sortKey="Muters, Stephan" sort="Muters, Stephan" uniqKey="Muters S" first="Stephan" last="Müters">Stephan Müters</name></author><author><name sortKey="Gosswald, Antje" sort="Gosswald, Antje" uniqKey="Gosswald A" first="Antje" last="Gösswald">Antje Gösswald</name></author><author><name sortKey="Wichmann, Ole" sort="Wichmann, Ole" uniqKey="Wichmann O" first="Ole" last="Wichmann">Ole Wichmann</name></author></analytic><series><title level="j">Human vaccines</title><idno type="eISSN">1554-8619</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Germany (epidemiology)</term><term>Health Care Surveys</term><term>Health Knowledge, Attitudes, Practice</term><term>Health Personnel</term><term>Humans</term><term>Influenza Vaccines (administration & dosage)</term><term>Influenza, Human (prevention & control)</term><term>Interviews as Topic</term><term>Male</term><term>Middle Aged</term><term>Telephone</term><term>Tetanus (prevention & control)</term><term>Tetanus Toxoid (administration & dosage)</term><term>Vaccination (statistics & numerical data)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Allemagne (épidémiologie)</term><term>Anatoxine tétanique (administration et posologie)</term><term>Connaissances, attitudes et pratiques en santé</term><term>Enquêtes sur les soins de santé</term><term>Entretiens comme sujet</term><term>Femelle</term><term>Grippe humaine ()</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Personnel de santé</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Téléphone</term><term>Tétanos ()</term><term>Vaccination ()</term><term>Vaccins antigrippaux (administration et posologie)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Influenza Vaccines</term><term>Tetanus Toxoid</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Anatoxine tétanique</term><term>Vaccins antigrippaux</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Germany</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term><term>Tetanus</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Allemagne</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Health Care Surveys</term><term>Health Knowledge, Attitudes, Practice</term><term>Health Personnel</term><term>Humans</term><term>Interviews as Topic</term><term>Male</term><term>Middle Aged</term><term>Telephone</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Connaissances, attitudes et pratiques en santé</term><term>Enquêtes sur les soins de santé</term><term>Entretiens comme sujet</term><term>Femelle</term><term>Grippe humaine</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Personnel de santé</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Téléphone</term><term>Tétanos</term><term>Vaccination</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The primary objective of this study was to assess determinants of vaccine uptake in adults living in Germany exemplified by one standard vaccination (tetanus) and one vaccination targeting specific risk-groups (seasonal influenza). Data from 21,262 telephone household-interviews representative of the adult population in Germany were collected in 2009 and analysed. A total 73.1% of the adult population had a sufficient tetanus vaccination status according to national recommendations (i.e. last tetanus shot ≤10 years ago). Influenza vaccination coverage in the target population (i.e. persons ≥60 years, chronically ill, healthcare workers) was 44.1%. Persons who received professional vaccination advice within the past five years were more frequently vaccinated against tetanus and influenza than persons without (p< 0.001). Private physicians were identified as the most important source for vaccination advice. Having a statutory health insurance, last physician contact < 1 year ago, and living in the eastern part of Germany were independently associated with higher tetanus and influenza vaccine uptake. Low socio-economic status, two-sided migration background, and the feeling of being insufficiently informed on the benefits of vaccination were independently associated with low uptake of tetanus but not influenza vaccines. Our results show that tetanus vaccination coverage in the general adult population and influenza vaccination coverage in the target population are unsatisfactorily low in Germany. Since physicians' advice has a major impact on the vaccination decision, physician reminder systems could provide a method to increase vaccination coverage in adults. For tetanus, information activities should target population groups with an increased risk of being undervaccinated.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22108034</PMID><DateCompleted><Year>2012</Year><Month>04</Month><Day>24</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>01</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1554-8619</ISSN><JournalIssue CitedMedium="Internet"><Volume>7</Volume><Issue>12</Issue><PubDate><Year>2011</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Human vaccines</Title><ISOAbbreviation>Hum Vaccin</ISOAbbreviation></Journal><ArticleTitle>Determinants of tetanus and seasonal influenza vaccine uptake in adults living in Germany.</ArticleTitle><Pagination><MedlinePgn>1317-25</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.4161/hv.7.12.18130</ELocationID><Abstract><AbstractText>The primary objective of this study was to assess determinants of vaccine uptake in adults living in Germany exemplified by one standard vaccination (tetanus) and one vaccination targeting specific risk-groups (seasonal influenza). Data from 21,262 telephone household-interviews representative of the adult population in Germany were collected in 2009 and analysed. A total 73.1% of the adult population had a sufficient tetanus vaccination status according to national recommendations (i.e. last tetanus shot ≤10 years ago). Influenza vaccination coverage in the target population (i.e. persons ≥60 years, chronically ill, healthcare workers) was 44.1%. Persons who received professional vaccination advice within the past five years were more frequently vaccinated against tetanus and influenza than persons without (p< 0.001). Private physicians were identified as the most important source for vaccination advice. Having a statutory health insurance, last physician contact < 1 year ago, and living in the eastern part of Germany were independently associated with higher tetanus and influenza vaccine uptake. Low socio-economic status, two-sided migration background, and the feeling of being insufficiently informed on the benefits of vaccination were independently associated with low uptake of tetanus but not influenza vaccines. Our results show that tetanus vaccination coverage in the general adult population and influenza vaccination coverage in the target population are unsatisfactorily low in Germany. Since physicians' advice has a major impact on the vaccination decision, physician reminder systems could provide a method to increase vaccination coverage in adults. For tetanus, information activities should target population groups with an increased risk of being undervaccinated.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Böhmer</LastName><ForeName>Merle M</ForeName><Initials>MM</Initials><AffiliationInfo><Affiliation>Immunization Unit, Robert Koch Institute, Berlin, Germany. 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MajorTopicYN="N">Interviews as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013689" MajorTopicYN="N">Telephone</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013742" MajorTopicYN="N">Tetanus</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013745" MajorTopicYN="N">Tetanus Toxoid</DescriptorName><QualifierName UI="Q000008" MajorTopicYN="Y">administration & dosage</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>11</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>11</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>4</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22108034</ArticleId><ArticleId IdType="pii">18130</ArticleId><ArticleId IdType="doi">10.4161/hv.7.12.18130</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country><region><li>Berlin</li></region><settlement><li>Berlin</li></settlement></list><tree><noCountry><name sortKey="Gosswald, Antje" sort="Gosswald, Antje" uniqKey="Gosswald A" first="Antje" last="Gösswald">Antje Gösswald</name><name sortKey="Krause, Gerard" sort="Krause, Gerard" uniqKey="Krause G" first="Gérard" last="Krause">Gérard Krause</name><name sortKey="Muters, Stephan" sort="Muters, Stephan" uniqKey="Muters S" first="Stephan" last="Müters">Stephan Müters</name><name sortKey="Walter, Dietmar" sort="Walter, Dietmar" uniqKey="Walter D" first="Dietmar" last="Walter">Dietmar Walter</name><name sortKey="Wichmann, Ole" sort="Wichmann, Ole" uniqKey="Wichmann O" first="Ole" last="Wichmann">Ole Wichmann</name></noCountry><country name="Allemagne"><region name="Berlin"><name sortKey="Bohmer, Merle M" sort="Bohmer, Merle M" uniqKey="Bohmer M" first="Merle M" last="Böhmer">Merle M. 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