Cumplimiento de vacunación frente a la gripe y el neumococo en pacientes con enfermedad pulmonar obstructiva crónica atendidos en atención primaria en Galicia

Ariñez-Fernandez, Maria C.; Hernández‐Barrera, Valentín; Garcia-Carballo, Marta; Miguel, Ángel Gil de; Carrasco‐Garrido, Pilar; Jiménez‐García, Rodrigo

doi:10.1016/s1576-9887(06)73181-8

Cited by 2 publications

(3 citation statements)

References 23 publications

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“…Some authors suggest that this could be justified by the fact that 65 years is the age from which vaccine recommendation becomes universal [ 42 , 43 , 50 , 51 ]. On the other hand, it is possible that younger patients are vaccinated less frequently since they are usually affected by the disease in a milder way and usually have a more recent diagnosis [ 19 ]. It has been suggested that vaccination strategies based on age groups are more effective than those directed at high-risk groups [ 54 ].…”

Section: Discussionmentioning

confidence: 99%

“…Regarding alcohol consumption, in an analysis of data from COPD patients previously included in an epidemiological study carried out in primary care in Spain, a vaccination uptake for influenza of 89.9% was observed in patients who did not have this habit. On the other hand, those who presented a concomitant chronic disease, such as diabetes mellitus and/or heart disease, were vaccinated in a significantly higher percentage (92.4% versus 80.3%) than those who did not suffer from these pathologies [ 19 ]. These data are in line with those obtained in our study and reflect the existence of higher vaccination uptake in patients who perceive that they have a worse health.…”

Section: Discussionmentioning

confidence: 99%

“…It has also been shown in our country that vaccination uptake of COPD patients increases above 65 years [ 19 ]. Similar results were described by Garrastazu et al, who also concluded that vaccinated COPD patients are an average of 6.2 years older than non-vaccinated patients [ 20 ].…”

Section: Introductionmentioning

confidence: 92%

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Time Trends (2012–2020), Sex Differences and Predictors for Influenza Vaccination Uptake among Individuals with Chronic Obstructive Pulmonary Disease in Spain

Fuentes-Alonso

Jiménez‐García

López‐de‐Andrés

et al. 2022

JCM

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(1) Background: To analyze time trends, sex differences, and factors associated with influenza vaccination uptake among individuals with COPD in Spain, 2012–2020. (2) Methods: A cross-sectional study based on data from the European Health Surveys for Spain, 2020 (EHSS2020) and 2014 and from the Spanish National Health Interview Surveys for 2017 and 2012. (3) Results: The study included 65,447 participants. Prevalence of COPD was 5.9% (n = 3855). Overall, the influenza vaccination uptake among COPD patients was 57.8% versus 28.6% for those without COPD (p < 0.001). Men with COPD reported higher uptake than women in all the surveys studied. Neither the crude nor the multivariable analysis showed a significant variation change overtime for people with COPD. However, among those aged <65 years, crude uptake decreased from 2012 to 2020 (39.4% vs. 33.3%; p = 0.039). Over the entire period, men were vaccinated significantly more than women (OR 1.28; 95% CI 1.12–1.47). Among COPD participants, included in the EHSS2020, independent predictors of vaccine uptake included being male, higher age, reporting no current smoking and suffering cancer or heart disease. (4) Conclusions: In COPD patients, the influenza vaccination uptake is below desirable levels and did not improve from 2012 to 2020. Sex differences are found, with consistent and constant lower uptake among women with COPD. The observed lower uptake among COPD women and patients with unhealthy lifestyle requires increased attention.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Time Trends (2012–2020), Sex Differences and Predictors for Influenza Vaccination Uptake among Individuals with Chronic Obstructive Pulmonary Disease in Spain

Fuentes-Alonso

Jiménez‐García

López‐de‐Andrés

et al. 2022

JCM

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Influenza vaccination coverage and uptake predictors among Spanish adults suffering COPD

Santos-Sancho

Jiménez‐Trujillo

Hernández-Barrera

et al. 2012

Human Vaccines & Immunotherapeutics

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Abbreviations: chronic obstructive pulmonary disease, COPDThe aim of this study is to compare influenza vaccination coverage among Spaniards aged 40 y or over who suffer from chronic obstructive pulmonary disease (COPD) with those without this illness to identify the factors that influence vaccination uptake among patients with COPD.Data was extracted from the European Health Survey performed in Spain in 2009/10, and analyzed data on 15,355 Spaniards ($ 40 y of age), of whom 1,309 (8.2% 95% CI 7.7-8.7) had COPD was used. We considered the answer (yes/no) to the question about whether or not the interviewed person had been vaccinated against influenza in the previous flu season. We used the answer to this question as the dependent variable. For independent variables, we analyzed social demographic characteristics, health related variables, and the utilization of health care services.Vaccination coverage among patients with COPD is 49.4% (95% CI: 46.3-52.5%) and 21.3% (95% CI: 20.7-21.9) among people without (p , 0.001). The probability of being vaccinated is three times greater for COPD patients (crude OR = 3.0, 95% CI: 2.6-3.5). Among COPD patients the uptake of vaccination increased with age. Other factors associated with an increase in vaccination coverage were: being male, perceiving one's health as fair or poor, not smoking and having seen a doctor during the previous month.The rate of flu vaccination among adult Spaniards with COPD is lower than desired. Urgent strategies for increasing vaccination coverage are necessary for COPD sufferers aged under 65 of age and those with unhealthy lifestyles.

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Cumplimiento de vacunación frente a la gripe y el neumococo en pacientes con enfermedad pulmonar obstructiva crónica atendidos en atención primaria en Galicia

Cited by 2 publications

References 23 publications

Time Trends (2012–2020), Sex Differences and Predictors for Influenza Vaccination Uptake among Individuals with Chronic Obstructive Pulmonary Disease in Spain

Time Trends (2012–2020), Sex Differences and Predictors for Influenza Vaccination Uptake among Individuals with Chronic Obstructive Pulmonary Disease in Spain

Influenza vaccination coverage and uptake predictors among Spanish adults suffering COPD

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