Influenza vaccination among elders: prevalence, associated factors, and reasons for noncompliance in Campinas, Sao Paulo State, Brazil

被引：29

作者：

Stolses Bergamo Francisco, Priscila Maria ^{[1
]}

de Azevedo Barros, Marilisa Berti ^{[1
]}

Donalisio Cordeiro, Maria Rita ^{[1
]}

机构：

[1] Univ Estadual Campinas, Fac Ciencias Med, Dept Prevent & Social Med, BR-13084971 Campinas, SP, Brazil

来源：

CADERNOS DE SAUDE PUBLICA | 2011年 / 27卷 / 03期

关键词：

Human Influenza; Influenza Vaccines; Immunization Programs; Health of the Elderly; RECOMMENDATIONS; ADULTS;

D O I：

10.1590/S0102-311X2011000300003

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The objective of this study was to assess the prevalence of self-reported influenza vaccination in the elderly, identifying associated factors and reasons for noncompliance, using a cross-sectional population-based design with stratified two-stage cluster sampling in Campinas, Sao Paulo State, Brazil, in 2008-2009. Among the 1,517 elderly, 62.6% reported vaccination during the previous year. Occupational activity, leisure-time physical activity, self-reported diabetes, hospitalization, and recommendation by a healthcare worker were statistically associated with vaccination. Except for diabetics, vaccination failed to reach adequate levels in elderly with chronic illnesses. Reasons for noncompliance were: not believing it was necessary and fear of reactions. Socioeconomic conditions, lifestyle, and physical mobility did not restrict access, but coverage was below the target established by the Brazilian Ministry of Health. Campaigns targeting younger elders (6069 years) and patients with chronic illnesses, as well as orientation by health professionals, could expand vaccination coverage in groups that have shown low adherence to previous campaigns.

引用

页码：417 / 426

页数：10

共 28 条

[1] Rates of influenza vaccination in older adults and factors associated with vaccine use: A secondary analysis of the Canadian Study of Health and Aging [J].

Andrew, MK ;

McNeil, S ;

Merry, H ;

Rockwood, K .

BMC PUBLIC HEALTH, 2004, 4 (1) :1-8

[2]

[Anonymous], 1965, Survey sampling

[3] Alternatives for logistic regression in cross-sectional studies: An empirical comparison of models that directly estimate the prevalence ratio [J].

Aluísio JD Barros ;

Vânia N Hirakata .

BMC Medical Research Methodology, 3 (1) :1-13

[4]

Bedford D, 2001, Ir Med J, V94, P264

[5] Importance of patients' perceptions and general practitioners' recommendations in understanding missed opportunities for immunisations in Swiss adults [J].

Bovier, PA ;

Chamot, E ;

Gallacchi, MB ;

Loutan, L .

VACCINE, 2001, 19 (32) :4760-4767

[6] Factors influencing influenza vaccination uptake in an elderly, community-based sample [J].

Burns, VE ;

Ring, C ;

Carroll, D .

VACCINE, 2005, 23 (27) :3604-3608

[7]

Centro de Vigilancia Epidemiologica Prof. Alexandre Vranjac Secretaria de Estado de Saude de Sao Paulo, 2009, DEIX GRIP SAUD VAC S

[8]

Cervi Adriane, 2005, Rev. Nutr., V18, P765, DOI 10.1590/S1415-52732005000600007

[9]

CESAR CLG, 2005, SAUDE CONDICAO VIDA

[10]

Coordenacao Geral do Programa Nacional de Imunizacoes Departamento de Vigilancia Epidemiologica Secretaria de Vigilancia em Saude Ministerio da Saude, 2009, CAMP NAC VAC ID 25 A

← 1 2 3 →