Influenza vaccination coverage rates in five European countries during season 2006/07 and trends over six consecutive seasons
Influenza vaccination coverage rates in five European countries during season 2006/07 and trends over six consecutive seasons
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DOI：
10.1186/1471-2458-8-272
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发表时间：
2008-08-01
影响因子：
4.5
通讯作者：
Szucs, Thomas D.
中科院分区：
文献类型：
--
作者：
Blank, Patricia R.;Schwenkglenks, Matthias;Szucs, Thomas D.
背景资料：调查的目的是确定2001年至2007年期间五个欧洲国家的流感疫苗接种覆盖率水平，了解疫苗接种的驱动因素和障碍，评估2007/08年冬季的疫苗接种意向以及疫苗接种的主要鼓励因素。方法：在2001年至2007年期间，通过电话或邮寄（法国）对14岁及以上的个人进行了代表性的家庭调查。在英国、德国、意大利、法国和西班牙使用的问卷在所有季节基本上是相同的。随后汇总了数据。为分析确定了四个目标群体：1）65岁及以上的人; 2）在医疗领域工作的人; 3）慢性病患者; 4）由属于前面第1、2或3组中的一个或多个的个人组成的组合目标群体。2006/2007年，疫苗接种覆盖率为：联合王国25.0%，德国27.4%，西班牙21.8%，法国24.2%，意大利24.4%。在六个流感季节（2001-2007年），疫苗接种覆盖率在五个国家显示出轻微的积极趋势（p = 65年），在所有国家中，没有观察到显著趋势;疫苗接种率从2005/06年季节的64.2%的峰值非显著下降到2006/07年季节的61.1%。接种疫苗的最常见原因是家庭医生或护士的建议（51%），这也被视为接种疫苗的主要鼓励因素（61%）。不接种疫苗的主要原因是感觉不太可能感染流感（36%）。结论：在英国，德国和西班牙，2006/07赛季的流感疫苗接种率略有下降，与前一个赛季相比。然而，从2001/2002年到2006/2007年，整个欧洲的疫苗接种覆盖率呈上升趋势。家庭医生是鼓励个人接种疫苗的主要来源。需要努力克服接种疫苗的障碍，以实现世卫组织到2010年老年人接种率达到75%的目标。这是政府、医疗工作者和医疗机构面临的一个重大挑战。
Background: The objectives of the survey were to identify the level of influenza vaccination coverage in five European countries between 2001 and 2007, to understand the drivers and barriers to vaccination, to assess vaccination intentions for the winter 2007/08 as well as major encouraging factors for vaccination.Methods: Between 2001 and 2007, representative household surveys were performed with telephone or mailed (France) interviews of individuals aged 14 and above. The questionnaire used in the UK, Germany, Italy, France and Spain was essentially the same in all seasons. The data were subsequently pooled. Four target groups were defined for the analysis: 1) persons aged 65 years and over; 2) persons working in the medical field; 3) chronically ill persons and 4) combined target group composed of individuals belonging to one or more of the previous groups 1, 2 or 3.Results: In 2006/07, vaccination coverage was, 25.0% in UK, 27.4% in Germany, 21.8% in Spain, 24.2% in France and 24.4% in Italy. During six influenza seasons (2001-2007), vaccination coverage showed a slight positive trend in the five countries (p = 65 years), across all countries, no significant trend was seen; the vaccination rate decreased non-significantly from a peak of 64.2% in season 2005/06 to 61.1% in season 2006/07. The most frequent reason for getting vaccinated was a recommendation by the family doctor or nurse (51%), and this was also perceived as the major encouraging factor for vaccination (61%). The main reason for not getting vaccinated was feeling unlikely to catch the flu (36%).Conclusion: In the UK, Germany and Spain, influenza vaccination coverage rates in season 2006/07 dropped slightly compared to the previous season. However, a trend of increasing vaccination coverage was observed from 2001/02 to 2006/07 across Europe. The family doctor is the major source of encouragement for individuals getting vaccinated. Efforts to overcome the barriers to vaccination need to be put in place to reach the WHO objective of 75% coverage in the elderly by 2010. This is a major challenge to be faced by governments, healthcare workers and healthcare organisations.