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Determinants of influenza vaccination in older adults: A nationwide community-based study in Taiwan.
- Source :
- Geriatrics & Gerontology International; Dec2017, Vol. 17 Issue 12, p2396-2402, 1p
- Publication Year :
- 2017
-
Abstract
- Aims Influenza vaccination (InVa) is an effective measure for preventing influenza infection, which is a major cause of morbidity and mortality in older adults. However, the determinants of InVa remain unclear. Methods The present study included 4756 adults aged 55 years and older who completed the baseline examination of the Healthy Aging Longitudinal Study in Taiwan. During the examination, each participant received assessments of InVa status. Comprehensive assessments of sociodemographic (age, sex, education level, marital status, living alone and occupation) and health-related factors (chronic diseases, smoking status, alcohol intake, physical activities, cognitive status and physical performance) were also carried out. The InVa rate was defined as the number of participants who reported receiving free InVa divided by the total number of candidates for free InVa. Multinomial logistic regression analysis was applied to investigate the sociodemographic and health-related determinants of InVa status. Results The coverage rate of InVa was 44.8% (2130/4756). Older age (adjusted odds ratio [OR; >75 years vs <65 years] 7.72, 95% CI 6.26-9.52), multiple chronic diseases (OR [≥2 vs 0)] 1.31, 95% CI 1.10-1.65) and physical activity (OR [yes vs no] 1.43, 95% CI 1.23-1.64) were positively associated with receiving InVa. A current smoking status (OR 0.67, 95% CI 0.55-0.82) was negatively associated with receiving InVa. Conclusions Older adults who received InVa differed from non-receivers in multiple sociodemographic and health-related characteristics. These findings support continual efforts to improve the InVa coverage rate in vulnerable populations. Geriatr Gerontol Int 2017; 17: 2396-2402. [ABSTRACT FROM AUTHOR]
- Subjects :
- AGE distribution
CHRONIC diseases
COGNITION
CONFIDENCE intervals
ALCOHOL drinking
IMMUNIZATION
INFLUENZA
LONGITUDINAL method
MARITAL status
SEX distribution
SMOKING
LOGISTIC regression analysis
EDUCATIONAL attainment
BODY movement
PHYSICAL activity
ODDS ratio
POPULATION-based case control
OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 14441586
- Volume :
- 17
- Issue :
- 12
- Database :
- Complementary Index
- Journal :
- Geriatrics & Gerontology International
- Publication Type :
- Academic Journal
- Accession number :
- 126850675
- Full Text :
- https://doi.org/10.1111/ggi.13088