Identifying people at risk for influenza with low vaccine uptake based on deprivation status: a systematic review

Vuković, Vladimir; Lillini, Roberto; Lupi, Silvia; Fortunato, Francesca; Cicconi, M; Matteo, Giulio; Arata, Lucia; Amicizia, Daniela; Boccalini, Sara; Bechini, Angela; Prato, Rosa; Stefanati, Armando; Panatto, Donatella; Waure, Chiara de

doi:10.1093/eurpub/cky264

Cited by 18 publications

(17 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our study, less economically affluent respondents reported a lower propensity for the next season's influenza vaccination, independent of educational level and other possible confounders. A recent systematic review by Vukovic et al [77] revealed that individuals living in the most deprived areas had a lower influenza vaccination coverage, while the association between socio-economic indices and coverage was contrasting. Similar results have been obtained by another systematic review [78] which highlighted that this association may depend on the measures used to assess and define socio-economic status.…”

Section: Discussionmentioning

confidence: 99%

Attitudes and Beliefs on Influenza Vaccination during the COVID-19 Pandemic: Results from a Representative Italian Survey

Domnich¹,

Cambiaggi²,

Vasco³

et al. 2020

Vaccines

Self Cite

107

View full text Add to dashboard Cite

The last 2019/20 northern hemisphere influenza season overlapped with the first wave of coronavirus disease 2019 (COVID-19) pandemic. Italy was the first western country where severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spread to a significant extent. In this representative cross-sectional survey, we aimed to describe some opinions and attitudes of the Italian general population towards both influenza vaccination and the COVID-19 pandemic, and to identify potential modifiers of the decision-making process regarding the uptake of the 2020/21 influenza vaccine. A total of 2543 responses were analyzed. Although most (74.8%) participants valued influenza vaccination positively and declared that it should be mandatory, some misconceptions around influenza persist. The general practitioner was the main source of trusted information on influenza vaccines, while social networks were judged to be the least reliable. Younger and less affluent individuals, subjects not vaccinated in the previous season, and those living in smaller communities showed lower odds of receiving the 2020/21 season influenza vaccination. However, the COVID-19 pandemic may have positively influenced the propensity of being vaccinated against 2020/21 seasonal influenza. In order to increase influenza vaccination coverage rates multidisciplinary targeted interventions are needed. The role of general practitioners remains crucial in increasing influenza vaccine awareness and acceptance by effective counselling.

show abstract

Section: Discussionmentioning

confidence: 99%

Attitudes and Beliefs on Influenza Vaccination during the COVID-19 Pandemic: Results from a Representative Italian Survey

Domnich¹,

Cambiaggi²,

Vasco³

et al. 2020

Vaccines

Self Cite

107

View full text Add to dashboard Cite

show abstract

“…In fact, the more fragile segments of populations are hit from their late complications, mostly the elderly and the homeless [ 25-27 ]. In literature, the association between this kind of diseases and deprivation is controversial, because often not linear relationships emerged, due to their connection with the differences by SES in vaccination coverage [ 26 , 27 ]. The results in Genoa confirm these not linear behaviours of trends in both sexes.…”

Section: Discussionmentioning

confidence: 99%

Application of Socio-Economic and Health Deprivation Indices to study the relationships between socio-economic status and disease onset and outcome in a metropolitan area subjected to aging, demographic fall and socio-economic crisis.

Vercelli

Lillini

2021

Journal of Preventive Medicine and Hygiene

Self Cite

View full text Add to dashboard Cite

Summary Aims Genoa is a city affected by a deep economic, demographic and social involution. The association between disease onset and outcome and socioeconomic status (SES) was assessed in the mortality by cause in two periods, using indices referred to the distribution of deprivation in the population defined in a ten-years span (2001 to 2011). Material and Methods Two Socio-Economic and Health Deprivation Indices (SEHDIs), computed at census tract level (2001 and 2011 Censuses), were applied to analyse the SMRs by cause, age (0-64 and 65+ years) and gender of the five normalised groups of deprivation individuated in the two population distribution. The associations between SES and onset of disease was described in the mortality 2008-11 using the index referred to 2001 population. The second index, referred to 2011 population, described the associations between SES and disease outcomes in the mortality 2009-13. Two ANOVAs evaluated the statistical significance (p < 0.05) of differences in death distribution among groups. Results The population at medium-high deprivation increased in Genoa between 2001 and 2011. The mortality by age and gender showed different trends. Not significant trends (NS) in both periods regarded only the younger (respiratory diseases in both sexes, prostate cancer, diabetes in women). Linearly positives (L↑) trends in both periods were observed only in men (all cancers and lung cancers, overall mortality and cardiovascular diseases in younger, diabetes in older). Not linear trends (NL) in both periods interested both sexes for flu and pneumonia, women for lung cancer, old women for overall mortality and respiratory diseases, old men for colorectal cancers. Instead, L↑ trends in the final phases of disease interest all cancers in the elderly (NS trend at the disease onset), all cancers and breast cancer in young women, diabetes and colorectal cancers in young men (NL trends at the disease onset). On the contrary, L↑ trends at the disease onset and NL trends in the final phases regarded cardiovascular diseases in elderly, overall mortality, respiratory diseases and prostate cancer in old men, diabetes and colorectal cancers in old women. Finally, NL trends at the disease onset regarded colorectal cancers in young women (NS trend in the final phases) and breast cancer in the older (linearly negative trend, L↓, in the final phases). Discussion Deprivation trends confirmed the literature about populations shifting towards poverty. Aging-linked social risks were revealed, reflecting the weakening of social-health care, which worsened in elderly if alone. Serious problems in younger singles or in the single-parent families arose. Cardiovascular diseases, all cancers and colorectal cancers trends confirmed the advantage of less deprived when diseases are preventable and curable. Prostate and breast cancers trends reflected the rising incidence and increasing problems in care. The n...

show abstract

“…Vaccine uptake, and factors which influence vaccine uptake, may then have an increasing role in the occurrence of school outbreaks. This could alter the importance of deprivation, which was not found to be associated with either outbreak occurrence or attack rate in this study, but has been linked to the uptake of influenza vaccination [19, 36].…”

Section: Discussionmentioning

confidence: 99%

Risk factors associated with outbreaks of seasonal infectious disease in school settings, England, UK

2020

View full text Add to dashboard Cite

Children are important transmitters of infection. Within schools they encounter large numbers of contacts and infections can spread easily causing outbreaks. However, not all schools are affected equally. We conducted a retrospective analysis of school outbreaks to identify factors associated with the risk of gastroenteritis, influenza, rash or other outbreaks. Data on reported school outbreaks in England were obtained from Public Health England and linked with data from the Department for Education and the Office for Standards in Education, Children's Services and Skills (Ofsted). Primary and all-through schools were found to be at increased risk of outbreaks, compared with secondary schools (odds ratio (OR) 5.82, 95% confidence interval (CI) 4.50-7.58 and OR 4.66, 95% CI 3.27-6.61, respectively). School size was also significantly associated with the risk of outbreaks, with higher odds associated with larger schools. Attack rates were higher in gastroenteritis and influenza outbreaks, with lower attack rates associated with rashes (relative risk 0.17, 95% CI 0.15-0.20). Deprivation and Ofsted rating were not associated with either outbreak occurrence or the subsequent attack rate. This study identifies primary and all-through schools as key settings for health protection interventions. Public health teams need to work closely with these schools to encourage early identification and reporting of outbreaks.

show abstract

Identifying people at risk for influenza with low vaccine uptake based on deprivation status: a systematic review

Cited by 18 publications

References 31 publications

Attitudes and Beliefs on Influenza Vaccination during the COVID-19 Pandemic: Results from a Representative Italian Survey

Attitudes and Beliefs on Influenza Vaccination during the COVID-19 Pandemic: Results from a Representative Italian Survey

Application of Socio-Economic and Health Deprivation Indices to study the relationships between socio-economic status and disease onset and outcome in a metropolitan area subjected to aging, demographic fall and socio-economic crisis.

Risk factors associated with outbreaks of seasonal infectious disease in school settings, England, UK

Contact Info

Product

Resources

About