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[Vaccinations in adults: the coverage of the users of a health center].

Identifieur interne : 000711 ( Main/Exploration ); précédent : 000710; suivant : 000712

[Vaccinations in adults: the coverage of the users of a health center].

Auteurs : J M Alonso Gordo ; M V Hernández Perlines ; E. Sanz Fernández ; A. L Pez Caraba O

Source :

RBID : pubmed:8155795

Descripteurs français

English descriptors

Abstract

OBJECTIVE

To find the cover and records of recommended adult vaccinations and to identify possible causes of deficient cover.

DESIGN

A descriptive crossover study using analysis of histories and a questionnaire.

SETTING

General Medical and Nursing stations at the urban Guadalajara-Sur Health Centre.

PATIENTS

Those people over 15 and with a prior appointment who were treated at the stations. A random selection of 352 patients. Final size: 275 patients (78.1%).

MEASUREMENTS AND MAIN RESULTS

20.5% +/- 4.9 of the population surveyed had been correctly vaccinated against tetanus. There was better cover of males (p < 0.05) and under-45s (p < 0.001; Confidence level--95%). 41.8% +/- 13.6 of indicated patients stated that they had been vaccinated against German measles, while 79.5% +/- 7.0 had received an anti-flu vaccination in the last campaign. Between 5 and 21%, according to age groups, possessed a vaccination card, with the levels noted in the medical records oscillating between 5.7% and 38.6%, respectively, for German measles and flu vaccination. Causes cited for non-vaccination were: ignorance in the cases of anti-tetanus (87.3%) and German measles (97%), carelessness (40%) or rejection (26.7%) for the anti-flu.

CONCLUSIONS

Only anti-flu vaccination reaches acceptable coverage and understanding among our Centre's adult users, lack of knowledge being the main problem cited. We consider the recording level insufficient, both in clinical notes and on the vaccination cards. An intensive information campaign by health workers is needed, along with widespread vaccination to correct these deficiencies and reach the optimum coverage.


PubMed: 8155795


Affiliations:


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Le document en format XML

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<title xml:lang="en">[Vaccinations in adults: the coverage of the users of a health center].</title>
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<nlm:affiliation>Unidad Docente de Medicina Familiar y Comunitaria, Centro de Salud Guadalajara-Sur Guadalajara.</nlm:affiliation>
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<author>
<name sortKey="Hernandez Perlines, M V" sort="Hernandez Perlines, M V" uniqKey="Hernandez Perlines M" first="M V" last="Hernández Perlines">M V Hernández Perlines</name>
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<name sortKey="Sanz Fernandez, E" sort="Sanz Fernandez, E" uniqKey="Sanz Fernandez E" first="E" last="Sanz Fernández">E. Sanz Fernández</name>
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<term>Aged (MeSH)</term>
<term>Chi-Square Distribution (MeSH)</term>
<term>Community Health Centers (statistics & numerical data)</term>
<term>Confidence Intervals (MeSH)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Influenza Vaccines (administration & dosage)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Rubella Vaccine (administration & dosage)</term>
<term>Spain (MeSH)</term>
<term>Tetanus Toxoid (administration & dosage)</term>
<term>Vaccination (statistics & numerical data)</term>
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<term>Adolescent (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Anatoxine tétanique (administration et posologie)</term>
<term>Centres de santé communautaires (statistiques et données numériques)</term>
<term>Espagne (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Intervalles de confiance (MeSH)</term>
<term>Loi du khi-deux (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Vaccin antirubéoleux (administration et posologie)</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>
<term>Rubella Vaccine</term>
<term>Tetanus Toxoid</term>
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<term>Vaccins antigrippaux</term>
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<term>Vaccination</term>
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<term>Vaccination</term>
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<term>Adult</term>
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<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Espagne</term>
<term>Femelle</term>
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<term>Intervalles de confiance</term>
<term>Loi du khi-deux</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Études transversales</term>
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<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>To find the cover and records of recommended adult vaccinations and to identify possible causes of deficient cover.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DESIGN</b>
</p>
<p>A descriptive crossover study using analysis of histories and a questionnaire.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>SETTING</b>
</p>
<p>General Medical and Nursing stations at the urban Guadalajara-Sur Health Centre.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>PATIENTS</b>
</p>
<p>Those people over 15 and with a prior appointment who were treated at the stations. A random selection of 352 patients. Final size: 275 patients (78.1%).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MEASUREMENTS AND MAIN RESULTS</b>
</p>
<p>20.5% +/- 4.9 of the population surveyed had been correctly vaccinated against tetanus. There was better cover of males (p < 0.05) and under-45s (p < 0.001; Confidence level--95%). 41.8% +/- 13.6 of indicated patients stated that they had been vaccinated against German measles, while 79.5% +/- 7.0 had received an anti-flu vaccination in the last campaign. Between 5 and 21%, according to age groups, possessed a vaccination card, with the levels noted in the medical records oscillating between 5.7% and 38.6%, respectively, for German measles and flu vaccination. Causes cited for non-vaccination were: ignorance in the cases of anti-tetanus (87.3%) and German measles (97%), carelessness (40%) or rejection (26.7%) for the anti-flu.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>Only anti-flu vaccination reaches acceptable coverage and understanding among our Centre's adult users, lack of knowledge being the main problem cited. We consider the recording level insufficient, both in clinical notes and on the vaccination cards. An intensive information campaign by health workers is needed, along with widespread vaccination to correct these deficiencies and reach the optimum coverage.</p>
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