Serveur d'exploration sur la grippe en Espagne

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Factors associated with continued adherence to influenza vaccination in the elderly.

Identifieur interne : 000326 ( Main/Exploration ); précédent : 000325; suivant : 000327

Factors associated with continued adherence to influenza vaccination in the elderly.

Auteurs : Iván Martínez-Baz [Espagne] ; Isabel Aguilar ; Julio Morán ; Esther Albéniz ; Pablo Aldaz ; Jesús Castilla

Source :

RBID : pubmed:22759626

Descripteurs français

English descriptors

Abstract

OBJECTIVE

We aimed to analyze the factors influencing continued adherence to influenza vaccination in elderly persons vaccinated in the preceding season.

METHODS

Using a population-based vaccination registry, we evaluated the proportion of persons vaccinated against influenza in Navarre, Spain, in the 2010-11 season among non-institutionalized persons aged 65 years or over who had been vaccinated in the 2009-10 season. Logistic regression was used to analyze the influence of sociodemographic, clinical and health care factors.

RESULTS

Of the 64,245 persons vaccinated against influenza in the 2009-10 season, 87% were vaccinated in the 2010-11 season. Continued adherence to vaccination increased with the number of physician visits per year. It was lower in women, in the 65-69 and ≥ 95 year age-groups, in those hospitalized or diagnosed with any major chronic condition in the previous year, and in persons with hematological cancer or dementia. Health districts and physicians with higher coverage in the previous season continued to have higher adherence in the following season.

CONCLUSIONS

People vaccinated against influenza in one season tend to be vaccinated in the following one. Sociodemographic, clinical and health care factors have a moderate effect on the continuity of vaccination, with the most important factor being the treating physician.


DOI: 10.1016/j.ypmed.2012.06.020
PubMed: 22759626


Affiliations:


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Le document en format XML

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<name sortKey="Martinez Baz, Ivan" sort="Martinez Baz, Ivan" uniqKey="Martinez Baz I" first="Iván" last="Martínez-Baz">Iván Martínez-Baz</name>
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<name sortKey="Moran, Julio" sort="Moran, Julio" uniqKey="Moran J" first="Julio" last="Morán">Julio Morán</name>
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<name sortKey="Albeniz, Esther" sort="Albeniz, Esther" uniqKey="Albeniz E" first="Esther" last="Albéniz">Esther Albéniz</name>
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<name sortKey="Aldaz, Pablo" sort="Aldaz, Pablo" uniqKey="Aldaz P" first="Pablo" last="Aldaz">Pablo Aldaz</name>
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<term>Aged (MeSH)</term>
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<term>Confidence Intervals (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Immunization (statistics & numerical data)</term>
<term>Influenza Vaccines (therapeutic use)</term>
<term>Influenza, Human (prevention & control)</term>
<term>Logistic Models (MeSH)</term>
<term>Male (MeSH)</term>
<term>Odds Ratio (MeSH)</term>
<term>Patient Compliance (statistics & numerical data)</term>
<term>Primary Health Care (MeSH)</term>
<term>Registries (MeSH)</term>
<term>Spain (MeSH)</term>
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<term>Immunisation (statistiques et données numériques)</term>
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<term>Observance par le patient (statistiques et données numériques)</term>
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<term>Soins de santé primaires (MeSH)</term>
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<b>OBJECTIVE</b>
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<p>We aimed to analyze the factors influencing continued adherence to influenza vaccination in elderly persons vaccinated in the preceding season.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Using a population-based vaccination registry, we evaluated the proportion of persons vaccinated against influenza in Navarre, Spain, in the 2010-11 season among non-institutionalized persons aged 65 years or over who had been vaccinated in the 2009-10 season. Logistic regression was used to analyze the influence of sociodemographic, clinical and health care factors.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
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<p>Of the 64,245 persons vaccinated against influenza in the 2009-10 season, 87% were vaccinated in the 2010-11 season. Continued adherence to vaccination increased with the number of physician visits per year. It was lower in women, in the 65-69 and ≥ 95 year age-groups, in those hospitalized or diagnosed with any major chronic condition in the previous year, and in persons with hematological cancer or dementia. Health districts and physicians with higher coverage in the previous season continued to have higher adherence in the following season.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
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<p>People vaccinated against influenza in one season tend to be vaccinated in the following one. Sociodemographic, clinical and health care factors have a moderate effect on the continuity of vaccination, with the most important factor being the treating physician.</p>
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