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

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Influenza vaccine uptake among community-dwelling Italian elderly : Results from a large cross-sectional study. / Chiatti, Carlos; Barbadoro, Pamela; Lamura, Giovanni; Pennacchietti, Lucia; Di Stanislao, Francesco; D'Errico, Marcello M.; Prospero, Emilia.

In: BMC Public Health, Vol. 11, 207, 05.04.2011, p. 1-7.

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Harvard

Chiatti, C, Barbadoro, P, Lamura, G, Pennacchietti, L, Di Stanislao, F, D'Errico, MM & Prospero, E 2011, 'Influenza vaccine uptake among community-dwelling Italian elderly: Results from a large cross-sectional study', BMC Public Health, vol. 11, 207, pp. 1-7. https://doi.org/10.1186/1471-2458-11-207

APA

Chiatti, C., Barbadoro, P., Lamura, G., Pennacchietti, L., Di Stanislao, F., D'Errico, M. M., & Prospero, E. (2011). Influenza vaccine uptake among community-dwelling Italian elderly: Results from a large cross-sectional study. BMC Public Health, 11, 1-7. [207]. https://doi.org/10.1186/1471-2458-11-207

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Author

Chiatti, Carlos ; Barbadoro, Pamela ; Lamura, Giovanni ; Pennacchietti, Lucia ; Di Stanislao, Francesco ; D'Errico, Marcello M. ; Prospero, Emilia. / Influenza vaccine uptake among community-dwelling Italian elderly : Results from a large cross-sectional study. In: BMC Public Health. 2011 ; Vol. 11. pp. 1-7.

RIS

TY - JOUR

T1 - Influenza vaccine uptake among community-dwelling Italian elderly

T2 - BMC Public Health

AU - Chiatti, Carlos

AU - Barbadoro, Pamela

AU - Lamura, Giovanni

AU - Pennacchietti, Lucia

AU - Di Stanislao, Francesco

AU - D'Errico, Marcello M.

AU - Prospero, Emilia

PY - 2011/4/5

Y1 - 2011/4/5

N2 - 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.

AB - 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.

KW - influenza vaccine

KW - Italy

KW - older people

U2 - 10.1186/1471-2458-11-207

DO - 10.1186/1471-2458-11-207

M3 - Article

VL - 11

SP - 1

EP - 7

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

M1 - 207

ER -