Serveur d'exploration sur la grippe en Espagne

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Influenza vaccination in old adults in Spain.

Identifieur interne : 000641 ( Main/Exploration ); précédent : 000640; suivant : 000642

Influenza vaccination in old adults in Spain.

Auteurs : Antonio Sarría-Santamera [Espagne] ; Julia Timoner

Source :

RBID : pubmed:12803411

Descripteurs français

English descriptors

Abstract

BACKGROUND

to describe population patterns of influenza vaccination, and to analyse the effect of a set of demographic, socio-economic status, lifestyles, health status, and health services variables, on the likelihood of being vaccinated in the those > or = 65 years.

METHODS

Cross-sectional study. From the 1997 National Health Survey those > or = 65 years old were selected. Adjusted odds ratios were calculated through multiple logistic regression models, reporting having an influenza vaccination last season as a dependent variable.

RESULTS

A total sample of 1148 was analysed: 51.3% of subjects reported having received a vaccination last year. Adjusted odds ratios showed that the risk of not having been vaccinated was higher for people from 65-69 years (OR: 1.70; 95% CI [1.32-2.19]), women (OR: 1.48; 95% CI [1.14-1.92]), residents in cities of more than 1 million inhabitants (OR: 1.74; 95% CI [1.12-2.70]), smokers (OR: 1.92; 95% CI [1.24-2.96]), having high-risk chronic conditions (OR: 1.41; 95% CI [1.08-1.85]), and for those whose last physician visit was between 2 weeks and 6 months ago (OR: 1.40; 95% CI [1.07-1.85]), and more than 6 months ago (OR: 2.13; 95% CI [1.52-2.98]).

CONCLUSION

Influenza vaccination levels are sub-optimal. Factors that have been identified as barriers to receiving this effective intervention are: younger age, female sex, less contact with the health care system, smokers, and not having high-risk chronic conditions. No effect was found for socio-economic status or variables related with health, functional status or other health-related behaviours. This study may contribute to identifying population groups who could be targeted for health promotion interventions aimed to improve their influenza vaccination uptake.


DOI: 10.1093/eurpub/13.2.133
PubMed: 12803411


Affiliations:


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Le document en format XML

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<name sortKey="Sarria Santamera, Antonio" sort="Sarria Santamera, Antonio" uniqKey="Sarria Santamera A" first="Antonio" last="Sarría-Santamera">Antonio Sarría-Santamera</name>
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<nlm:affiliation>Agency for Health Technology Assessment, Instituto de Salud Carlos III, Madrid, Spain. asarria@isciii.es</nlm:affiliation>
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<term>Humans (MeSH)</term>
<term>Influenza Vaccines (administration & dosage)</term>
<term>Influenza, Human (prevention & control)</term>
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<term>Grippe humaine (prévention et contrôle)</term>
<term>Humains (MeSH)</term>
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<term>Influenza Vaccines</term>
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<term>Spain</term>
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<term>Vaccins antigrippaux</term>
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<term>Influenza, Human</term>
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<b>BACKGROUND</b>
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<p>to describe population patterns of influenza vaccination, and to analyse the effect of a set of demographic, socio-economic status, lifestyles, health status, and health services variables, on the likelihood of being vaccinated in the those > or = 65 years.</p>
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<b>METHODS</b>
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<p>Cross-sectional study. From the 1997 National Health Survey those > or = 65 years old were selected. Adjusted odds ratios were calculated through multiple logistic regression models, reporting having an influenza vaccination last season as a dependent variable.</p>
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<b>RESULTS</b>
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<p>A total sample of 1148 was analysed: 51.3% of subjects reported having received a vaccination last year. Adjusted odds ratios showed that the risk of not having been vaccinated was higher for people from 65-69 years (OR: 1.70; 95% CI [1.32-2.19]), women (OR: 1.48; 95% CI [1.14-1.92]), residents in cities of more than 1 million inhabitants (OR: 1.74; 95% CI [1.12-2.70]), smokers (OR: 1.92; 95% CI [1.24-2.96]), having high-risk chronic conditions (OR: 1.41; 95% CI [1.08-1.85]), and for those whose last physician visit was between 2 weeks and 6 months ago (OR: 1.40; 95% CI [1.07-1.85]), and more than 6 months ago (OR: 2.13; 95% CI [1.52-2.98]).</p>
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<b>CONCLUSION</b>
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<p>Influenza vaccination levels are sub-optimal. Factors that have been identified as barriers to receiving this effective intervention are: younger age, female sex, less contact with the health care system, smokers, and not having high-risk chronic conditions. No effect was found for socio-economic status or variables related with health, functional status or other health-related behaviours. This study may contribute to identifying population groups who could be targeted for health promotion interventions aimed to improve their influenza vaccination uptake.</p>
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