Prevalence and factors associated with influenza vaccination of persons over 65 years old in Spain (2009-2014).
Identifieur interne : 000088 ( Main/Exploration ); précédent : 000087; suivant : 000089Prevalence and factors associated with influenza vaccination of persons over 65 years old in Spain (2009-2014).
Auteurs : Caridad Dios-Guerra [Espagne] ; Juan Manuel Carmona-Torres [Espagne] ; Pablo Jesús L Pez-Soto [Espagne] ; Ignacio Morales-Cané [Espagne] ; María Aurora Rodríguez-Borrego [Espagne]Source :
- Vaccine [ 1873-2518 ] ; 2017.
Descripteurs français
- KwdFr :
- Couverture vaccinale (statistiques et données numériques), Enquêtes de santé (MeSH), Espagne (épidémiologie), Facteurs sexuels (MeSH), Facteurs socioéconomiques (MeSH), Femelle (MeSH), Grippe humaine (prévention et contrôle), Grippe humaine (virologie), Grippe humaine (épidémiologie), Humains (MeSH), Mâle (MeSH), Niveau d'instruction (MeSH), Prévalence (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Vaccination (statistiques et données numériques), Vaccins antigrippaux (administration et posologie), Études transversales (MeSH).
- MESH :
- administration et posologie : Vaccins antigrippaux.
- prévention et contrôle : Grippe humaine.
- statistiques et données numériques : Couverture vaccinale, Vaccination.
- virologie : Grippe humaine.
- épidémiologie : Espagne, Grippe humaine.
- Enquêtes de santé, Facteurs sexuels, Facteurs socioéconomiques, Femelle, Humains, Mâle, Niveau d'instruction, Prévalence, Sujet âgé, Sujet âgé de 80 ans ou plus, Études transversales.
English descriptors
- KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Cross-Sectional Studies (MeSH), Educational Status (MeSH), Female (MeSH), Health Surveys (MeSH), Humans (MeSH), Influenza Vaccines (administration & dosage), Influenza, Human (epidemiology), Influenza, Human (prevention & control), Influenza, Human (virology), Male (MeSH), Prevalence (MeSH), Sex Factors (MeSH), Socioeconomic Factors (MeSH), Spain (epidemiology), Vaccination (statistics & numerical data), Vaccination Coverage (statistics & numerical data).
- MESH :
- chemical , administration & dosage : Influenza Vaccines.
- epidemiology : Influenza, Human, Spain.
- prevention & control : Influenza, Human.
- statistics & numerical data : Vaccination, Vaccination Coverage.
- virology : Influenza, Human.
- Aged, Aged, 80 and over, Cross-Sectional Studies, Educational Status, Female, Health Surveys, Humans, Male, Prevalence, Sex Factors, Socioeconomic Factors.
Abstract
BACKGROUND
Influenza is a major public health problem. Achieving 65% coverage in people over 65 years old is a health policy priority in Spain.
OBJECTIVE
To determine the coverage of influenza vaccination in Spain in 2014 for people over 65 years and to analyze the factors associated with coverage and its progression between 2009 and 2014.
METHODS
A descriptive cross-sectional study was conducted that included 18,442 non-institutionalized individuals over 65 years who had participated in the National Health Survey in Spain in 2011 and in the European Health Survey in Spain in 2009 and 2014. Socio-demographic variables, health variables, and influenza vaccination data were used. A logistic regression analysis was performed to determine the variables associated with anti-influenza vaccination.
RESULTS
Influenza vaccination coverage has declined from 2009 (74.5%) to 2014 (57.4%). There are significant differences in the vaccination coverage among the different Spanish autonomous communities in the different years studied. Influenza vaccination was associated with males, low social class, and low level of education. There is greater participation in other preventive measures, such as assessing blood pressure, blood glucose, and cholesterol, than in influenza vaccination.
CONCLUSIONS
Fewer people over 65 years old than recommended by the WHO participated in the influenza vaccination campaign in Spain in 2014. This coverage declined progressively from 2009 to 2014.
DOI: 10.1016/j.vaccine.2017.10.086
PubMed: 29122385
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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U. Enfermería y Fisioterapia de Toledo, Toledo, Spain. Electronic address: juanmanuel.carmona@uclm.es.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain; Universidad de Castilla-La Mancha (UCLM), E. U. Enfermería y Fisioterapia de Toledo, Toledo</wicri:regionArea><wicri:noRegion>Toledo</wicri:noRegion></affiliation></author><author><name sortKey="L Pez Soto, Pablo Jesus" sort="L Pez Soto, Pablo Jesus" uniqKey="L Pez Soto P" first="Pablo Jesús" last="L Pez-Soto">Pablo Jesús L Pez-Soto</name><affiliation wicri:level="1"><nlm:affiliation>Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain; Departamento de Enfermería, Universidad de Córdoba, Córdoba, Spain; Hospital Universitario Reina Sofía, Córdoba, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain; Departamento de Enfermería, Universidad de Córdoba, Córdoba, Spain; Hospital Universitario Reina Sofía, Córdoba</wicri:regionArea><wicri:noRegion>Córdoba</wicri:noRegion></affiliation></author><author><name sortKey="Morales Cane, Ignacio" sort="Morales Cane, Ignacio" uniqKey="Morales Cane I" first="Ignacio" last="Morales-Cané">Ignacio Morales-Cané</name><affiliation wicri:level="1"><nlm:affiliation>Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain; Departamento de Enfermería, Universidad de Córdoba, Córdoba, Spain; Hospital Universitario Reina Sofía, Córdoba, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain; Departamento de Enfermería, Universidad de Córdoba, Córdoba, Spain; Hospital Universitario Reina Sofía, Córdoba</wicri:regionArea><wicri:noRegion>Córdoba</wicri:noRegion></affiliation></author><author><name sortKey="Rodriguez Borrego, Maria Aurora" sort="Rodriguez Borrego, Maria Aurora" uniqKey="Rodriguez Borrego M" first="María Aurora" last="Rodríguez-Borrego">María Aurora Rodríguez-Borrego</name><affiliation wicri:level="1"><nlm:affiliation>Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain; Departamento de Enfermería, Universidad de Córdoba, Córdoba, Spain; Hospital Universitario Reina Sofía, Córdoba, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain; Departamento de Enfermería, Universidad de Córdoba, Córdoba, Spain; Hospital Universitario Reina Sofía, Córdoba</wicri:regionArea><wicri:noRegion>Córdoba</wicri:noRegion></affiliation></author></analytic><series><title level="j">Vaccine</title><idno type="eISSN">1873-2518</idno><imprint><date when="2017" type="published">2017</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>Cross-Sectional Studies (MeSH)</term><term>Educational Status (MeSH)</term><term>Female (MeSH)</term><term>Health Surveys (MeSH)</term><term>Humans (MeSH)</term><term>Influenza Vaccines (administration & dosage)</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (prevention & control)</term><term>Influenza, Human (virology)</term><term>Male (MeSH)</term><term>Prevalence (MeSH)</term><term>Sex Factors (MeSH)</term><term>Socioeconomic Factors (MeSH)</term><term>Spain (epidemiology)</term><term>Vaccination (statistics & numerical data)</term><term>Vaccination Coverage (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Couverture vaccinale (statistiques et données numériques)</term><term>Enquêtes de santé (MeSH)</term><term>Espagne (épidémiologie)</term><term>Facteurs sexuels (MeSH)</term><term>Facteurs socioéconomiques (MeSH)</term><term>Femelle (MeSH)</term><term>Grippe humaine (prévention et contrôle)</term><term>Grippe humaine (virologie)</term><term>Grippe humaine (épidémiologie)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Niveau d'instruction (MeSH)</term><term>Prévalence (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Vaccination (statistiques et données numériques)</term><term>Vaccins antigrippaux (administration et posologie)</term><term>Études transversales (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>Influenza, Human</term><term>Spain</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>Vaccination</term><term>Vaccination Coverage</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Couverture vaccinale</term><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Espagne</term><term>Grippe humaine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Cross-Sectional Studies</term><term>Educational Status</term><term>Female</term><term>Health Surveys</term><term>Humans</term><term>Male</term><term>Prevalence</term><term>Sex Factors</term><term>Socioeconomic Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Enquêtes de santé</term><term>Facteurs sexuels</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Niveau d'instruction</term><term>Prévalence</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Influenza is a major public health problem. Achieving 65% coverage in people over 65 years old is a health policy priority in Spain.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To determine the coverage of influenza vaccination in Spain in 2014 for people over 65 years and to analyze the factors associated with coverage and its progression between 2009 and 2014.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A descriptive cross-sectional study was conducted that included 18,442 non-institutionalized individuals over 65 years who had participated in the National Health Survey in Spain in 2011 and in the European Health Survey in Spain in 2009 and 2014. Socio-demographic variables, health variables, and influenza vaccination data were used. A logistic regression analysis was performed to determine the variables associated with anti-influenza vaccination.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Influenza vaccination coverage has declined from 2009 (74.5%) to 2014 (57.4%). There are significant differences in the vaccination coverage among the different Spanish autonomous communities in the different years studied. Influenza vaccination was associated with males, low social class, and low level of education. There is greater participation in other preventive measures, such as assessing blood pressure, blood glucose, and cholesterol, than in influenza vaccination.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Fewer people over 65 years old than recommended by the WHO participated in the influenza vaccination campaign in Spain in 2014. This coverage declined progressively from 2009 to 2014.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29122385</PMID><DateCompleted><Year>2018</Year><Month>07</Month><Day>31</Day></DateCompleted><DateRevised><Year>2018</Year><Month>07</Month><Day>31</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-2518</ISSN><JournalIssue CitedMedium="Internet"><Volume>35</Volume><Issue>51</Issue><PubDate><Year>2017</Year><Month>12</Month><Day>18</Day></PubDate></JournalIssue><Title>Vaccine</Title><ISOAbbreviation>Vaccine</ISOAbbreviation></Journal><ArticleTitle>Prevalence and factors associated with influenza vaccination of persons over 65 years old in Spain (2009-2014).</ArticleTitle><Pagination><MedlinePgn>7095-7100</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0264-410X(17)31494-9</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.vaccine.2017.10.086</ELocationID><Abstract><AbstractText Label="BACKGROUND">Influenza is a major public health problem. Achieving 65% coverage in people over 65 years old is a health policy priority in Spain.</AbstractText><AbstractText Label="OBJECTIVE">To determine the coverage of influenza vaccination in Spain in 2014 for people over 65 years and to analyze the factors associated with coverage and its progression between 2009 and 2014.</AbstractText><AbstractText Label="METHODS">A descriptive cross-sectional study was conducted that included 18,442 non-institutionalized individuals over 65 years who had participated in the National Health Survey in Spain in 2011 and in the European Health Survey in Spain in 2009 and 2014. Socio-demographic variables, health variables, and influenza vaccination data were used. A logistic regression analysis was performed to determine the variables associated with anti-influenza vaccination.</AbstractText><AbstractText Label="RESULTS">Influenza vaccination coverage has declined from 2009 (74.5%) to 2014 (57.4%). There are significant differences in the vaccination coverage among the different Spanish autonomous communities in the different years studied. Influenza vaccination was associated with males, low social class, and low level of education. There is greater participation in other preventive measures, such as assessing blood pressure, blood glucose, and cholesterol, than in influenza vaccination.</AbstractText><AbstractText Label="CONCLUSIONS">Fewer people over 65 years old than recommended by the WHO participated in the influenza vaccination campaign in Spain in 2014. This coverage declined progressively from 2009 to 2014.</AbstractText><CopyrightInformation>Copyright © 2017 Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dios-Guerra</LastName><ForeName>Caridad</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain; Departamento de Enfermería, Universidad de Córdoba, Córdoba, Spain; UGC Occidente, Distrito Sanitario Córdoba y Guadalquivir, Córdoba, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Carmona-Torres</LastName><ForeName>Juan Manuel</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain; Universidad de Castilla-La Mancha (UCLM), E. U. Enfermería y Fisioterapia de Toledo, Toledo, Spain. Electronic address: juanmanuel.carmona@uclm.es.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>López-Soto</LastName><ForeName>Pablo Jesús</ForeName><Initials>PJ</Initials><AffiliationInfo><Affiliation>Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain; Departamento de Enfermería, Universidad de Córdoba, Córdoba, Spain; Hospital Universitario Reina Sofía, Córdoba, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Morales-Cané</LastName><ForeName>Ignacio</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain; Departamento de Enfermería, Universidad de Córdoba, Córdoba, Spain; Hospital Universitario Reina Sofía, Córdoba, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rodríguez-Borrego</LastName><ForeName>María Aurora</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain; Departamento de Enfermería, Universidad de Córdoba, Córdoba, Spain; Hospital Universitario Reina Sofía, Córdoba, Spain.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>11</Month><Day>06</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Vaccine</MedlineTA><NlmUniqueID>8406899</NlmUniqueID><ISSNLinking>0264-410X</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional 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="D006306" MajorTopicYN="N">Health Surveys</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007252" MajorTopicYN="N">Influenza Vaccines</DescriptorName><QualifierName UI="Q000008" MajorTopicYN="Y">administration & dosage</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName><QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012737" MajorTopicYN="N">Sex Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N">Spain</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000073887" MajorTopicYN="N">Vaccination Coverage</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Associated factors</Keyword><Keyword MajorTopicYN="Y">Attitude</Keyword><Keyword MajorTopicYN="Y">Elderly</Keyword><Keyword MajorTopicYN="Y">Influenza</Keyword><Keyword MajorTopicYN="Y">Vaccination coverage</Keyword><Keyword MajorTopicYN="Y">Vaccines</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>09</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2017</Year><Month>10</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>10</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>11</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>8</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>11</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">29122385</ArticleId><ArticleId IdType="pii">S0264-410X(17)31494-9</ArticleId><ArticleId IdType="doi">10.1016/j.vaccine.2017.10.086</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Espagne</li></country></list><tree><country name="Espagne"><noRegion><name sortKey="Dios Guerra, Caridad" sort="Dios Guerra, Caridad" uniqKey="Dios Guerra C" first="Caridad" last="Dios-Guerra">Caridad Dios-Guerra</name></noRegion><name sortKey="Carmona Torres, Juan Manuel" sort="Carmona Torres, Juan Manuel" uniqKey="Carmona Torres J" first="Juan Manuel" last="Carmona-Torres">Juan Manuel Carmona-Torres</name><name sortKey="L Pez Soto, Pablo Jesus" sort="L Pez Soto, Pablo Jesus" uniqKey="L Pez Soto P" first="Pablo Jesús" last="L Pez-Soto">Pablo Jesús L Pez-Soto</name><name sortKey="Morales Cane, Ignacio" sort="Morales Cane, Ignacio" uniqKey="Morales Cane I" first="Ignacio" last="Morales-Cané">Ignacio Morales-Cané</name><name sortKey="Rodriguez Borrego, Maria Aurora" sort="Rodriguez Borrego, Maria Aurora" uniqKey="Rodriguez Borrego M" first="María Aurora" last="Rodríguez-Borrego">María Aurora Rodríguez-Borrego</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|area= GrippeEspagneV1
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|texte= Prevalence and factors associated with influenza vaccination of persons over 65 years old in Spain (2009-2014).
}}
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