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Adherence and factors associated with influenza vaccination among subjects with asthma in Spain

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Adherence and factors associated with influenza vaccination among subjects with asthma in Spain

Auteurs : J. M. Santos-Sancho [Espagne] ; A. L Pez-De Andrés [Espagne] ; I. Jimenez-Trujillo [Espagne] ; V. Hernández-Barrera [Espagne] ; P. Carrasco-Garrido [Espagne] ; P. Astasio-Arbiza [Espagne] ; R. Jimenez-Garcia [Espagne]

Source :

Infection [ 0300-8126 ] ; 2013.

RBID : ISTEX:273975809218C9723D4F81A29783989C4ADAB5E9

Abstract

Abstract: Purpose: Influenza has a high morbidity and mortality rate and an increased risk of complications in vulnerable individuals. Children and adults with asthma have a high risk of complications, hospitalisation and even death. The objectives of this study were as follows: to compare influenza vaccination coverage in Spain in a population of asthmatics aged ≥16 years with an equivalent population of non-asthmatics; to identify the factors that influence vaccination coverage among patients with asthma; and to compare coverage during the period 2006/2007 with that of 2009/2010. Methods: We used data from the 2009 European Health Survey (EHS), which included a population of 22,188 individuals (≥16 years of age), of whom 1,669 [7.5 %; 95 % confidence interval (CI), 7.13–7.98] had asthma. The dependent variable was the answer (yes/no) to a question asking whether or not the interviewed person had been vaccinated against seasonal (not pandemic) influenza in the previous season. As independent variables, we analysed socio-demographic characteristics, health-related variables and the use of health care services. Results: Vaccination coverage was 35.2 % (95 % CI, 32.5–37.9) among asthmatics and 22.1 % (95 % CI, 21.4–22.7) among non-asthmatics (p < 0.001). The probability of being vaccinated is almost twice as high for asthmatics as it is for non-asthmatics [odds ratio (OR), 1.92; 95 % CI, 1.69–2.17]. Among asthmatics, vaccination coverage increased with age, worse self-rated health status and not smoking. No significant change in coverage was observed between the study periods. Conclusions: Seasonal influenza vaccination coverage among Spanish asthmatics is lower than desired and has not improved in recent years. Urgent strategies are necessary in order to increase vaccination coverage among asthmatics.

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https://api.istex.fr/ark:/67375/VQC-MXJP6BF3-N/fulltext.pdf

DOI: 10.1007/s15010-013-0414-2

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ISTEX:273975809218C9723D4F81A29783989C4ADAB5E9

Le document en format XML

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<author><name sortKey="Carrasco Garrido, P" sort="Carrasco Garrido, P" uniqKey="Carrasco Garrido P" first="P." last="Carrasco-Garrido">P. Carrasco-Garrido</name>
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<author><name sortKey="Astasio Arbiza, P" sort="Astasio Arbiza, P" uniqKey="Astasio Arbiza P" first="P." last="Astasio-Arbiza">P. Astasio-Arbiza</name>
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<front><div type="abstract" xml:lang="en">Abstract: Purpose: Influenza has a high morbidity and mortality rate and an increased risk of complications in vulnerable individuals. Children and adults with asthma have a high risk of complications, hospitalisation and even death. The objectives of this study were as follows: to compare influenza vaccination coverage in Spain in a population of asthmatics aged ≥16 years with an equivalent population of non-asthmatics; to identify the factors that influence vaccination coverage among patients with asthma; and to compare coverage during the period 2006/2007 with that of 2009/2010. Methods: We used data from the 2009 European Health Survey (EHS), which included a population of 22,188 individuals (≥16 years of age), of whom 1,669 [7.5 %; 95 % confidence interval (CI), 7.13–7.98] had asthma. The dependent variable was the answer (yes/no) to a question asking whether or not the interviewed person had been vaccinated against seasonal (not pandemic) influenza in the previous season. As independent variables, we analysed socio-demographic characteristics, health-related variables and the use of health care services. Results: Vaccination coverage was 35.2 % (95 % CI, 32.5–37.9) among asthmatics and 22.1 % (95 % CI, 21.4–22.7) among non-asthmatics (p < 0.001). The probability of being vaccinated is almost twice as high for asthmatics as it is for non-asthmatics [odds ratio (OR), 1.92; 95 % CI, 1.69–2.17]. Among asthmatics, vaccination coverage increased with age, worse self-rated health status and not smoking. No significant change in coverage was observed between the study periods. Conclusions: Seasonal influenza vaccination coverage among Spanish asthmatics is lower than desired and has not improved in recent years. Urgent strategies are necessary in order to increase vaccination coverage among asthmatics.</div>
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Adherence and factors associated with influenza vaccination among subjects with asthma in Spain

Adherence and factors associated with influenza vaccination among subjects with asthma in Spain

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Abstract

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