Negative trends from 2008/9 to 2011/12 seasons in influenza vaccination coverages among high risk subjects and health care workers in Spain.
Identifieur interne : 000214 ( Main/Exploration ); précédent : 000213; suivant : 000215Negative trends from 2008/9 to 2011/12 seasons in influenza vaccination coverages among high risk subjects and health care workers in Spain.
Auteurs : Rodrigo Jiménez-García [Espagne] ; Cristina Rodríguez-Rieiro [Espagne] ; Valentín Hernandez-Barrera [Espagne] ; Pilar Carrasco Garrido [Espagne] ; Ana L Pez De Andres [Espagne] ; María D. Esteban-Vasallo [Espagne] ; Maria Felicitas Domínguez-Berj N [Espagne] ; Jenaro Astray-Mochales [Espagne]Source :
- Vaccine [ 1873-2518 ] ; 2014.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Espagne (MeSH), Femelle (MeSH), Grippe humaine (prévention et contrôle), Humains (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Patients (MeSH), Personnel de santé (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Vaccination (statistiques et données numériques), Vaccination (tendances), Vaccins antigrippaux (administration et posologie), Études transversales (MeSH).
- MESH :
- administration et posologie : Vaccins antigrippaux.
- prévention et contrôle : Grippe humaine.
- statistiques et données numériques : Vaccination.
- tendances : Vaccination.
- Adolescent, Adulte, Adulte d'âge moyen, Espagne, Femelle, Humains, Jeune adulte, Mâle, Patients, Personnel de santé, Sujet âgé, Sujet âgé de 80 ans ou plus, Études transversales.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Cross-Sectional Studies (MeSH), Female (MeSH), Health Personnel (MeSH), Humans (MeSH), Influenza Vaccines (administration & dosage), Influenza, Human (prevention & control), Male (MeSH), Middle Aged (MeSH), Patients (MeSH), Spain (MeSH), Vaccination (statistics & numerical data), Vaccination (trends), Young Adult (MeSH).
- MESH :
- chemical , administration & dosage : Influenza Vaccines.
- prevention & control : Influenza, Human.
- statistics & numerical data : Vaccination.
- trends : Vaccination.
- Adolescent, Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Health Personnel, Humans, Male, Middle Aged, Patients, Spain, Young Adult.
Abstract
OBJECTIVES
We aim to describe influenza vaccination coverage for the Spanish population across four consecutive campaigns (2008/2009 to 2011/2012). The data was analyzed by high risk groups and health care workers (HCWs). Also, coverage trends were analyzed to assess uptake in post-pandemic seasons.
METHODS
We used data from two nation-wide representative health surveys namely the 2009/10 European Health Interview Survey for Spain (N=22,188) and the 2011-12 Spanish National Health Survey (N=21,007) Influenza vaccination status was self-reported. We analyzed influenza vaccine coverage by age, sex, number of chronic conditions, being a heath care worker (HCWs) and nationality. Time trends for campaigns among high risk groups were estimated by a multivariate logistic regression model.
RESULTS
We analyzed data from 43,072 subjects aged ≥ 16 years. As a whole, coverage decreased by 3.31% (22.57-19.26%) between the 2008/2009 and 2011/2012 campaigns with a significant decreasing trend (OR 0.92; 95% CI: 0.90-0.94). Coverage in people under 60 years with a chronic disease decreased significantly (OR 0.92: 95% CI: 0.85-0.99) during the analyzed period from 21.02% in 2008/2009 to 17.40% in 2011/2012. Among HCWs, the highest influenza vaccination coverage was achieved in 2009/2010 (31.08%) in the latest campaign coverage has almost halved (17.88%). For the 2011/2012 season and for all age groups the variables associated with a higher probability of having received the influenza vaccine were older age and presence of associated chronic conditions. Among those aged ≥ 60 years, immigrants had lower uptake (OR 0.60; 95% CI: 0.32-0.99).
CONCLUSIONS
Seasonal influenza vaccine uptake rates in the recommended target groups in Spain are unacceptably low and seem to be decreasing in the post pandemic seasons. Further studies are necessary to precisely identify reasons for non-compliance and barriers to influenza vaccination. Meanwhile urgent strategies to improve seasonal vaccination uptake must be discussed and implemented.
DOI: 10.1016/j.vaccine.2013.11.040
PubMed: 24269621
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Electronic address: pilar.carrasco@urjc.es.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón 28922, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="L Pez De Andres, Ana" sort="L Pez De Andres, Ana" uniqKey="L Pez De Andres A" first="Ana" last="L Pez De Andres">Ana L Pez De Andres</name><affiliation wicri:level="3"><nlm:affiliation>Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón 28922, Madrid, Spain. Electronic address: ana.lopez@urjc.es.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón 28922, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Esteban Vasallo, Maria D" sort="Esteban Vasallo, Maria D" uniqKey="Esteban Vasallo M" first="María D" last="Esteban-Vasallo">María D. Esteban-Vasallo</name><affiliation wicri:level="2"><nlm:affiliation>Department of Epidemiology, Directorate of Health Promotion and Prevention, Ministry of Health, Community of Madrid, C/Julián Camarillo, 4B, 28037 Madrid, Spain. Electronic address: maria.estebanv@salud.madrid.org.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Epidemiology, Directorate of Health Promotion and Prevention, Ministry of Health, Community of Madrid, C/Julián Camarillo, 4B, 28037 Madrid</wicri:regionArea><placeName><region nuts="2" type="communauté">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Dominguez Berj N, Maria Felicitas" sort="Dominguez Berj N, Maria Felicitas" uniqKey="Dominguez Berj N M" first="Maria Felicitas" last="Domínguez-Berj N">Maria Felicitas Domínguez-Berj N</name><affiliation wicri:level="2"><nlm:affiliation>Department of Epidemiology, Directorate of Health Promotion and Prevention, Ministry of Health, Community of Madrid, C/Julián Camarillo, 4B, 28037 Madrid, Spain. Electronic address: felicitas.dominguez@salud.madrid.org.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Epidemiology, Directorate of Health Promotion and Prevention, Ministry of Health, Community of Madrid, C/Julián Camarillo, 4B, 28037 Madrid</wicri:regionArea><placeName><region nuts="2" type="communauté">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Astray Mochales, Jenaro" sort="Astray Mochales, Jenaro" uniqKey="Astray Mochales J" first="Jenaro" last="Astray-Mochales">Jenaro Astray-Mochales</name><affiliation wicri:level="2"><nlm:affiliation>Department of Epidemiology, Directorate of Health Promotion and Prevention, Ministry of Health, Community of Madrid, C/Julián Camarillo, 4B, 28037 Madrid, Spain. Electronic address: jenaro.astray@salud.madrid.org.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Epidemiology, Directorate of Health Promotion and Prevention, Ministry of Health, Community of Madrid, C/Julián Camarillo, 4B, 28037 Madrid</wicri:regionArea><placeName><region nuts="2" type="communauté">Communauté de Madrid</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:24269621</idno><idno type="pmid">24269621</idno><idno type="doi">10.1016/j.vaccine.2013.11.040</idno><idno type="wicri:Area/Main/Corpus">00226</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">00226</idno><idno type="wicri:Area/Main/Curation">000226</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000226</idno><idno type="wicri:Area/Main/Exploration">000226</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Negative trends from 2008/9 to 2011/12 seasons in influenza vaccination coverages among high risk subjects and health care workers in Spain.</title><author><name sortKey="Jimenez Garcia, Rodrigo" sort="Jimenez Garcia, Rodrigo" uniqKey="Jimenez Garcia R" first="Rodrigo" last="Jiménez-García">Rodrigo Jiménez-García</name><affiliation wicri:level="3"><nlm:affiliation>Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón 28922, Madrid, Spain. Electronic address: rodrigo.jimenez@urjc.es.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón 28922, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Rodriguez Rieiro, Cristina" sort="Rodriguez Rieiro, Cristina" uniqKey="Rodriguez Rieiro C" first="Cristina" last="Rodríguez-Rieiro">Cristina Rodríguez-Rieiro</name><affiliation wicri:level="3"><nlm:affiliation>Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón 28922, Madrid, Spain. Electronic address: rodriguezrieiro@gmail.com.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón 28922, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Hernandez Barrera, Valentin" sort="Hernandez Barrera, Valentin" uniqKey="Hernandez Barrera V" first="Valentín" last="Hernandez-Barrera">Valentín Hernandez-Barrera</name><affiliation wicri:level="3"><nlm:affiliation>Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón 28922, Madrid, Spain. Electronic address: valentin.hernandez@urjc.es.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón 28922, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Carrasco Garrido, Pilar" sort="Carrasco Garrido, Pilar" uniqKey="Carrasco Garrido P" first="Pilar" last="Carrasco Garrido">Pilar Carrasco Garrido</name><affiliation wicri:level="3"><nlm:affiliation>Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón 28922, Madrid, Spain. Electronic address: pilar.carrasco@urjc.es.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón 28922, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="L Pez De Andres, Ana" sort="L Pez De Andres, Ana" uniqKey="L Pez De Andres A" first="Ana" last="L Pez De Andres">Ana L Pez De Andres</name><affiliation wicri:level="3"><nlm:affiliation>Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón 28922, Madrid, Spain. Electronic address: ana.lopez@urjc.es.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón 28922, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Esteban Vasallo, Maria D" sort="Esteban Vasallo, Maria D" uniqKey="Esteban Vasallo M" first="María D" last="Esteban-Vasallo">María D. Esteban-Vasallo</name><affiliation wicri:level="2"><nlm:affiliation>Department of Epidemiology, Directorate of Health Promotion and Prevention, Ministry of Health, Community of Madrid, C/Julián Camarillo, 4B, 28037 Madrid, Spain. Electronic address: maria.estebanv@salud.madrid.org.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Epidemiology, Directorate of Health Promotion and Prevention, Ministry of Health, Community of Madrid, C/Julián Camarillo, 4B, 28037 Madrid</wicri:regionArea><placeName><region nuts="2" type="communauté">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Dominguez Berj N, Maria Felicitas" sort="Dominguez Berj N, Maria Felicitas" uniqKey="Dominguez Berj N M" first="Maria Felicitas" last="Domínguez-Berj N">Maria Felicitas Domínguez-Berj N</name><affiliation wicri:level="2"><nlm:affiliation>Department of Epidemiology, Directorate of Health Promotion and Prevention, Ministry of Health, Community of Madrid, C/Julián Camarillo, 4B, 28037 Madrid, Spain. Electronic address: felicitas.dominguez@salud.madrid.org.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Epidemiology, Directorate of Health Promotion and Prevention, Ministry of Health, Community of Madrid, C/Julián Camarillo, 4B, 28037 Madrid</wicri:regionArea><placeName><region nuts="2" type="communauté">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Astray Mochales, Jenaro" sort="Astray Mochales, Jenaro" uniqKey="Astray Mochales J" first="Jenaro" last="Astray-Mochales">Jenaro Astray-Mochales</name><affiliation wicri:level="2"><nlm:affiliation>Department of Epidemiology, Directorate of Health Promotion and Prevention, Ministry of Health, Community of Madrid, C/Julián Camarillo, 4B, 28037 Madrid, Spain. Electronic address: jenaro.astray@salud.madrid.org.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Epidemiology, Directorate of Health Promotion and Prevention, Ministry of Health, Community of Madrid, C/Julián Camarillo, 4B, 28037 Madrid</wicri:regionArea><placeName><region nuts="2" type="communauté">Communauté de Madrid</region></placeName></affiliation></author></analytic><series><title level="j">Vaccine</title><idno type="eISSN">1873-2518</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Cross-Sectional Studies (MeSH)</term><term>Female (MeSH)</term><term>Health Personnel (MeSH)</term><term>Humans (MeSH)</term><term>Influenza Vaccines (administration & dosage)</term><term>Influenza, Human (prevention & control)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Patients (MeSH)</term><term>Spain (MeSH)</term><term>Vaccination (statistics & numerical data)</term><term>Vaccination (trends)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Espagne (MeSH)</term><term>Femelle (MeSH)</term><term>Grippe humaine (prévention et contrôle)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Patients (MeSH)</term><term>Personnel de santé (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>Vaccination (tendances)</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="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></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="tendances" xml:lang="fr"><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Vaccination</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Cross-Sectional Studies</term><term>Female</term><term>Health Personnel</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patients</term><term>Spain</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>Espagne</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Patients</term><term>Personnel de santé</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>OBJECTIVES</b></p><p>We aim to describe influenza vaccination coverage for the Spanish population across four consecutive campaigns (2008/2009 to 2011/2012). The data was analyzed by high risk groups and health care workers (HCWs). Also, coverage trends were analyzed to assess uptake in post-pandemic seasons.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We used data from two nation-wide representative health surveys namely the 2009/10 European Health Interview Survey for Spain (N=22,188) and the 2011-12 Spanish National Health Survey (N=21,007) Influenza vaccination status was self-reported. We analyzed influenza vaccine coverage by age, sex, number of chronic conditions, being a heath care worker (HCWs) and nationality. Time trends for campaigns among high risk groups were estimated by a multivariate logistic regression model.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>We analyzed data from 43,072 subjects aged ≥ 16 years. As a whole, coverage decreased by 3.31% (22.57-19.26%) between the 2008/2009 and 2011/2012 campaigns with a significant decreasing trend (OR 0.92; 95% CI: 0.90-0.94). Coverage in people under 60 years with a chronic disease decreased significantly (OR 0.92: 95% CI: 0.85-0.99) during the analyzed period from 21.02% in 2008/2009 to 17.40% in 2011/2012. Among HCWs, the highest influenza vaccination coverage was achieved in 2009/2010 (31.08%) in the latest campaign coverage has almost halved (17.88%). For the 2011/2012 season and for all age groups the variables associated with a higher probability of having received the influenza vaccine were older age and presence of associated chronic conditions. Among those aged ≥ 60 years, immigrants had lower uptake (OR 0.60; 95% CI: 0.32-0.99).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Seasonal influenza vaccine uptake rates in the recommended target groups in Spain are unacceptably low and seem to be decreasing in the post pandemic seasons. Further studies are necessary to precisely identify reasons for non-compliance and barriers to influenza vaccination. Meanwhile urgent strategies to improve seasonal vaccination uptake must be discussed and implemented.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24269621</PMID><DateCompleted><Year>2014</Year><Month>08</Month><Day>20</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-2518</ISSN><JournalIssue CitedMedium="Internet"><Volume>32</Volume><Issue>3</Issue><PubDate><Year>2014</Year><Month>Jan</Month><Day>09</Day></PubDate></JournalIssue><Title>Vaccine</Title><ISOAbbreviation>Vaccine</ISOAbbreviation></Journal><ArticleTitle>Negative trends from 2008/9 to 2011/12 seasons in influenza vaccination coverages among high risk subjects and health care workers in Spain.</ArticleTitle><Pagination><MedlinePgn>350-4</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.vaccine.2013.11.040</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0264-410X(13)01561-2</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">We aim to describe influenza vaccination coverage for the Spanish population across four consecutive campaigns (2008/2009 to 2011/2012). The data was analyzed by high risk groups and health care workers (HCWs). Also, coverage trends were analyzed to assess uptake in post-pandemic seasons.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We used data from two nation-wide representative health surveys namely the 2009/10 European Health Interview Survey for Spain (N=22,188) and the 2011-12 Spanish National Health Survey (N=21,007) Influenza vaccination status was self-reported. We analyzed influenza vaccine coverage by age, sex, number of chronic conditions, being a heath care worker (HCWs) and nationality. Time trends for campaigns among high risk groups were estimated by a multivariate logistic regression model.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">We analyzed data from 43,072 subjects aged ≥ 16 years. As a whole, coverage decreased by 3.31% (22.57-19.26%) between the 2008/2009 and 2011/2012 campaigns with a significant decreasing trend (OR 0.92; 95% CI: 0.90-0.94). Coverage in people under 60 years with a chronic disease decreased significantly (OR 0.92: 95% CI: 0.85-0.99) during the analyzed period from 21.02% in 2008/2009 to 17.40% in 2011/2012. Among HCWs, the highest influenza vaccination coverage was achieved in 2009/2010 (31.08%) in the latest campaign coverage has almost halved (17.88%). For the 2011/2012 season and for all age groups the variables associated with a higher probability of having received the influenza vaccine were older age and presence of associated chronic conditions. Among those aged ≥ 60 years, immigrants had lower uptake (OR 0.60; 95% CI: 0.32-0.99).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Seasonal influenza vaccine uptake rates in the recommended target groups in Spain are unacceptably low and seem to be decreasing in the post pandemic seasons. Further studies are necessary to precisely identify reasons for non-compliance and barriers to influenza vaccination. Meanwhile urgent strategies to improve seasonal vaccination uptake must be discussed and implemented.</AbstractText><CopyrightInformation>Copyright © 2013 Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Jiménez-García</LastName><ForeName>Rodrigo</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón 28922, Madrid, Spain. Electronic address: rodrigo.jimenez@urjc.es.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rodríguez-Rieiro</LastName><ForeName>Cristina</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón 28922, Madrid, Spain. Electronic address: rodriguezrieiro@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hernandez-Barrera</LastName><ForeName>Valentín</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón 28922, Madrid, Spain. Electronic address: valentin.hernandez@urjc.es.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Carrasco Garrido</LastName><ForeName>Pilar</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón 28922, Madrid, Spain. Electronic address: pilar.carrasco@urjc.es.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>López de Andres</LastName><ForeName>Ana</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón 28922, Madrid, Spain. Electronic address: ana.lopez@urjc.es.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Esteban-Vasallo</LastName><ForeName>María D</ForeName><Initials>MD</Initials><AffiliationInfo><Affiliation>Department of Epidemiology, Directorate of Health Promotion and Prevention, Ministry of Health, Community of Madrid, C/Julián Camarillo, 4B, 28037 Madrid, Spain. Electronic address: maria.estebanv@salud.madrid.org.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Domínguez-Berjón</LastName><ForeName>Maria Felicitas</ForeName><Initials>MF</Initials><AffiliationInfo><Affiliation>Department of Epidemiology, Directorate of Health Promotion and Prevention, Ministry of Health, Community of Madrid, C/Julián Camarillo, 4B, 28037 Madrid, Spain. Electronic address: felicitas.dominguez@salud.madrid.org.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Astray-Mochales</LastName><ForeName>Jenaro</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Epidemiology, Directorate of Health Promotion and Prevention, Ministry of Health, Community of Madrid, C/Julián Camarillo, 4B, 28037 Madrid, Spain. Electronic address: jenaro.astray@salud.madrid.org.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>11</Month><Day>21</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="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><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="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006282" MajorTopicYN="Y">Health Personnel</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="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010361" MajorTopicYN="Y">Patients</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N">Spain</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName><QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Coverage</Keyword><Keyword MajorTopicYN="N">Influenza</Keyword><Keyword MajorTopicYN="N">Public health policy</Keyword><Keyword MajorTopicYN="N">Trends</Keyword><Keyword MajorTopicYN="N">Vaccines</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>05</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2013</Year><Month>10</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>11</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>11</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>11</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>8</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24269621</ArticleId><ArticleId IdType="pii">S0264-410X(13)01561-2</ArticleId><ArticleId IdType="doi">10.1016/j.vaccine.2013.11.040</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Espagne</li></country><region><li>Communauté de Madrid</li></region><settlement><li>Madrid</li></settlement></list><tree><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Jimenez Garcia, Rodrigo" sort="Jimenez Garcia, Rodrigo" uniqKey="Jimenez Garcia R" first="Rodrigo" last="Jiménez-García">Rodrigo Jiménez-García</name></region><name sortKey="Astray Mochales, Jenaro" sort="Astray Mochales, Jenaro" uniqKey="Astray Mochales J" first="Jenaro" last="Astray-Mochales">Jenaro Astray-Mochales</name><name sortKey="Carrasco Garrido, Pilar" sort="Carrasco Garrido, Pilar" uniqKey="Carrasco Garrido P" first="Pilar" last="Carrasco Garrido">Pilar Carrasco Garrido</name><name sortKey="Dominguez Berj N, Maria Felicitas" sort="Dominguez Berj N, Maria Felicitas" uniqKey="Dominguez Berj N M" first="Maria Felicitas" last="Domínguez-Berj N">Maria Felicitas Domínguez-Berj N</name><name sortKey="Esteban Vasallo, Maria D" sort="Esteban Vasallo, Maria D" uniqKey="Esteban Vasallo M" first="María D" last="Esteban-Vasallo">María D. Esteban-Vasallo</name><name sortKey="Hernandez Barrera, Valentin" sort="Hernandez Barrera, Valentin" uniqKey="Hernandez Barrera V" first="Valentín" last="Hernandez-Barrera">Valentín Hernandez-Barrera</name><name sortKey="L Pez De Andres, Ana" sort="L Pez De Andres, Ana" uniqKey="L Pez De Andres A" first="Ana" last="L Pez De Andres">Ana L Pez De Andres</name><name sortKey="Rodriguez Rieiro, Cristina" sort="Rodriguez Rieiro, Cristina" uniqKey="Rodriguez Rieiro C" first="Cristina" last="Rodríguez-Rieiro">Cristina Rodríguez-Rieiro</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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