Patterns and determinants of influenza and pneumococcal immunisation among adults with chronic disease living in Queensland, Australia

Patterns and determinants of influenza and pneumococcal immunisation among adults with chronic disease living in Queensland, Australia
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DOI:
10.1016/j.vaccine.2011.01.116
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发表时间:
2011-04-05
期刊:
影响因子:
5.5
通讯作者:
Ozolins, Ieva
Ozolins, Ieva
中科院分区:
医学3区
文献类型:
--
作者:
Dowera, Jo;Donald, Maria;Ozolins, Ieva

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使用随机的,计算机辅助电话调查的结果,家庭,本文探讨了流感和肺炎球菌免疫接种覆盖率和预测的2203成人哮喘,糖尿病或心血管疾病生活在昆士兰州,澳大利亚。47%和31%的高危人群分别接种了流感疫苗和肺炎球菌疫苗。免疫覆盖率因慢性病而异,并随着年龄的增长而增加,65岁及以上的人明显更高,因此有资格免费接种疫苗。自我报告的健康状况不佳是哮喘、糖尿病或心血管疾病患者肺炎球菌疫苗接种状况的独立预测因素;然而,它只是糖尿病患者流感免疫状况的独立预测因素。将免费疫苗接种扩大到所有有风险的人可能会增加慢性病年轻人的免疫接种率(C)2011爱思唯尔有限公司版权所有。
Using findings from a random, computer assisted telephone survey of households, this paper examines influenza and pneumococcal immunisation coverage and predictors of immunisation in 2203 adults with asthma, diabetes or a cardiovascular condition living in Queensland, Australia. 47% and 31% of high-risk persons were immunised against influenza and pnemococcus respectively. Immunisation coverage varied across chronic conditions and increased with age, being significantly higher for those aged 65 years and older and consequently eligible for free vaccination. Poor self reported health status was an independent predictor of pneumococcal vaccination status for people with asthma, diabetes or a cardiovascular condition; however it was only an independent predictor of influenza immunisation status for people with diabetes. Extending free vaccination to all people at risk may increase immunisation rates for younger people with a chronic condition (C) 2011 Elsevier Ltd. All rights reserved.