Influenza immunization in Canada's low-income population.
Identifieur interne : 000272 ( Main/Exploration ); précédent : 000271; suivant : 000273Influenza immunization in Canada's low-income population.
Auteurs : Jennifer Leigh Hobbs [Canada] ; Jane A. BuxtonSource :
- BMC public health [ 1471-2458 ] ; 2014.
Descripteurs français
- KwdFr :
- Acceptation des soins par le patient (), Accessibilité des services de santé (), Adolescent, Adulte, Adulte d'âge moyen, Analyse de regroupements, Besoins et demandes de services de santé (), Canada, Enquêtes de santé (), Facteurs de l'âge, Facteurs socioéconomiques, Femelle, Grippe humaine (), Humains, Jeune adulte, Mâle, Pauvreté (), Programmes de vaccination (), Sujet âgé, Vaccins antigrippaux (usage thérapeutique), Études transversales.
- MESH :
- usage thérapeutique : Vaccins antigrippaux.
- Acceptation des soins par le patient, Accessibilité des services de santé, Adolescent, Adulte, Adulte d'âge moyen, Analyse de regroupements, Besoins et demandes de services de santé, Canada, Enquêtes de santé, Facteurs de l'âge, Facteurs socioéconomiques, Femelle, Grippe humaine, Humains, Jeune adulte, Mâle, Pauvreté, Programmes de vaccination, Sujet âgé, Études transversales.
English descriptors
- KwdEn :
- Adolescent, Adult, Age Factors, Aged, Canada, Cluster Analysis, Cross-Sectional Studies, Female, Health Services Accessibility (statistics & numerical data), Health Services Needs and Demand (statistics & numerical data), Health Surveys (methods), Health Surveys (statistics & numerical data), Humans, Immunization Programs (methods), Immunization Programs (statistics & numerical data), Influenza Vaccines (therapeutic use), Influenza, Human (prevention & control), Male, Middle Aged, Patient Acceptance of Health Care (statistics & numerical data), Poverty (statistics & numerical data), Socioeconomic Factors, Young Adult.
- MESH :
- chemical , therapeutic use : Influenza Vaccines.
- methods : Health Surveys, Immunization Programs.
- prevention & control : Influenza, Human.
- statistics & numerical data : Health Services Accessibility, Health Services Needs and Demand, Health Surveys, Immunization Programs, Patient Acceptance of Health Care, Poverty.
- Adolescent, Adult, Age Factors, Aged, Canada, Cluster Analysis, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Socioeconomic Factors, Young Adult.
Abstract
BACKGROUND
Immunization offers the best protection from influenza infection. Little evidence describes disparities in immunization uptake among low-income individuals. Higher rates of chronic disease put this population at increased risk of influenza-related complications. This analysis examines if the type of main source of household income in low-income groups affects influenza immunization uptake. We hypothesized that individuals on social assistance have less access to immunization compared to those with employment earnings or seniors' benefits.
METHODS
Data was obtained from the Canadian Community Health Survey annual component 2009-2010. A total of 10,373 low-income respondents (<20,000$ Canadian per annum) were included. Logistic regression, stratified according to type of provincial publicly funded immunization program, was used to examine the association between influenza immunization (in the last 12 months) and main source of household income (employment earnings; social assistance as a combination of employment insurance or worker's compensation or welfare; or seniors' benefits).
RESULTS
Overall, 32.5% of respondents reported receiving influenza immunization. In multivariable analysis of universal publicly funded influenza immunization programs, those reporting social assistance (AOR 1.24, 95% CI 1.02-1.51) or seniors' benefits (AOR 1.56, 95% CI 1.23-1.98) were more likely to be immunized compared to those reporting employment earnings. Similar results were observed for high-risk programs.
CONCLUSIONS
Among the low-income sample, overall influenza immunization coverage is low. Those receiving social assistance or seniors' benefits may have been targeted due to higher rates of chronic disease. Programs reaching the workforce may be important to attain broader coverage. However, CCHS data was collected during the H1N1 pandemic influenza, thus results may not be generalizable to influenza immunization in non-pandemic years.
DOI: 10.1186/1471-2458-14-740
PubMed: 25048163
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Buxton</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:25048163</idno><idno type="pmid">25048163</idno><idno type="doi">10.1186/1471-2458-14-740</idno><idno type="wicri:Area/Main/Corpus">000260</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000260</idno><idno type="wicri:Area/Main/Curation">000260</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000260</idno><idno type="wicri:Area/Main/Exploration">000260</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Influenza immunization in Canada's low-income population.</title><author><name sortKey="Hobbs, Jennifer Leigh" sort="Hobbs, Jennifer Leigh" uniqKey="Hobbs J" first="Jennifer Leigh" last="Hobbs">Jennifer Leigh Hobbs</name><affiliation wicri:level="1"><nlm:affiliation>School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada. Leigh.Hobbs@oahpp.ca.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>School of Population and Public Health, University of British Columbia, Vancouver, BC</wicri:regionArea><wicri:noRegion>BC</wicri:noRegion></affiliation></author><author><name sortKey="Buxton, Jane A" sort="Buxton, Jane A" uniqKey="Buxton J" first="Jane A" last="Buxton">Jane A. Buxton</name></author></analytic><series><title level="j">BMC public health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Canada</term><term>Cluster Analysis</term><term>Cross-Sectional Studies</term><term>Female</term><term>Health Services Accessibility (statistics & numerical data)</term><term>Health Services Needs and Demand (statistics & numerical data)</term><term>Health Surveys (methods)</term><term>Health Surveys (statistics & numerical data)</term><term>Humans</term><term>Immunization Programs (methods)</term><term>Immunization Programs (statistics & numerical data)</term><term>Influenza Vaccines (therapeutic use)</term><term>Influenza, Human (prevention & control)</term><term>Male</term><term>Middle Aged</term><term>Patient Acceptance of Health Care (statistics & numerical data)</term><term>Poverty (statistics & numerical data)</term><term>Socioeconomic Factors</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par le patient ()</term><term>Accessibilité des services de santé ()</term><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de regroupements</term><term>Besoins et demandes de services de santé ()</term><term>Canada</term><term>Enquêtes de santé ()</term><term>Facteurs de l'âge</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Grippe humaine ()</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Pauvreté ()</term><term>Programmes de vaccination ()</term><term>Sujet âgé</term><term>Vaccins antigrippaux (usage thérapeutique)</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Influenza Vaccines</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Health Surveys</term><term>Immunization Programs</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>Health Services Accessibility</term><term>Health Services Needs and Demand</term><term>Health Surveys</term><term>Immunization Programs</term><term>Patient Acceptance of Health Care</term><term>Poverty</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Vaccins antigrippaux</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Canada</term><term>Cluster Analysis</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Socioeconomic Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Acceptation des soins par le patient</term><term>Accessibilité des services de santé</term><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de regroupements</term><term>Besoins et demandes de services de santé</term><term>Canada</term><term>Enquêtes de santé</term><term>Facteurs de l'âge</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Grippe humaine</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Pauvreté</term><term>Programmes de vaccination</term><term>Sujet âgé</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Immunization offers the best protection from influenza infection. Little evidence describes disparities in immunization uptake among low-income individuals. Higher rates of chronic disease put this population at increased risk of influenza-related complications. This analysis examines if the type of main source of household income in low-income groups affects influenza immunization uptake. We hypothesized that individuals on social assistance have less access to immunization compared to those with employment earnings or seniors' benefits.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Data was obtained from the Canadian Community Health Survey annual component 2009-2010. A total of 10,373 low-income respondents (<20,000$ Canadian per annum) were included. Logistic regression, stratified according to type of provincial publicly funded immunization program, was used to examine the association between influenza immunization (in the last 12 months) and main source of household income (employment earnings; social assistance as a combination of employment insurance or worker's compensation or welfare; or seniors' benefits).</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Overall, 32.5% of respondents reported receiving influenza immunization. In multivariable analysis of universal publicly funded influenza immunization programs, those reporting social assistance (AOR 1.24, 95% CI 1.02-1.51) or seniors' benefits (AOR 1.56, 95% CI 1.23-1.98) were more likely to be immunized compared to those reporting employment earnings. Similar results were observed for high-risk programs.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Among the low-income sample, overall influenza immunization coverage is low. Those receiving social assistance or seniors' benefits may have been targeted due to higher rates of chronic disease. Programs reaching the workforce may be important to attain broader coverage. However, CCHS data was collected during the H1N1 pandemic influenza, thus results may not be generalizable to influenza immunization in non-pandemic years.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">25048163</PMID><DateCompleted><Year>2015</Year><Month>08</Month><Day>05</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>14</Volume><PubDate><Year>2014</Year><Month>Jul</Month><Day>21</Day></PubDate></JournalIssue><Title>BMC public health</Title><ISOAbbreviation>BMC Public Health</ISOAbbreviation></Journal><ArticleTitle>Influenza immunization in Canada's low-income population.</ArticleTitle><Pagination><MedlinePgn>740</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/1471-2458-14-740</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Immunization offers the best protection from influenza infection. Little evidence describes disparities in immunization uptake among low-income individuals. Higher rates of chronic disease put this population at increased risk of influenza-related complications. This analysis examines if the type of main source of household income in low-income groups affects influenza immunization uptake. We hypothesized that individuals on social assistance have less access to immunization compared to those with employment earnings or seniors' benefits.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Data was obtained from the Canadian Community Health Survey annual component 2009-2010. A total of 10,373 low-income respondents (<20,000$ Canadian per annum) were included. Logistic regression, stratified according to type of provincial publicly funded immunization program, was used to examine the association between influenza immunization (in the last 12 months) and main source of household income (employment earnings; social assistance as a combination of employment insurance or worker's compensation or welfare; or seniors' benefits).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Overall, 32.5% of respondents reported receiving influenza immunization. In multivariable analysis of universal publicly funded influenza immunization programs, those reporting social assistance (AOR 1.24, 95% CI 1.02-1.51) or seniors' benefits (AOR 1.56, 95% CI 1.23-1.98) were more likely to be immunized compared to those reporting employment earnings. Similar results were observed for high-risk programs.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Among the low-income sample, overall influenza immunization coverage is low. Those receiving social assistance or seniors' benefits may have been targeted due to higher rates of chronic disease. Programs reaching the workforce may be important to attain broader coverage. However, CCHS data was collected during the H1N1 pandemic influenza, thus results may not be generalizable to influenza immunization in non-pandemic years.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hobbs</LastName><ForeName>Jennifer Leigh</ForeName><Initials>JL</Initials><AffiliationInfo><Affiliation>School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada. 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