Social factors related to the clinical severity of influenza cases in Spain during the A (H1N1) 2009 virus pandemic

Background: During the 2009 influenza pandemic, a change in the type of patients most often affected by influenza was observed. The objective of this study was to assess the role of individual and social determinants in hospitalizations due to influenza A (H1N1) 2009 infection. Methods: We studied h...

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Detalles Bibliográficos
Autores: Mayoral, JM, Alonso, J, Garin, O, Herrador, Z, Astray, J, Baricot, M, Castilla, J, Canton, R, Castro, A, Delgado-Rodriguez, M, Ferri, A, Godoy, P, Gonzalez-Candelas, F, Martin, V, Pumarola, T, Quintana, JM, Soldevila, N, Tamames, S, Dominguez, A, CIBERESP Cases Controls Pandemic I
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2013
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p12595
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/12595
Access Level:acceso abierto
Palabra clave:Influenza A (H1N1) 2009
Pandemic
Hospitalization
Social factors
Descripción
Sumario:Background: During the 2009 influenza pandemic, a change in the type of patients most often affected by influenza was observed. The objective of this study was to assess the role of individual and social determinants in hospitalizations due to influenza A (H1N1) 2009 infection. Methods: We studied hospitalized patients (cases) and outpatients (controls) with confirmed influenza A (H1N1) 2009 infection. A standardized questionnaire was used to collect data. Variables that might be related to the hospitalization of influenza cases were compared by estimation of the odds ratio (OR) and 95% confidence intervals (CI) and the variables entered into binomial logistic regression models. Results: Hospitalization due to pandemic A (H1N1) 2009 influenza virus infections was associated with non-Caucasian ethnicity (OR: 2.18, 95% CI 1.17 - 4.08), overcrowding (OR: 2.84, 95% CI 1.20 - 6.72), comorbidity and the lack of previous preventive information (OR: 2.69, 95% CI: 1.50 - 4.83). Secondary or higher education was associated with a lower risk of hospitalization (OR 0.56, 95% CI: 0.36 - 0.87) Conclusions: In addition to individual factors such as comorbidity, other factors such as educational level, ethnicity or overcrowding were associated with hospitalization due to A (H1N1) 2009 influenza virus infections.

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