Coverage and Predictors of Adherence to Influenza Vaccination among Spanish Children and Adults with Asthma

Abstract

The overall influenza vaccination coverage among subjects who suffer from asthma in Spain is very low. Special attention should be paid to children, younger adults, and smokers, since these subjects have the lowest adherence to vaccine recommendations. Strategies focused on health-care providers and patients must be urgently implemented to improve influenza vaccination coverage among asthma sufferers.

Prevalence and determinants of influenza vaccine coverage at tertiary pediatric hospitals

“…In multivariate analysis, however, parental beliefs about the safety, efficacy and appropriateness of influenza vaccine, as well as the danger posed by influenza infection, were the most important predictors of influenza vaccination, after healthcare worker recommendation and high risk status. This is in keeping with previous studies showing higher influenza vaccine uptake among parents who believe that influenza vaccine is safe [26,27] and that their child's health is poor [26,28]. In the UK, unimmunized children are more likely to reside in disadvantaged areas but also to have mothers with university degrees, with negative maternal beliefs and attitudes towards immunization the most common reasons for unimmunization [29].…”

Determinants of influenza vaccination among the adult and older Italian population with chronic obstructive pulmonary disease: A secondary analysis of the multipurpose ISTAT Survey on Health and Health Care use

“…This result reinforces the available evidence suggesting that in Italy flu vaccination programs targeted at the older people are equity-oriented. 16 These findings diverge from what is observed in other contexts, as for instance in Spain 9 and in the US, where Ford and colleagues 13 found that having a bachelor or a higher educational attainment represents a strong predictor for vaccination. Conversely, an opposite social gradient was found among the adults: those in the worst economic conditions are less likely to use vaccine than others.…”

Influenza burden, prevention, and treatment in asthma‐A scoping review by the EAACI Influenza in asthma task force

“…However, vaccine uptake for clinical risk groups varied from 31% in Portugal to 82% in Northern Ireland, as did influenza vaccination coverage of adults with asthma, with 30%‐50% in Spain and 40% in the UK . Self‐reported uptake of seasonal influenza vaccine among adults with asthma in the United States varied from 54% in the community to 71% in secondary care .…”