Factors associated with pneumococcal and influenza vaccination in hospitalized people aged >= 65 years

Socioeconomic factors and the patterns of use of health services associated with influenza and pneumococcal vaccination were studied in people aged >= 65 years admitted to three general hospitals in Spain between 2005 and 2007. The following data were collected : age, sex, risk of pneumonia, educ...

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Detalhes bibliográficos
Autores: Sintes, X, Nebot, M, Izquierdo, C, Ruiz, L, Dominguez, A, Bayas, JM, Vera, I, Carratala, J, Sousa, D
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2011
País:España
Recursos:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p12100
Acesso em linha:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=12100
http://hdl.handle.net/2445/185981
Access Level:acceso abierto
Palavra-chave:Elderly people
influenza vaccine
pneumococcal vaccine
vaccination factors
Descrição
Resumo:Socioeconomic factors and the patterns of use of health services associated with influenza and pneumococcal vaccination were studied in people aged >= 65 years admitted to three general hospitals in Spain between 2005 and 2007. The following data were collected : age, sex, risk of pneumonia, educational level, social class, type of household, physician visits, length of time with the same general practitioner, and influenza and pneumococcal vaccination (23vPPV). Associations between variables were assessed using multivariate logistic regression analysis. In total, 1702 patients were included; 59.9% had received 23vPPV and 65.6% influenza vaccine. Older age (OR 1.04, P<0.001), living with a partner (OR 1.72, P=0.003) and influenza vaccination during the last year (OR 6.64, P<0.001) were associated with 23vPPV. Male sex (OR 1.44, P=0.005), older age (OR 1.02, P=0.009), moderate risk of pneumonia (OR 1.58, P=0.001), living with a partner (OR 1.52, P=0.015) and frequent physician visits during the last year (1-6 annuals visits (OR 2.65, P<0.001); >6 visits (OR 3.83, P<0.001)) were associated with influenza vaccination. Coordination between public health and primary-care services may be necessary to improve vaccine uptake.