Factors associated with influenza vaccination among elderly persons in Southeastern Brazil
Autor(a) principal: | |
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Data de Publicação: | 2006 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/31990 |
Resumo: | OBJECTIVE: Even though influenza vaccination is free and widely available in Brazil since 1999, coverage is still inadequate in several of the country's municipalities. The aim of the present study was to estimate vaccine coverage and to identify factors related to vaccination against influenza in the elderly population. METHODS: A household survey was carried out using a systematic random sample (N=365) of the urban population older than 60 years from the city of Botucatu, Southeastern Brazil. A logistic regression model using vaccination in 2002 as the dependent variable was used. The following covariables were tested: sex, age, socioeconomic variables (per capita income, number of persons per dormitory, schooling, marital status, occupation, time living in the city), history of morbidity and hospital admission, smoking, respiratory symptoms in last 15 days, and community activities (voluntary work, neighborhood and church activities). RESULTS: Vaccine coverage was 63.2% (95% CI: 58.3-68.2). We found a lower proportion of vaccination among the 60-64 years age group. Variables associated with vaccination in the final model were age (OR=1.09 per year; 95% CI: 1.06-1.13); arterial hypertension (OR=1.92; 95% CI: 1.18-3.13); and participation in community activities (OR=1.63; 95% CI: 1.01-2.65). With the exception of hypertension, vaccination among subjects with chronic diseases did not reach adequate levels, as expected for this high-risk group. Participation in social and community activities was associated with vaccination status. CONCLUSIONS: Socioeconomic conditions, habits, and age did not restrict access to vaccination campaigns. On the other hand, specific campaigns aimed at the 60-64 years age group may increase vaccination coverage. |
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Factors associated with influenza vaccination among elderly persons in Southeastern Brazil Fatores associados à vacinação contra influenza em idosos em município do Sudeste do Brasil Programas de vacinação^i1^sestatística & dados numériSaúde do idosoVacina contra influenza^i1^suso terapêutFatores socioeconômicosInquéritos de morbidadeImmunization programs^i2^sstatistics & numerical dAging healthInfluenza vaccine^i2^stherapeuticSocioeconomic factorsMorbidity surveys OBJECTIVE: Even though influenza vaccination is free and widely available in Brazil since 1999, coverage is still inadequate in several of the country's municipalities. The aim of the present study was to estimate vaccine coverage and to identify factors related to vaccination against influenza in the elderly population. METHODS: A household survey was carried out using a systematic random sample (N=365) of the urban population older than 60 years from the city of Botucatu, Southeastern Brazil. A logistic regression model using vaccination in 2002 as the dependent variable was used. The following covariables were tested: sex, age, socioeconomic variables (per capita income, number of persons per dormitory, schooling, marital status, occupation, time living in the city), history of morbidity and hospital admission, smoking, respiratory symptoms in last 15 days, and community activities (voluntary work, neighborhood and church activities). RESULTS: Vaccine coverage was 63.2% (95% CI: 58.3-68.2). We found a lower proportion of vaccination among the 60-64 years age group. Variables associated with vaccination in the final model were age (OR=1.09 per year; 95% CI: 1.06-1.13); arterial hypertension (OR=1.92; 95% CI: 1.18-3.13); and participation in community activities (OR=1.63; 95% CI: 1.01-2.65). With the exception of hypertension, vaccination among subjects with chronic diseases did not reach adequate levels, as expected for this high-risk group. Participation in social and community activities was associated with vaccination status. CONCLUSIONS: Socioeconomic conditions, habits, and age did not restrict access to vaccination campaigns. On the other hand, specific campaigns aimed at the 60-64 years age group may increase vaccination coverage. OBJETIVO: Mesmo gratuita e disponível no Brasil desde 1999, a cobertura vacinal contra a influenza ainda é inadequada em diversos municípios do País. O objetivo da pesquisa foi estimar a cobertura vacinal e identificar fatores relacionados à vacinação contra a influenza em idosos. MÉTODOS: Realizou-se inquérito domiciliar em amostra aleatória sistemática (N=365) da população urbana maior de 60 anos em Botucatu, São Paulo. Foi aplicado modelo de regressão logística múltipla, cuja variável dependente foi ter sido vacinado em 2002. Foram testadas no modelo as covariáveis: sexo, idade, socioeconômicas (renda per capita, número de pessoas por cômodo, escolaridade, estado civil, ocupação, tempo de moradia), antecedentes mórbidos, de internação, hábito de fumar, sintomas respiratórios nos últimos 15 dias e atividades comunitárias (trabalho voluntário, atividades no bairro, igreja). RESULTADOS: Registrou-se cobertura vacinal de 63,2% (IC 95%: 58,3-68,2). Foi observado menor percentual de vacinados entre os idosos na faixa etária de 60 a 64 anos. As variáveis que se mostraram associadas à vacinação e permaneceram no modelo final foram: idade (OR=1,09 por ano; IC 95%: 1,06-1,13); hipertensão arterial (OR=1,92; IC 95%: 1,18-3,13); inserção em atividades na comunidade (OR=1,63; IC 95%: 1,01-2,65). A vacinação em portadores de doenças crônicas não atingiu níveis adequados conforme esperado para este grupo de risco, com exceção dos hipertensos. A participação em atividades comunitárias e sociais foi relacionada com o estado vacinal. CONCLUSÕES: Condições socioeconômicas, hábitos e idade não restringiram o acesso à campanha vacinal. Por outro lado, campanhas específicas, endereçadas a indivíduos da faixa de 60 a 64 anos, podem ampliar a cobertura da vacinação. Universidade de São Paulo. Faculdade de Saúde Pública2006-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3199010.1590/S0034-89102006000100018Revista de Saúde Pública; Vol. 40 No. 1 (2006); 115-119 Revista de Saúde Pública; Vol. 40 Núm. 1 (2006); 115-119 Revista de Saúde Pública; v. 40 n. 1 (2006); 115-119 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/31990/34005https://www.revistas.usp.br/rsp/article/view/31990/34006Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessDonalisio, Maria RitaRuiz, TâniaCordeiro, Ricardo2012-07-08T22:55:56Zoai:revistas.usp.br:article/31990Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-08T22:55:56Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Factors associated with influenza vaccination among elderly persons in Southeastern Brazil Fatores associados à vacinação contra influenza em idosos em município do Sudeste do Brasil |
title |
Factors associated with influenza vaccination among elderly persons in Southeastern Brazil |
spellingShingle |
Factors associated with influenza vaccination among elderly persons in Southeastern Brazil Donalisio, Maria Rita Programas de vacinação^i1^sestatística & dados numéri Saúde do idoso Vacina contra influenza^i1^suso terapêut Fatores socioeconômicos Inquéritos de morbidade Immunization programs^i2^sstatistics & numerical d Aging health Influenza vaccine^i2^stherapeutic Socioeconomic factors Morbidity surveys |
title_short |
Factors associated with influenza vaccination among elderly persons in Southeastern Brazil |
title_full |
Factors associated with influenza vaccination among elderly persons in Southeastern Brazil |
title_fullStr |
Factors associated with influenza vaccination among elderly persons in Southeastern Brazil |
title_full_unstemmed |
Factors associated with influenza vaccination among elderly persons in Southeastern Brazil |
title_sort |
Factors associated with influenza vaccination among elderly persons in Southeastern Brazil |
author |
Donalisio, Maria Rita |
author_facet |
Donalisio, Maria Rita Ruiz, Tânia Cordeiro, Ricardo |
author_role |
author |
author2 |
Ruiz, Tânia Cordeiro, Ricardo |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Donalisio, Maria Rita Ruiz, Tânia Cordeiro, Ricardo |
dc.subject.por.fl_str_mv |
Programas de vacinação^i1^sestatística & dados numéri Saúde do idoso Vacina contra influenza^i1^suso terapêut Fatores socioeconômicos Inquéritos de morbidade Immunization programs^i2^sstatistics & numerical d Aging health Influenza vaccine^i2^stherapeutic Socioeconomic factors Morbidity surveys |
topic |
Programas de vacinação^i1^sestatística & dados numéri Saúde do idoso Vacina contra influenza^i1^suso terapêut Fatores socioeconômicos Inquéritos de morbidade Immunization programs^i2^sstatistics & numerical d Aging health Influenza vaccine^i2^stherapeutic Socioeconomic factors Morbidity surveys |
description |
OBJECTIVE: Even though influenza vaccination is free and widely available in Brazil since 1999, coverage is still inadequate in several of the country's municipalities. The aim of the present study was to estimate vaccine coverage and to identify factors related to vaccination against influenza in the elderly population. METHODS: A household survey was carried out using a systematic random sample (N=365) of the urban population older than 60 years from the city of Botucatu, Southeastern Brazil. A logistic regression model using vaccination in 2002 as the dependent variable was used. The following covariables were tested: sex, age, socioeconomic variables (per capita income, number of persons per dormitory, schooling, marital status, occupation, time living in the city), history of morbidity and hospital admission, smoking, respiratory symptoms in last 15 days, and community activities (voluntary work, neighborhood and church activities). RESULTS: Vaccine coverage was 63.2% (95% CI: 58.3-68.2). We found a lower proportion of vaccination among the 60-64 years age group. Variables associated with vaccination in the final model were age (OR=1.09 per year; 95% CI: 1.06-1.13); arterial hypertension (OR=1.92; 95% CI: 1.18-3.13); and participation in community activities (OR=1.63; 95% CI: 1.01-2.65). With the exception of hypertension, vaccination among subjects with chronic diseases did not reach adequate levels, as expected for this high-risk group. Participation in social and community activities was associated with vaccination status. CONCLUSIONS: Socioeconomic conditions, habits, and age did not restrict access to vaccination campaigns. On the other hand, specific campaigns aimed at the 60-64 years age group may increase vaccination coverage. |
publishDate |
2006 |
dc.date.none.fl_str_mv |
2006-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31990 10.1590/S0034-89102006000100018 |
url |
https://www.revistas.usp.br/rsp/article/view/31990 |
identifier_str_mv |
10.1590/S0034-89102006000100018 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31990/34005 https://www.revistas.usp.br/rsp/article/view/31990/34006 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 40 No. 1 (2006); 115-119 Revista de Saúde Pública; Vol. 40 Núm. 1 (2006); 115-119 Revista de Saúde Pública; v. 40 n. 1 (2006); 115-119 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
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1800221784494047232 |