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Influenza vaccine uptake among community-dwelling Italian elderly : Results from a large cross-sectional study

Chiatti, Carlos LU ; Barbadoro, Pamela ; Lamura, Giovanni ; Pennacchietti, Lucia ; Di Stanislao, Francesco ; D'Errico, Marcello M. and Prospero, Emilia (2011) In BMC Public Health 11. p.1-7
Abstract

Background: Flu vaccination significantly reduces the risk of serious complications like hospitalization and death among community-dwelling older people, therefore vaccination programmes targeting this population group represent a common policy in developed Countries. Among the determinants of vaccine uptake in older age, a growing literature suggests that social relations can play a major role. Methods. Drawing on the socio-behavioral model of Andersen-Newman - which distinguishes predictors of health care use in predisposing characteristics, enabling resources and need factors - we analyzed through multilevel regressions the determinants of influenza immunization in a sample of 25,183 elderly reached by a nationally representative... (More)

Background: Flu vaccination significantly reduces the risk of serious complications like hospitalization and death among community-dwelling older people, therefore vaccination programmes targeting this population group represent a common policy in developed Countries. Among the determinants of vaccine uptake in older age, a growing literature suggests that social relations can play a major role. Methods. Drawing on the socio-behavioral model of Andersen-Newman - which distinguishes predictors of health care use in predisposing characteristics, enabling resources and need factors - we analyzed through multilevel regressions the determinants of influenza immunization in a sample of 25,183 elderly reached by a nationally representative Italian survey. Results: Being over 85-year old (OR = 1.99; 95% CI 1.77 - 2.21) and suffering from a severe chronic disease (OR = 2.06; 95% CI 1.90 - 2.24) are the strongest determinants of vaccine uptake. Being unmarried (OR = 0.81; 95% CI 0.74 - 0.87) and living in larger households (OR = 0.83; 95% CI 0.74 - 0.87) are risk factors for lower immunization rates. Conversely, relying on neighbors' support (OR = 1.09; 95% CI 1.02 - 1.16) or on privately paid home help (OR = 1.19; 95% CI 1.08 - 1.30) is associated with a higher likelihood of vaccine uptake. Conclusions: Even after adjusting for socio-demographic characteristics and need factors, social support, measured as the availability of assistance from partners, neighbors and home helpers, significantly increases the odds of influenza vaccine use among older Italians.

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author
; ; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
keywords
influenza vaccine, Italy, older people
in
BMC Public Health
volume
11
article number
207
pages
1 - 7
publisher
BioMed Central (BMC)
external identifiers
  • scopus:79953238948
  • pmid:21457562
ISSN
1471-2458
DOI
10.1186/1471-2458-11-207
language
English
LU publication?
no
id
a37e2a45-6b24-4b39-bca8-e89906846a32
date added to LUP
2018-08-07 15:12:34
date last changed
2024-01-14 23:53:44
@article{a37e2a45-6b24-4b39-bca8-e89906846a32,
  abstract     = {{<p>Background: Flu vaccination significantly reduces the risk of serious complications like hospitalization and death among community-dwelling older people, therefore vaccination programmes targeting this population group represent a common policy in developed Countries. Among the determinants of vaccine uptake in older age, a growing literature suggests that social relations can play a major role. Methods. Drawing on the socio-behavioral model of Andersen-Newman - which distinguishes predictors of health care use in predisposing characteristics, enabling resources and need factors - we analyzed through multilevel regressions the determinants of influenza immunization in a sample of 25,183 elderly reached by a nationally representative Italian survey. Results: Being over 85-year old (OR = 1.99; 95% CI 1.77 - 2.21) and suffering from a severe chronic disease (OR = 2.06; 95% CI 1.90 - 2.24) are the strongest determinants of vaccine uptake. Being unmarried (OR = 0.81; 95% CI 0.74 - 0.87) and living in larger households (OR = 0.83; 95% CI 0.74 - 0.87) are risk factors for lower immunization rates. Conversely, relying on neighbors' support (OR = 1.09; 95% CI 1.02 - 1.16) or on privately paid home help (OR = 1.19; 95% CI 1.08 - 1.30) is associated with a higher likelihood of vaccine uptake. Conclusions: Even after adjusting for socio-demographic characteristics and need factors, social support, measured as the availability of assistance from partners, neighbors and home helpers, significantly increases the odds of influenza vaccine use among older Italians.</p>}},
  author       = {{Chiatti, Carlos and Barbadoro, Pamela and Lamura, Giovanni and Pennacchietti, Lucia and Di Stanislao, Francesco and D'Errico, Marcello M. and Prospero, Emilia}},
  issn         = {{1471-2458}},
  keywords     = {{influenza vaccine; Italy; older people}},
  language     = {{eng}},
  month        = {{04}},
  pages        = {{1--7}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Public Health}},
  title        = {{Influenza vaccine uptake among community-dwelling Italian elderly : Results from a large cross-sectional study}},
  url          = {{http://dx.doi.org/10.1186/1471-2458-11-207}},
  doi          = {{10.1186/1471-2458-11-207}},
  volume       = {{11}},
  year         = {{2011}},
}