Serveur d'exploration sur la grippe en Espagne

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Influenza vaccination among the elderly Spanish population: trend from 1993 to 2003 and vaccination-related factors.

Identifieur interne : 000567 ( Main/Exploration ); précédent : 000566; suivant : 000568

Influenza vaccination among the elderly Spanish population: trend from 1993 to 2003 and vaccination-related factors.

Auteurs : Ana Lopez De Andres [Espagne] ; Pilar Carrasco Garrido ; Valentín Hernández-Barrera ; Silvia Vázquez-Fernández Del Pozo ; Angel Gil De Miguel ; Rodrigo Jiménez-García

Source :

RBID : pubmed:17071634

Descripteurs français

English descriptors

Abstract

BACKGROUND

Influenza is an important public health problem that particularly affects elderly subjects and influenza vaccination is a safe, effective and efficient method for prevention of influenza-related complications in elderly individuals with or without underlying chronic conditions. This study aims to analyze adjusted time trends in the coverage of influenza vaccination among elderly Spanish subjects and to identify which variables were associated with the probability of having been vaccinated in 2003.

METHODS

We undertook a cross-sectional study using data of individuals aged >/=65 years drawn from the 1993, 1995, 1997, 2001, and 2003 Spanish National Health Surveys. The answer to the question 'Did you have a 'flu shot in the latest campaign' was used as the dependent variable, and socio-demographic and health-related characteristics were analyzed as independent variables. Coverage of vaccination for each year was adjusted by the direct method for both age and gender. Multivariate logistic regression was used to estimate the independent effect of variables on the receipt of influenza vaccine.

RESULTS

15 989 records were analyzed. Adjusted influenza coverage increased from 50.1% in 1993 to 63.7% in 2003 (P < 0.001). The variables that were significantly associated with a higher likelihood of being vaccinated were older age, suffering a chronic disease, residence in towns with <10 000 inhabitants, 'worse' self-perceived health and non-smokers.

CONCLUSIONS

Coverage among the Spanish elderly has increased significantly from 1993 to 2003. Still, there is room for improvement, particularly, among the subjects with 'good' self-perceived health, those with no concomitant medical conditions, and smokers.


DOI: 10.1093/eurpub/ckl242
PubMed: 17071634


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<name sortKey="Del Pozo, Silvia Vazquez Fernandez" sort="Del Pozo, Silvia Vazquez Fernandez" uniqKey="Del Pozo S" first="Silvia Vázquez-Fernández" last="Del Pozo">Silvia Vázquez-Fernández Del Pozo</name>
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<name sortKey="Jimenez Garcia, Rodrigo" sort="Jimenez Garcia, Rodrigo" uniqKey="Jimenez Garcia R" first="Rodrigo" last="Jiménez-García">Rodrigo Jiménez-García</name>
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<name sortKey="Del Pozo, Silvia Vazquez Fernandez" sort="Del Pozo, Silvia Vazquez Fernandez" uniqKey="Del Pozo S" first="Silvia Vázquez-Fernández" last="Del Pozo">Silvia Vázquez-Fernández Del Pozo</name>
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<term>Age Factors (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Chronic Disease (MeSH)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Female (MeSH)</term>
<term>Health Care Surveys (MeSH)</term>
<term>Health Services Accessibility (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Immunization Programs (statistics & numerical data)</term>
<term>Influenza Vaccines (administration & dosage)</term>
<term>Influenza, Human (prevention & control)</term>
<term>Logistic Models (MeSH)</term>
<term>Male (MeSH)</term>
<term>Patient Acceptance of Health Care (psychology)</term>
<term>Patient Acceptance of Health Care (statistics & numerical data)</term>
<term>Population Density (MeSH)</term>
<term>Rural Population (statistics & numerical data)</term>
<term>Socioeconomic Factors (MeSH)</term>
<term>Spain (MeSH)</term>
<term>Urban Population (statistics & numerical data)</term>
<term>Vaccination (statistics & numerical data)</term>
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<term>Acceptation des soins par les patients (psychologie)</term>
<term>Acceptation des soins par les patients (statistiques et données numériques)</term>
<term>Accessibilité des services de santé (MeSH)</term>
<term>Densité de population (MeSH)</term>
<term>Enquêtes sur les soins de santé (MeSH)</term>
<term>Espagne (MeSH)</term>
<term>Facteurs socioéconomiques (MeSH)</term>
<term>Facteurs âges (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Grippe humaine (prévention et contrôle)</term>
<term>Humains (MeSH)</term>
<term>Maladie chronique (MeSH)</term>
<term>Modèles logistiques (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Population rurale (statistiques et données numériques)</term>
<term>Population urbaine (statistiques et données numériques)</term>
<term>Programmes de vaccination (statistiques et données numériques)</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>
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<term>Influenza Vaccines</term>
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<term>Acceptation des soins par les patients</term>
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<term>Patient Acceptance of Health Care</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Immunization Programs</term>
<term>Patient Acceptance of Health Care</term>
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<term>Urban Population</term>
<term>Vaccination</term>
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<term>Acceptation des soins par les patients</term>
<term>Population rurale</term>
<term>Population urbaine</term>
<term>Programmes de vaccination</term>
<term>Vaccination</term>
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<term>Age Factors</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Chronic Disease</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Health Care Surveys</term>
<term>Health Services Accessibility</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Population Density</term>
<term>Socioeconomic Factors</term>
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<term>Densité de population</term>
<term>Enquêtes sur les soins de santé</term>
<term>Espagne</term>
<term>Facteurs socioéconomiques</term>
<term>Facteurs âges</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maladie chronique</term>
<term>Modèles logistiques</term>
<term>Mâle</term>
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<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND</b>
</p>
<p>Influenza is an important public health problem that particularly affects elderly subjects and influenza vaccination is a safe, effective and efficient method for prevention of influenza-related complications in elderly individuals with or without underlying chronic conditions. This study aims to analyze adjusted time trends in the coverage of influenza vaccination among elderly Spanish subjects and to identify which variables were associated with the probability of having been vaccinated in 2003.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>We undertook a cross-sectional study using data of individuals aged >/=65 years drawn from the 1993, 1995, 1997, 2001, and 2003 Spanish National Health Surveys. The answer to the question 'Did you have a 'flu shot in the latest campaign' was used as the dependent variable, and socio-demographic and health-related characteristics were analyzed as independent variables. Coverage of vaccination for each year was adjusted by the direct method for both age and gender. Multivariate logistic regression was used to estimate the independent effect of variables on the receipt of influenza vaccine.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>15 989 records were analyzed. Adjusted influenza coverage increased from 50.1% in 1993 to 63.7% in 2003 (P < 0.001). The variables that were significantly associated with a higher likelihood of being vaccinated were older age, suffering a chronic disease, residence in towns with <10 000 inhabitants, 'worse' self-perceived health and non-smokers.</p>
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<p>
<b>CONCLUSIONS</b>
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<p>Coverage among the Spanish elderly has increased significantly from 1993 to 2003. Still, there is room for improvement, particularly, among the subjects with 'good' self-perceived health, those with no concomitant medical conditions, and smokers.</p>
</div>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Influenza is an important public health problem that particularly affects elderly subjects and influenza vaccination is a safe, effective and efficient method for prevention of influenza-related complications in elderly individuals with or without underlying chronic conditions. This study aims to analyze adjusted time trends in the coverage of influenza vaccination among elderly Spanish subjects and to identify which variables were associated with the probability of having been vaccinated in 2003.</AbstractText>
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