Local deprivation status and seasonal influenza vaccination coverage in adults ≥65 years residing in the Foggia municipality, Italy, 2009-2016
| Autor: | F, Fortunato, G, Iannelli, A, Cozza, M, Del Prete, F V, Pollidoro, S, Cocciardi, M, DI Trani, D, Martinelli, R, Prato |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Vaccination Coverage Databases Factual Censuses Deprivation index Influenza vaccination Elderly Italy Social Class Influenza Vaccines Influenza Human Socioeconomic status Humans Female Original Article Seasons Cities Poverty Aged Influenza Vaccination Deprivation Index Socioeconomic Status Elderly |
| Zdroj: | Journal of Preventive Medicine and Hygiene |
| DOI: | 10.15167/2421-4248/jpmh2018.59.4s2.1167 |
| Popis: | Introduction In Italy, vaccination against seasonal influenza has been recommended for the elderly since 1980, but coverage is still far below the WHO minimum target level of 75%. Effective interventions to improve influenza vaccination should understand which socioeconomic determinants may cause inequalities in vaccine uptake. This study aimed at assessing differences in vaccination coverage among people ≥65 years of age residing in the Foggia municipality, Italy, by socioeconomic status. Methods A Socio-Economic-Health Deprivation Index (SEHDI) was constructed using a multivariate analysis model. Resident population, for census block, was classified in 5 deprivation groups. Differences in demographic and socioeconomic indicators, the standardized mortality ratios (SMRs), and the average vaccination coverage among deprivation groups were evaluated with the linear F-test. The association between census variables and influenza vaccination coverage, in each deprivation group, was assessed using the Pearson bivariate correlation. Results The SEHDI allowed to identify factors related to ageing, housing, household size and composition, and education. Forty percent of people residing in the Foggia municipality lived in conditions of socioeconomic and health deprivation. Belonging to families with 3 or 4 members was associated with increased coverage rates. In the most deprived group, vaccination uptake was positively associated with the dependency ratio. Conclusions The results of this study have shown that there is still large room for improving influenza vaccination coverage among subjects belonging to the most deprived areas. Surveillance of trends in influenza vaccine uptake by socioeconomic groups is a feasible contribution to implementing effective, tailored to the frail older persons, vaccine utilization programs. Journal of Preventive Medicine and Hygiene, Vol 59, No 4s2 (2018): Influenza vaccination coverage in the elderly and socio-economic inequalities in Italy. How local deprivation indices can help to improve the prevention of influenza in specific population sub-groups. - Suppl.2 |
| Databáze: | OpenAIRE |
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