Influenza vaccination coverage in elderly and high-risk adults: characterization of associated factors

Meneghini, Kevin Francisco Durigon; Hood, Camila Furtado; Menezes, Letícia Oliveira de; Mendoza-Sassi, Raúl Andrés; Dumith, Samuel Carvalho

doi:10.31744/einstein_journal/2021ao5830

Cited by 5 publications

(5 citation statements)

References 23 publications

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“…Regarding lifestyle variables, we found that physically active and non-smokers reported higher uptake rates for influenza vaccination, in agreement with other studies [ 60 , 61 , 62 ].…”

Section: Discussionsupporting

confidence: 92%

Low Levels of Influenza Vaccine Uptake among the Diabetic Population in Spain: A Time Trend Study from 2011 to 2020

Zamorano-León

Jiménez‐García

López‐de‐Andrés

et al. 2021

JCM

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(1) Background: In this work, we aim to describe influenza vaccine uptake among the diabetic population in Spain to assess the time trend from 2011 to 2020 and identify predictors of vaccine uptake among diabetes patients. (2) Methods: We conducted a descriptive cross-sectional study using the European Health Interview Survey for Spain (2014 and 2020) and the Spanish National Health Surveys (2011 and 2017). The independent variables analysed included socio-demographic characteristics, health-related variables and lifestyle variables. We matched each participant with diabetes with a non-diabetic participant based on age, sex, place of residence and year of survey. (3) Results: The overall coverage among diabetic adults was 52.1% compared to 40.6% for matched participants without diabetes (p < 0.01). The vaccine uptake among adults with diabetes was 52.6% in 2011, 54.38% in 2014 and 53.4% in 2017. The adjusted OR of having been vaccinated in 2020, with respect to 2011, was not significant at 0.87 (95% CI: 0.72–1.06). Factors such as being male, higher age, being affected by respiratory disease or cancer and being physically active were identified as positive predictors for influenza vaccination uptake, while smoking was a negative predictor. (4) Conclusions: The influenza vaccine uptake is below desirable levels among the adult diabetic population in Spain and has not improved from 2011 to 2020. More efforts should be made to increase influenza vaccine uptake in this high-risk group, especially for women, those aged 18–64 years, without other high-risk conditions and smokers.

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“…Regarding lifestyle variables, we found that physically active and non-smokers reported higher uptake rates for influenza vaccination, in agreement with other studies [ 60 , 61 , 62 ].…”

Section: Discussionsupporting

confidence: 92%

Low Levels of Influenza Vaccine Uptake among the Diabetic Population in Spain: A Time Trend Study from 2011 to 2020

Zamorano-León

Jiménez‐García

López‐de‐Andrés

et al. 2021

JCM

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“…As already shown, a subjectively perceived high-quality doctor/patient relationship seems to have a strong positive association with vaccination readiness [24,25]. Furthermore, we confirmed that older age, the male sex, and higher education are associated with increased vaccination readiness in patients with chronic conditions [17,46,48]. The role of patient activation was ambivalent, being associated with higher scores for "confidence" and "calculation".…”

Section: Discussionsupporting

confidence: 85%

“…So far, it cannot be determined if people with depressive symptoms and anxiety disorders face an increased risk of an influenza infection [ 16 ]. However, there is a negative impact of depression on vaccination behavior against influenza [ 17 , 18 ]. Depression has a negative effect on the utilization of preventive health services and is a risk factor for non-adherence to medical treatment [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Psychological Determinants of Vaccination Readiness against COVID-19 and Seasonal Influenza of the Chronically Ill in Primary Care in Germany—A Cross-Sectional Survey

Sanftenberg,

Keppeler,

Heithorst

et al. 2023

Vaccines

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Vaccines against COVID-19 and influenza are highly recommended for the chronically ill. They often suffer from co-morbid mental health issues. This cross-sectional observational study analyzes the associations between depression (PHQ-9) and anxiety (OASIS) with vaccination readiness (5C) against COVID-19 and influenza in chronically ill adults in primary care in Germany. Sociodemographic data, social activity (LSNS), patient activation measure (PAM), and the doctor/patient relationship (PRA) are examined as well. Descriptive statistics and linear mixed-effects regression models are calculated. We compare data from n = 795 study participants. The symptoms of depression are negatively associated with confidence in COVID-19 vaccines (p = 0.010) and positively associated with constraints to get vaccinated against COVID-19 (p = 0.041). There are no significant associations between symptoms of depression and vaccination readiness against influenza. Self-reported symptoms of a generalized anxiety disorder seem not to be associated with vaccination readiness. To address confidence in COVID-19 vaccines among the chronically ill, targeted educational interventions should be elaborated to consider mental health issues like depression. As general practitioners play a key role in the development of a good doctor/patient relationship, they should be trained in patient-centered communication. Furthermore, a standardized implementation of digital vaccination management systems might improve immunization rates in primary care.

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“…Finally, the potential effect of influenza vaccination was not considered in the study. COVID‐19 may lead people to increase their awareness of influenza vaccine and give more consideration to influenza vaccine vaccination to prevent the occurrence of respiratory symptoms, thus reducing the incidence of ILI 46 . On the other hand, COVID‐19 may also lead to the busy medical system, the reduction of influenza vaccination time and other problems, and people will also try to avoid going out to vaccinate against influenza, which may lead to the decline of influenza vaccination rate and the rise of ILI.…”

Section: Discussionmentioning

confidence: 99%

“…COVID-19 may lead people to increase their awareness of influenza vaccine and give more consideration to influenza vaccine vaccination to prevent the occurrence of respiratory symptoms, thus reducing the incidence of ILI. 46 On the other hand, COVID-19 may also lead to the busy medical system, the reduction of influenza vaccination time and other problems, and people will also try to avoid going out to vaccinate against influenza, which may lead to the decline of influenza vaccination rate and the rise of ILI. In conclusion, the impact of changes in influenza vaccination behavior during the COVID-19 pandemic on the association between air pollutants and ILI is unknown, and more research is needed for further discussion.…”

Section: City In One Study By Beijing Municipal Ecology and Environmentmentioning

confidence: 99%

Impact of air pollutants on influenza‐like illness outpatient visits under COVID‐19 pandemic in the subcenter of Beijing, China

Lian

Zhang

et al. 2023

Journal of Medical Virology

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This study aimed to explore the association between air pollutants and outpatient visits for influenza‐like illnesses (ILI) under the coronavirus disease 2019 (COVID‐19) stage in the subcenter of Beijing. The data on ILI in the subcenter of Beijing from January 1, 2018 to December 31, 2020 were obtained from the Beijing Influenza Surveillance Network. A generalized additive Poisson model was applied to examine the associations between the concentrations of air pollutants and daily outpatient visits for ILI when controlling meteorological factors and temporal trend. A total of 171 943 ILI patients were included. In the pre‐coronavirus disease 2019 (COVID‐19) stage, an increased risk of ILI outpatient visits was associated to a high air quality index (AQI) and the high concentrations of particulate matter less than 2.5 (PM2.5), particulate matter 10 (PM10), sulphur dioxide (SO2), nitrogen dioxide (NO2), and carbon monoxide (CO), and a low concentration of ozone (O3) on lag0 day and lag1 day, while a higher increased risk of ILI outpatient visits was observed by the air pollutants in the COVID‐19 stage on lag0 day. Except for PM10, the concentrations of other air pollutants on lag1 day were not significantly associated with an increased risk of ILI outpatient visits during the COVID‐19 stage. The findings that air pollutants had enhanced immediate effects and diminished lag‐effects on the risk of ILI outpatient visits during the COVID‐19 pandemic, which is important for the development of public health and environmental governance strategies.

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Influenza vaccination coverage in elderly and high-risk adults: characterization of associated factors

Cited by 5 publications

References 23 publications

Low Levels of Influenza Vaccine Uptake among the Diabetic Population in Spain: A Time Trend Study from 2011 to 2020

Low Levels of Influenza Vaccine Uptake among the Diabetic Population in Spain: A Time Trend Study from 2011 to 2020

Psychological Determinants of Vaccination Readiness against COVID-19 and Seasonal Influenza of the Chronically Ill in Primary Care in Germany—A Cross-Sectional Survey

Impact of air pollutants on influenza‐like illness outpatient visits under COVID‐19 pandemic in the subcenter of Beijing, China

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