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Comparison of self-report influenza vaccination coverage with data from a population based computerized vaccination registry and factors associated with discordance.

Identifieur interne : 000229 ( Main/Exploration ); précédent : 000228; suivant : 000230

Comparison of self-report influenza vaccination coverage with data from a population based computerized vaccination registry and factors associated with discordance.

Auteurs : Rodrigo Jiménez-García [Espagne] ; Valentín Hernandez-Barrera [Espagne] ; Cristina Rodríguez-Rieiro [Espagne] ; Pilar Carrasco Garrido [Espagne] ; Ana L Pez De Andres [Espagne] ; Isabel Jimenez-Trujillo [Espagne] ; María D. Esteban-Vasallo [Espagne] ; Maria Felicitas Domínguez-Berj N [Espagne] ; Javier De Miguel-Diez [Espagne] ; Jenaro Astray-Mochales [Espagne]

Source :

RBID : pubmed:24968159

Descripteurs français

English descriptors

Abstract

OBJECTIVES

We aim to compare influenza vaccination coverages obtained using two different methods; a population based computerized vaccination registry and self-reported influenza vaccination status as captured by a population survey.

METHODS

The study was conducted in the Autonomous Community of Madrid (ACM), Spain, and refers to the 2011/12 influenza vaccination campaign. Information on influenza vaccination status according to a computerized registry was extracted from the SISPAL database and crossed with the electronic clinical records in primary care (ECRPC). Self-reported vaccine uptake was obtained from subjects living in the ACM included in the 2011-12 Spanish National Health Survey (SNHS). Independent study variables included: age, sex, immigrant status and the presence of high risk chronic conditions. Vaccination coverages were calculated according to study variables. Crude and adjusted prevalence ratios were computed to assess concordance.

RESULTS

The study population included 5,245,238 adults living in the ACM in year 2011 with an individual ECRPC and 1449 adult living the ACM and interviewed in the SNHS from October 2011 to June 2012. The weighted vaccination coverage for the study population according to self-reported data was 19.77% and 15.04% from computerized registries resulting in a crude prevalence ratio (cPR) of 1.31 (95% CI 1.20-1.44) so self-reported data significantly overestimated 31% the registry coverage. Self-reported coverages are always higher than registry based coverages when the study population is stratified by the study variables. Self-reported overestimation was higher among men than women, younger age groups, immigrants and those without chronic conditions. Both methods provide the most concordant estimations for the target population of the influenza vaccine.

CONCLUSIONS

Self-report influenza vaccination uptake overestimates vaccination registries coverages. The validity of self-report seems to be negatively affected by socio-demographic variables and the absence of chronic conditions. Possible strategies must be considered and implemented to improve both coverage estimation methods.


DOI: 10.1016/j.vaccine.2014.06.074
PubMed: 24968159


Affiliations:


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Le document en format XML

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<name sortKey="Rodriguez Rieiro, Cristina" sort="Rodriguez Rieiro, Cristina" uniqKey="Rodriguez Rieiro C" first="Cristina" last="Rodríguez-Rieiro">Cristina Rodríguez-Rieiro</name>
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<name sortKey="Carrasco Garrido, Pilar" sort="Carrasco Garrido, Pilar" uniqKey="Carrasco Garrido P" first="Pilar" last="Carrasco Garrido">Pilar Carrasco Garrido</name>
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<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>
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<name sortKey="Jimenez Trujillo, Isabel" sort="Jimenez Trujillo, Isabel" uniqKey="Jimenez Trujillo I" first="Isabel" last="Jimenez-Trujillo">Isabel Jimenez-Trujillo</name>
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<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>
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<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>
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<name sortKey="De Miguel Diez, Javier" sort="De Miguel Diez, Javier" uniqKey="De Miguel Diez J" first="Javier" last="De Miguel-Diez">Javier De Miguel-Diez</name>
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<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Respiratory Medicine, Gregorio Marañon Hospital, Calle Doctor Esquerdo, 46, 28007 Madrid</wicri:regionArea>
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<name sortKey="Astray Mochales, Jenaro" sort="Astray Mochales, Jenaro" uniqKey="Astray Mochales J" first="Jenaro" last="Astray-Mochales">Jenaro Astray-Mochales</name>
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<name sortKey="Hernandez Barrera, Valentin" sort="Hernandez Barrera, Valentin" uniqKey="Hernandez Barrera V" first="Valentín" last="Hernandez-Barrera">Valentín Hernandez-Barrera</name>
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<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>
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<name sortKey="Rodriguez Rieiro, Cristina" sort="Rodriguez Rieiro, Cristina" uniqKey="Rodriguez Rieiro C" first="Cristina" last="Rodríguez-Rieiro">Cristina Rodríguez-Rieiro</name>
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<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>
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<name sortKey="Carrasco Garrido, Pilar" sort="Carrasco Garrido, Pilar" uniqKey="Carrasco Garrido P" first="Pilar" last="Carrasco Garrido">Pilar Carrasco Garrido</name>
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<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>
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<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>
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<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>
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<name sortKey="Jimenez Trujillo, Isabel" sort="Jimenez Trujillo, Isabel" uniqKey="Jimenez Trujillo I" first="Isabel" last="Jimenez-Trujillo">Isabel Jimenez-Trujillo</name>
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<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>
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<region nuts="2" type="communauté">Communauté de Madrid</region>
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<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>
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<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>
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<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>
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<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="De Miguel Diez, Javier" sort="De Miguel Diez, Javier" uniqKey="De Miguel Diez J" first="Javier" last="De Miguel-Diez">Javier De Miguel-Diez</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Respiratory Medicine, Gregorio Marañon Hospital, Calle Doctor Esquerdo, 46, 28007 Madrid, Spain. Electronic address: javier.miguel@salud.madrid.org.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Respiratory Medicine, Gregorio Marañon Hospital, Calle Doctor Esquerdo, 46, 28007 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>
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<title level="j">Vaccine</title>
<idno type="eISSN">1873-2518</idno>
<imprint>
<date when="2014" type="published">2014</date>
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<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>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>Registries (statistics & numerical data)</term>
<term>Self Report (MeSH)</term>
<term>Spain (MeSH)</term>
<term>Vaccination (statistics & numerical data)</term>
<term>Young Adult (MeSH)</term>
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<term>Adolescent (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Autorapport (MeSH)</term>
<term>Enregistrements (statistiques et données numériques)</term>
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<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>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="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>Registries</term>
<term>Vaccination</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr">
<term>Enregistrements</term>
<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>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Self Report</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>Autorapport</term>
<term>Espagne</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Études transversales</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVES</b>
</p>
<p>We aim to compare influenza vaccination coverages obtained using two different methods; a population based computerized vaccination registry and self-reported influenza vaccination status as captured by a population survey.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>The study was conducted in the Autonomous Community of Madrid (ACM), Spain, and refers to the 2011/12 influenza vaccination campaign. Information on influenza vaccination status according to a computerized registry was extracted from the SISPAL database and crossed with the electronic clinical records in primary care (ECRPC). Self-reported vaccine uptake was obtained from subjects living in the ACM included in the 2011-12 Spanish National Health Survey (SNHS). Independent study variables included: age, sex, immigrant status and the presence of high risk chronic conditions. Vaccination coverages were calculated according to study variables. Crude and adjusted prevalence ratios were computed to assess concordance.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>The study population included 5,245,238 adults living in the ACM in year 2011 with an individual ECRPC and 1449 adult living the ACM and interviewed in the SNHS from October 2011 to June 2012. The weighted vaccination coverage for the study population according to self-reported data was 19.77% and 15.04% from computerized registries resulting in a crude prevalence ratio (cPR) of 1.31 (95% CI 1.20-1.44) so self-reported data significantly overestimated 31% the registry coverage. Self-reported coverages are always higher than registry based coverages when the study population is stratified by the study variables. Self-reported overestimation was higher among men than women, younger age groups, immigrants and those without chronic conditions. Both methods provide the most concordant estimations for the target population of the influenza vaccine.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>Self-report influenza vaccination uptake overestimates vaccination registries coverages. The validity of self-report seems to be negatively affected by socio-demographic variables and the absence of chronic conditions. Possible strategies must be considered and implemented to improve both coverage estimation methods.</p>
</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">24968159</PMID>
<DateCompleted>
<Year>2015</Year>
<Month>03</Month>
<Day>30</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>35</Issue>
<PubDate>
<Year>2014</Year>
<Month>Jul</Month>
<Day>31</Day>
</PubDate>
</JournalIssue>
<Title>Vaccine</Title>
<ISOAbbreviation>Vaccine</ISOAbbreviation>
</Journal>
<ArticleTitle>Comparison of self-report influenza vaccination coverage with data from a population based computerized vaccination registry and factors associated with discordance.</ArticleTitle>
<Pagination>
<MedlinePgn>4386-92</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.vaccine.2014.06.074</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0264-410X(14)00875-5</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">We aim to compare influenza vaccination coverages obtained using two different methods; a population based computerized vaccination registry and self-reported influenza vaccination status as captured by a population survey.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The study was conducted in the Autonomous Community of Madrid (ACM), Spain, and refers to the 2011/12 influenza vaccination campaign. Information on influenza vaccination status according to a computerized registry was extracted from the SISPAL database and crossed with the electronic clinical records in primary care (ECRPC). Self-reported vaccine uptake was obtained from subjects living in the ACM included in the 2011-12 Spanish National Health Survey (SNHS). Independent study variables included: age, sex, immigrant status and the presence of high risk chronic conditions. Vaccination coverages were calculated according to study variables. Crude and adjusted prevalence ratios were computed to assess concordance.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The study population included 5,245,238 adults living in the ACM in year 2011 with an individual ECRPC and 1449 adult living the ACM and interviewed in the SNHS from October 2011 to June 2012. The weighted vaccination coverage for the study population according to self-reported data was 19.77% and 15.04% from computerized registries resulting in a crude prevalence ratio (cPR) of 1.31 (95% CI 1.20-1.44) so self-reported data significantly overestimated 31% the registry coverage. Self-reported coverages are always higher than registry based coverages when the study population is stratified by the study variables. Self-reported overestimation was higher among men than women, younger age groups, immigrants and those without chronic conditions. Both methods provide the most concordant estimations for the target population of the influenza vaccine.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Self-report influenza vaccination uptake overestimates vaccination registries coverages. The validity of self-report seems to be negatively affected by socio-demographic variables and the absence of chronic conditions. Possible strategies must be considered and implemented to improve both coverage estimation methods.</AbstractText>
<CopyrightInformation>Copyright © 2014 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>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>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>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>Jimenez-Trujillo</LastName>
<ForeName>Isabel</ForeName>
<Initials>I</Initials>
<AffiliationInfo>
<Affiliation>Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón, 28922 Madrid, Spain. Electronic address: Isabel.jimenez@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>de Miguel-Diez</LastName>
<ForeName>Javier</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Department of Respiratory Medicine, Gregorio Marañon Hospital, Calle Doctor Esquerdo, 46, 28007 Madrid, Spain. Electronic address: javier.miguel@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="D003160">Comparative Study</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic">
<Year>2014</Year>
<Month>06</Month>
<Day>23</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="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="D012042" MajorTopicYN="N">Registries</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D057566" MajorTopicYN="N">Self Report</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>
</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">Registries</Keyword>
<Keyword MajorTopicYN="N">Self-report</Keyword>
<Keyword MajorTopicYN="N">Vaccines</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData>
<History>
<PubMedPubDate PubStatus="received">
<Year>2014</Year>
<Month>04</Month>
<Day>15</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised">
<Year>2014</Year>
<Month>05</Month>
<Day>27</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2014</Year>
<Month>06</Month>
<Day>13</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2014</Year>
<Month>6</Month>
<Day>27</Day>
<Hour>6</Hour>
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<Hour>6</Hour>
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<Year>2015</Year>
<Month>3</Month>
<Day>31</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<ArticleId IdType="doi">10.1016/j.vaccine.2014.06.074</ArticleId>
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<list>
<country>
<li>Espagne</li>
</country>
<region>
<li>Communauté de Madrid</li>
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</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="De Miguel Diez, Javier" sort="De Miguel Diez, Javier" uniqKey="De Miguel Diez J" first="Javier" last="De Miguel-Diez">Javier De Miguel-Diez</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="Jimenez Trujillo, Isabel" sort="Jimenez Trujillo, Isabel" uniqKey="Jimenez Trujillo I" first="Isabel" last="Jimenez-Trujillo">Isabel Jimenez-Trujillo</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>
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