La couverture vaccinale des adultes : enquêtes dans quatre populations d'Isère (France), 2002-2003

Abstract

In order to assess their vaccination policy, the public health authorities in Isère (France) conducted several surveys to determine the vaccination coverage rate among adults. In France, the current state of knowledge in this area is limited. Four separate surveys were conducted in 2002-2003: (1) a telephone survey of 976 adults, 18% of whom had vaccination certificates; (2) a survey of 44 general practitioners (805 patients); (3) a survey of occupational health centers (82 practitioners and 1,119 employees); and (4) a survey of 1,214 patients vaccinated at the international vaccination center in Grenoble (France). The same data were recorded in all four surveys (last vaccination date, either declared by the patient or proven by a vaccination certificate). Based on certified evidence, vaccination coverage for tetanus, diphtheria, and poliomyelitis ranged from 31.6% to 83.9%, from 24.1% to 44.0%, and from 25.9% to 71.9%, respectively. Compared to general practitioners, vaccination coverage was higher among staff working at the occupational health center and lower in the general population. The four surveys covered only part of the adult population and provided only an estimate of vaccination coverage. The study found that tetanus vaccination coverage was the highest, but was still below expected levels. For the other vaccines, vaccination coverage among adults appears to be inadequate. The findings suggest that all health professionals involved in adult vaccination (occupational health doctors, general practitioners, hospital doctors, etc.) should be invited to participate in working groups on vaccination.

Impact of a Catch-Up Strategy of DT-IPV Vaccination during Hospitalization on Vaccination Coverage among People Over 65 Years of Age in France: The HOSPIVAC Study (Vaccination during Hospitalization)

“…In our study, in the univariate analysis, only age and sufficient information about vaccination were associated with up-to-date vaccination (older patients were less likely to be up-to-date with their vaccinations), but age was not significant in the multivariable analysis, perhaps due to a lack of statistical power ( Table 4 ). These data are consistent with previous reports [ 6 , 7 , 8 , 9 ]. However, in contrast to previous studies, sex was not found to be significantly associated with vaccination status Table 4 [ 6 , 7 , 8 ].…”

“…These data are consistent with previous reports [ 6 , 7 , 8 , 9 ]. However, in contrast to previous studies, sex was not found to be significantly associated with vaccination status Table 4 [ 6 , 7 , 8 ].…”

“…Socioeconomic factors, such as a low level of education or belonging to a disadvantaged social category, are associated with lower vaccination or immunization coverage [ 6 , 9 ]. Vaccination coverage is lower in women than men for tetanus and diphtheria [ 7 , 8 ]. Behavioral factors, namely unawareness of the importance of vaccination, can also negatively influence vaccination coverage in adults.…”

“…According to the "Health and social protection" survey carried out in 2012 by the French Institute for Documentation and Research in Health Economics (IRDES) and analyzed by the Institute of Health Surveillance (INVS), vaccination coverage varies significantly with age (p < 0.001): it increases up to 45 years of age (58%), and decreases thereafter (51% at 65 years, 47% at 70 years and 38% at 80 years) [4,5]. This is also observed for diphtheria tetanus pertussis and inactivated polio vaccine (DTaP-IPV) coverage [6][7][8][9].…”

Évaluation du risque tétanique chez les sujets âgés en médecine ambulatoire : intérêt du « Tétanos Quick Stick® » ?

“…Notre étude concerne une population n'ayant pas de motif de consultation en rapport avec la vaccination contrairement aux études publiées. En 2006, Goirand et al dans une étude télépho-nique auprès de médecins et portant sur plus de 4 000 patients a montré que le statut vaccinal est le plus souvent apprécié par les données de l'interrogatoire devant l'absence de justificatifs médicaux et d'informations dans les dossiers médicaux [28]. Notre étude souligne l'intérêt d'améliorer la connaissance du statut vaccinal.…”