Health behaviors and their determinants in multiethnic, active Israeli seniors

Shemesh, Annarosa Anat; Rasooly, Iris; Horowitz, Pamela; Lemberger, John; Ben-Moshe, Yosefa; Kachal, Josefa; Danziger, Josepha; Clarfield, A. Mark; Rosenberg, Elliot

doi:10.1016/j.archger.2007.07.001

Cited by 15 publications

(16 citation statements)

References 16 publications

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“…In other countries there are few reports about vaccination rates in ethnic minority groups. In a survey conducted in a health fair in Israel, there was higher influenza vaccine coverage among Arabic (80.8%) and Hebrew (68.7%) speakers, as compared with Russian (33.5%) speakers, immigrants from the former Soviet Union [48]. Conversely, other reports have found no significant differences by race [30], particularly after controlling for socio-demographic characteristics [59].…”

Section: Resultsmentioning

confidence: 99%

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Social determinants of health and seasonal influenza vaccination in adults ≥65 years: a systematic review of qualitative and quantitative data

et al. 2013

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BackgroundVaccination against influenza is considered the most important public health intervention to prevent unnecessary hospitalizations and premature deaths related to influenza in the elderly, though there are significant inequities among global influenza vaccine resources, capacities, and policies. The objective of this study was to assess the social determinants of health preventing adults ≥65 years old from accessing and accepting seasonal influenza vaccination.MethodsA systematic search was performed in January 2011 using MEDLINE, ISI – Web of Science, PsycINFO, and CINAHL (1980–2011). Reference lists of articles were also examined. Selection criteria included qualitative and quantitative studies written in English that examined social determinants of and barriers against seasonal influenza vaccination among adults≥65 years. Two authors performed the quality assessment and data extraction. Thematic analysis was the main approach for joint synthesis, using identification and juxtaposition of themes associated with vaccination.ResultsOverall, 58 studies were analyzed. Structural social determinants such as age, gender, marital status, education, ethnicity, socio-economic status, social and cultural values, as well as intermediary determinants including housing-place of residence, behavioral beliefs, social influences, previous vaccine experiences, perceived susceptibility, sources of information, and perceived health status influenced seasonal influenza vaccination. Healthcare system related factors including accessibility, affordability, knowledge and attitudes about vaccination, and physicians’ advice were also important determinants of vaccination.ConclusionsOur results demonstrate that the ability of adults ≥65 years to receive seasonal influenza vaccine is influenced by structural, intermediate, and healthcare-related social determinants which have an impact at the health system, provider, and individual levels.

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Section: Resultsmentioning

confidence: 99%

“…Being knowledgeable about the severity of the flu and the benefits of the vaccine are facilitators for vaccination [58,62,65,70,72]. Perceived risk is also shaped by confidence in vaccine effectiveness, fear of side effects, and fear of getting the flu with the vaccine [29,30,48,52,61,64,66-69,71]. …”

Section: Resultsmentioning

confidence: 99%

Social determinants of health and seasonal influenza vaccination in adults ≥65 years: a systematic review of qualitative and quantitative data

et al. 2013

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“…Similar to other countries [14,15,18,19], there is no single element influencing influenza vaccination among this group in Poland [1,13,16,17], but rather a variety of factors, which play different roles depending on the region, province, or community. Therefore, national strategy should concentrate on evidence- based public health practices according to the local epidemiologic situation, and on the results of thorough research with the use of scientifically approved methods.…”

Section: Discussionmentioning

confidence: 97%

“…A researcher-administered anonymous questionnaire was designed by the study team using a literature review [13,14,17,18,19]. In case of any queries, participants were provided with relevant information, as well as any explanations that would allow them to better understand and correctly answer the questions.…”

Section: Methodsmentioning

confidence: 99%

Coverage and Influencing Determinants of Influenza Vaccination in Elderly Patients in a Country with a Poor Vaccination Implementation

Gańczak

Gil

Korzeń

et al. 2017

IJERPH

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The seasonal influenza vaccination uptake of the elderly in Poland is one of the lowest in Europe. Objective: to assess the vaccination coverage and influencing determinants in patients ≥65 years of age. Methods: A cross-sectional study was conducted (November 2015–April 2016) among consecutive patients admitted to a municipal hospital located in the city of Szczecin, North-west Poland. Patients completed researcher-administered, anonymous questionnaires on socio- demographic data/factors related to the vaccination. Results: The response rate: 92.0%. Among 230 patients (79.6% women, median of age 69 years, range 65–89) who agreed to participate, 34.8% (95% Confidence Interval: 28.6–41.0%) were vaccinated. About 15.7% of respondents had not previously heard about the vaccination; 41.3% of those who stated they were vaccinated or planned on being vaccinated the following year, compared to 19.3% of respondents who stated they were not currently vaccinated (p < 0.001). A multivariable regression analysis revealed that patient factors, such as younger age (Odds Ratio, OR = 7.69), living in the urban area (OR = 7.69), having comorbidities (OR = 2.70), having a vaccinated family member (OR = 3.57), and being informed about vaccination (OR = 5.00) were each associated with greater odds of being immunized. Willingness for vaccination the next year was strongly associated (OR = 8.59) with vaccination status. Conclusions: The influenza vaccination uptake in the elderly population in Poland is disturbingly low. Improved education strategies are needed to increase the uptake. Vaccinated respondents are more likely to plan on being vaccinated the following year. Future interventions related to maximizing vaccination coverage should be more tailored, focusing especially on older patients living in rural areas.

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“…A reason for this might be that the non-exercising group's scores on the PCS of the SF-36 were lower than that of the exercising group's at baseline. Shemesh et al 17) found that one of the major barriers to exercise is poor physical health or disability. Kaplan et al 18) stated that in the absence of chronic conditions, injuries and functional limitations were associated with lack of frequent physical activity in later life.…”

Section: Discussionmentioning

confidence: 99%

Relationships between the Short- and Long-term Changes in Exercise Habit and Body Composition, Blood Pressure and Health-related Quality of Life among Health Program Participants

et al. 2013

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Abstract.[Purpose] The purpose of this study was to investigate the relationships between change in exercise habit and changes in body composition, blood pressure and health-related quality of life among participants in a health-guidance program with no exercise habit.[Subjects] The subjects were 3 males and 12 females (mean age, 65.4 years).[Methods] The intervention was a 6-month exercise-and nutritional-guidance program. Outcome measures were body composition, blood pressure, and health-related quality of life based on the physical and mental components summary of the SF-36. Measurements were performed at baseline, post-intervention, and 6 months post-intervention (follow-up). At baseline, post-intervention (short-term change) and follow-up (long-term change), the outcome measures were compared between the 'exercising group' who had established an exercise habit at follow-up and the 'non-exercising group' who had not.[Results] At baseline, the physical component summary of the non-exercising group was significantly lower than that of the exercising group. In the long-term, the exercising group tended to have a greater decrease in waist circumference than the non-exercising group.[Conclusion] The reason why a significant effect of the health-guidance program was not found over the short-term might be that the physical component summary of the non-exercising group was lower than that of the exercising group.

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Health behaviors and their determinants in multiethnic, active Israeli seniors

Cited by 15 publications

References 16 publications

Social determinants of health and seasonal influenza vaccination in adults ≥65 years: a systematic review of qualitative and quantitative data

Social determinants of health and seasonal influenza vaccination in adults ≥65 years: a systematic review of qualitative and quantitative data

Coverage and Influencing Determinants of Influenza Vaccination in Elderly Patients in a Country with a Poor Vaccination Implementation

Relationships between the Short- and Long-term Changes in Exercise Habit and Body Composition, Blood Pressure and Health-related Quality of Life among Health Program Participants

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