Serveur d'exploration sur la grippe en Espagne

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Coverage and predictors of influenza vaccination among adults living in a large metropolitan area in Spain: a comparison between the immigrant and indigenous populations.

Identifieur interne : 000549 ( Main/Exploration ); précédent : 000548; suivant : 000550

Coverage and predictors of influenza vaccination among adults living in a large metropolitan area in Spain: a comparison between the immigrant and indigenous populations.

Auteurs : Rodrigo Jiménez-García [Espagne] ; Valentín Hernández-Barrera ; Pilar Carrasco-Garrido ; Ana Lopez De Andres ; Maria Mercedes Esteban Y Pe A ; Angel Gil De Miguel

Source :

RBID : pubmed:18579263

Descripteurs français

English descriptors

Abstract

This study sought to evaluate influenza vaccination coverage in Madrid (Spain). Coverages were estimated for vaccine target groups and special attention was placed on the immigrant population. Individual data from 7341 adults included in the Madrid City Health Survey conducted in 2005 was used. Overall influenza vaccination coverage was 24%. Compliance with age-based influenza vaccine guidelines (>or=65 years) was 63.9%, among those<65 years who had an associated chronic condition, it was 37.9% and 24.1% among HCWs. Immigrants accounted for 12.4% of the sample. Overall crude coverage was significantly lower among immigrants than among the indigenous population (11.2% vs. 25.9%), but once the multivariate analysis had been performed, the association became non-significant. In conclusion, it must be said that all the available evidence indicates an inadequate level of influenza vaccination coverage among HCWs and high-risk subjects <65 years. On the other hand, coverages among subjects aged >or=65 years are acceptable and there is no observable difference in vaccine use between immigrants and indigenous subjects. Strategies that have demonstrated their effectiveness in enhancing vaccination coverages should be applied in Madrid.

DOI: 10.1016/j.vaccine.2008.05.053
PubMed: 18579263


Affiliations:


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Le document en format XML

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<nlm:affiliation>Preventive Medicine and Public Health Teaching and Research Unit, Health Sciences Faculty, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón 28402 Madrid, Spain. rodrigo.jimenez@urjc.es</nlm:affiliation>
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<name sortKey="Hernandez Barrera, Valentin" sort="Hernandez Barrera, Valentin" uniqKey="Hernandez Barrera V" first="Valentín" last="Hernández-Barrera">Valentín Hernández-Barrera</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="Esteban Y Pe A, Maria Mercedes" sort="Esteban Y Pe A, Maria Mercedes" uniqKey="Esteban Y Pe A M" first="Maria Mercedes" last="Esteban Y Pe A">Maria Mercedes Esteban Y Pe A</name>
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<term>Guideline Adherence (MeSH)</term>
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<term>Influenza, Human (prevention & control)</term>
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<div type="abstract" xml:lang="en">This study sought to evaluate influenza vaccination coverage in Madrid (Spain). Coverages were estimated for vaccine target groups and special attention was placed on the immigrant population. Individual data from 7341 adults included in the Madrid City Health Survey conducted in 2005 was used. Overall influenza vaccination coverage was 24%. Compliance with age-based influenza vaccine guidelines (>or=65 years) was 63.9%, among those<65 years who had an associated chronic condition, it was 37.9% and 24.1% among HCWs. Immigrants accounted for 12.4% of the sample. Overall crude coverage was significantly lower among immigrants than among the indigenous population (11.2% vs. 25.9%), but once the multivariate analysis had been performed, the association became non-significant. In conclusion, it must be said that all the available evidence indicates an inadequate level of influenza vaccination coverage among HCWs and high-risk subjects <65 years. On the other hand, coverages among subjects aged >or=65 years are acceptable and there is no observable difference in vaccine use between immigrants and indigenous subjects. Strategies that have demonstrated their effectiveness in enhancing vaccination coverages should be applied in Madrid.</div>
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