Rates of influenza vaccination in older adults and factors associated with vaccine use: a secondary analysis of the Canadian Study of Health and Aging.
Identifieur interne : 000988 ( Main/Exploration ); précédent : 000987; suivant : 000989Rates of influenza vaccination in older adults and factors associated with vaccine use: a secondary analysis of the Canadian Study of Health and Aging.
Auteurs : Melissa K. Andrew [Canada] ; Shelly Mcneil ; Heather Merry ; Kenneth RockwoodSource :
- BMC public health [ 1471-2458 ] ; 2004.
Descripteurs français
- KwdFr :
- Analyse multifactorielle (MeSH), Attitude envers la santé (MeSH), Canada (épidémiologie), Comportement en matière de santé (MeSH), Facteurs socioéconomiques (MeSH), Femelle (MeSH), Grippe humaine (prévention et contrôle), Grippe humaine (épidémiologie), Humains (MeSH), Mâle (MeSH), Niveau d'instruction (MeSH), Programmes de vaccination (statistiques et données numériques), Programmes nationaux de santé (statistiques et données numériques), Situation de famille (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Vaccins antigrippaux (administration et posologie), Études de cohortes (MeSH).
- MESH :
- administration et posologie : Vaccins antigrippaux.
- prévention et contrôle : Grippe humaine.
- statistiques et données numériques : Programmes de vaccination, Programmes nationaux de santé.
- épidémiologie : Canada, Grippe humaine.
- Analyse multifactorielle, Attitude envers la santé, Comportement en matière de santé, Facteurs socioéconomiques, Femelle, Humains, Mâle, Niveau d'instruction, Situation de famille, Sujet âgé, Sujet âgé de 80 ans ou plus, Études de cohortes.
English descriptors
- KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Attitude to Health (MeSH), Canada (epidemiology), Cohort Studies (MeSH), Educational Status (MeSH), Female (MeSH), Health Behavior (MeSH), Humans (MeSH), Immunization Programs (statistics & numerical data), Influenza Vaccines (administration & dosage), Influenza, Human (epidemiology), Influenza, Human (prevention & control), Male (MeSH), Marital Status (MeSH), Multivariate Analysis (MeSH), National Health Programs (statistics & numerical data), Socioeconomic Factors (MeSH).
- MESH :
- chemical , administration & dosage : Influenza Vaccines.
- epidemiology : Canada, Influenza, Human.
- prevention & control : Influenza, Human.
- statistics & numerical data : Immunization Programs, National Health Programs.
- Aged, Aged, 80 and over, Attitude to Health, Cohort Studies, Educational Status, Female, Health Behavior, Humans, Male, Marital Status, Multivariate Analysis, Socioeconomic Factors.
Abstract
BACKGROUND
Influenza vaccination has been shown to reduce morbidity and mortality in the older adult population. In Canada, vaccination rates remain suboptimal. We identified factors predictive of influenza vaccination, in order to determine which segments of the older adult population might be targeted to increase coverage in influenza vaccination programs.
METHODS
The Canadian Study of Health and Aging (CSHA) is a population-based national cohort study of 10263 older adults (>/= 65) conducted in 1991. We used data from the 5007 community-dwelling participants in the CSHA without dementia for whom self-reported influenza vaccination status is known.
RESULTS
Of 5007 respondents, 2763 (55.2%) reported having received an influenza vaccination within the previous 2 years. The largest predictive factors for flu vaccination included: being married (57.4 vs. 52.6%, p = 0.0007), having attained a higher education (11.0 vs. 10.3 years, p < 0.0001), smoking (57.1% vs. 52.9%, p = 0.0032), more alcohol use (57.9% of those who drank more vs. 53.2% of those who drank less, p = 0.001), poorer self-rated health (54.1% of those with good self-rated health vs. 60.6% of those with poor self-rated health, p = 0.0006), regular exercise (56.8% vs. 52.0%, p = 0.001), and urban living (55.8% vs. 51.0%, p = 0.03). While many other differences were statistically significant, most were small (e.g. mean age 75.1 vs. 74.6 years for immunized vs. unimmunized older adults, p = 0.006, higher Modified Mini Mental Status Examination score (89.9 vs. 89.1, p < 0.0001), higher comorbidity (2.7 vs. 2.3 comorbidities, p < 0.0001). Residents of Ontario were more likely (64.6%) to report vaccination (p < 0.0001), while those living in Quebec were less likely to do so (48.2%, p < 0.0001). Factors retaining significance in a multivariate analysis included older age, higher education, married status, drinking alcohol, smoking, engaging in regular exercise, and having higher comorbidity.
CONCLUSIONS
The vaccination rate in this sample, in whom influenza vaccination is indicated, was low (55.2%). Even in a publicly administered health care setting, influenza vaccination did not reach an important proportion of the elderly population. Whether these differences reflect patient preference or access remains to be determined.
DOI: 10.1186/1471-2458-4-36
PubMed: 15306030
PubMed Central: PMC514709
Affiliations:
Links toward previous steps (curation, corpus...)
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Andrew</name><affiliation wicri:level="1"><nlm:affiliation>Division of Geriatric Medicine, Department of Medicine, Dalhousie University, 1421-5955 Veterans Memorial Lane, Halifax, Nova Scotia, Canada B3H 1C6. melissa.andrew@hotmail.com</nlm:affiliation><country>Canada</country><wicri:regionArea>Division of Geriatric Medicine, Department of Medicine, Dalhousie University, 1421-5955 Veterans Memorial Lane, Halifax, Nova Scotia</wicri:regionArea><wicri:noRegion>Nova Scotia</wicri:noRegion></affiliation></author><author><name sortKey="Mcneil, Shelly" sort="Mcneil, Shelly" uniqKey="Mcneil S" first="Shelly" last="Mcneil">Shelly Mcneil</name></author><author><name sortKey="Merry, Heather" sort="Merry, Heather" uniqKey="Merry H" first="Heather" last="Merry">Heather Merry</name></author><author><name sortKey="Rockwood, Kenneth" sort="Rockwood, Kenneth" uniqKey="Rockwood K" first="Kenneth" last="Rockwood">Kenneth Rockwood</name></author></analytic><series><title level="j">BMC public health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2004" type="published">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Attitude to Health (MeSH)</term><term>Canada (epidemiology)</term><term>Cohort Studies (MeSH)</term><term>Educational Status (MeSH)</term><term>Female (MeSH)</term><term>Health Behavior (MeSH)</term><term>Humans (MeSH)</term><term>Immunization Programs (statistics & numerical data)</term><term>Influenza Vaccines (administration & dosage)</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (prevention & control)</term><term>Male (MeSH)</term><term>Marital Status (MeSH)</term><term>Multivariate Analysis (MeSH)</term><term>National Health Programs (statistics & numerical data)</term><term>Socioeconomic Factors (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Analyse multifactorielle (MeSH)</term><term>Attitude envers la santé (MeSH)</term><term>Canada (épidémiologie)</term><term>Comportement en matière de santé (MeSH)</term><term>Facteurs socioéconomiques (MeSH)</term><term>Femelle (MeSH)</term><term>Grippe humaine (prévention et contrôle)</term><term>Grippe humaine (épidémiologie)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Niveau d'instruction (MeSH)</term><term>Programmes de vaccination (statistiques et données numériques)</term><term>Programmes nationaux de santé (statistiques et données numériques)</term><term>Situation de famille (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Vaccins antigrippaux (administration et posologie)</term><term>Études de cohortes (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Influenza Vaccines</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Vaccins antigrippaux</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Canada</term><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Immunization Programs</term><term>National Health Programs</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Programmes de vaccination</term><term>Programmes nationaux de santé</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Canada</term><term>Grippe humaine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Attitude to Health</term><term>Cohort Studies</term><term>Educational Status</term><term>Female</term><term>Health Behavior</term><term>Humans</term><term>Male</term><term>Marital Status</term><term>Multivariate Analysis</term><term>Socioeconomic Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Analyse multifactorielle</term><term>Attitude envers la santé</term><term>Comportement en matière de santé</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Niveau d'instruction</term><term>Situation de famille</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études de cohortes</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Influenza vaccination has been shown to reduce morbidity and mortality in the older adult population. In Canada, vaccination rates remain suboptimal. We identified factors predictive of influenza vaccination, in order to determine which segments of the older adult population might be targeted to increase coverage in influenza vaccination programs.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>The Canadian Study of Health and Aging (CSHA) is a population-based national cohort study of 10263 older adults (>/= 65) conducted in 1991. We used data from the 5007 community-dwelling participants in the CSHA without dementia for whom self-reported influenza vaccination status is known.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Of 5007 respondents, 2763 (55.2%) reported having received an influenza vaccination within the previous 2 years. The largest predictive factors for flu vaccination included: being married (57.4 vs. 52.6%, p = 0.0007), having attained a higher education (11.0 vs. 10.3 years, p < 0.0001), smoking (57.1% vs. 52.9%, p = 0.0032), more alcohol use (57.9% of those who drank more vs. 53.2% of those who drank less, p = 0.001), poorer self-rated health (54.1% of those with good self-rated health vs. 60.6% of those with poor self-rated health, p = 0.0006), regular exercise (56.8% vs. 52.0%, p = 0.001), and urban living (55.8% vs. 51.0%, p = 0.03). While many other differences were statistically significant, most were small (e.g. mean age 75.1 vs. 74.6 years for immunized vs. unimmunized older adults, p = 0.006, higher Modified Mini Mental Status Examination score (89.9 vs. 89.1, p < 0.0001), higher comorbidity (2.7 vs. 2.3 comorbidities, p < 0.0001). Residents of Ontario were more likely (64.6%) to report vaccination (p < 0.0001), while those living in Quebec were less likely to do so (48.2%, p < 0.0001). Factors retaining significance in a multivariate analysis included older age, higher education, married status, drinking alcohol, smoking, engaging in regular exercise, and having higher comorbidity.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The vaccination rate in this sample, in whom influenza vaccination is indicated, was low (55.2%). Even in a publicly administered health care setting, influenza vaccination did not reach an important proportion of the elderly population. Whether these differences reflect patient preference or access remains to be determined.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">15306030</PMID><DateCompleted><Year>2004</Year><Month>10</Month><Day>06</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>30</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2458</ISSN><JournalIssue CitedMedium="Internet"><Volume>4</Volume><PubDate><Year>2004</Year><Month>Aug</Month><Day>11</Day></PubDate></JournalIssue><Title>BMC public health</Title><ISOAbbreviation>BMC Public Health</ISOAbbreviation></Journal><ArticleTitle>Rates of influenza vaccination in older adults and factors associated with vaccine use: a secondary analysis of the Canadian Study of Health and Aging.</ArticleTitle><Pagination><MedlinePgn>36</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Influenza vaccination has been shown to reduce morbidity and mortality in the older adult population. In Canada, vaccination rates remain suboptimal. We identified factors predictive of influenza vaccination, in order to determine which segments of the older adult population might be targeted to increase coverage in influenza vaccination programs.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">The Canadian Study of Health and Aging (CSHA) is a population-based national cohort study of 10263 older adults (>/= 65) conducted in 1991. We used data from the 5007 community-dwelling participants in the CSHA without dementia for whom self-reported influenza vaccination status is known.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Of 5007 respondents, 2763 (55.2%) reported having received an influenza vaccination within the previous 2 years. The largest predictive factors for flu vaccination included: being married (57.4 vs. 52.6%, p = 0.0007), having attained a higher education (11.0 vs. 10.3 years, p < 0.0001), smoking (57.1% vs. 52.9%, p = 0.0032), more alcohol use (57.9% of those who drank more vs. 53.2% of those who drank less, p = 0.001), poorer self-rated health (54.1% of those with good self-rated health vs. 60.6% of those with poor self-rated health, p = 0.0006), regular exercise (56.8% vs. 52.0%, p = 0.001), and urban living (55.8% vs. 51.0%, p = 0.03). While many other differences were statistically significant, most were small (e.g. mean age 75.1 vs. 74.6 years for immunized vs. unimmunized older adults, p = 0.006, higher Modified Mini Mental Status Examination score (89.9 vs. 89.1, p < 0.0001), higher comorbidity (2.7 vs. 2.3 comorbidities, p < 0.0001). Residents of Ontario were more likely (64.6%) to report vaccination (p < 0.0001), while those living in Quebec were less likely to do so (48.2%, p < 0.0001). Factors retaining significance in a multivariate analysis included older age, higher education, married status, drinking alcohol, smoking, engaging in regular exercise, and having higher comorbidity.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The vaccination rate in this sample, in whom influenza vaccination is indicated, was low (55.2%). Even in a publicly administered health care setting, influenza vaccination did not reach an important proportion of the elderly population. 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MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004522" MajorTopicYN="N">Educational Status</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015438" MajorTopicYN="N">Health Behavior</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017589" MajorTopicYN="N">Immunization Programs</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007252" MajorTopicYN="N">Influenza Vaccines</DescriptorName><QualifierName UI="Q000008" MajorTopicYN="Y">administration & dosage</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007251" 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sortKey="Mcneil, Shelly" sort="Mcneil, Shelly" uniqKey="Mcneil S" first="Shelly" last="Mcneil">Shelly Mcneil</name><name sortKey="Merry, Heather" sort="Merry, Heather" uniqKey="Merry H" first="Heather" last="Merry">Heather Merry</name><name sortKey="Rockwood, Kenneth" sort="Rockwood, Kenneth" uniqKey="Rockwood K" first="Kenneth" last="Rockwood">Kenneth Rockwood</name></noCountry><country name="Canada"><noRegion><name sortKey="Andrew, Melissa K" sort="Andrew, Melissa K" uniqKey="Andrew M" first="Melissa K" last="Andrew">Melissa K. 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HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:15306030" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a GrippeCanadaV4
| This area was generated with Dilib version V0.6.35. |  |