Inequalities in influenza vaccine uptake among people aged over 74 years in Britain
Inequalities in influenza vaccine uptake among people aged over 74 years in Britain
复制标题
DOI：
10.1016/j.ypmed.2005.02.001
复制
发表时间：
2005-08-01
影响因子：
5.1
通讯作者：
Fletcher, A
中科院分区：
文献类型：
--
作者：
Mangtani, P;Breeze, E;Fletcher, A
背景。在英国，从 2000 年开始向所有 64 岁以上人群接种流感疫苗的提供者（全科医生）付款。关于接种率和需求之间关系的信息很少。我们评估了 74 岁以上老年人的影响吸收率和吸收公平性的因素。方法。我们分析了一项基于社区的试验中 5572 名受试者的队列数据。分析根据贫困地区 (UPA) 分数和地区标准化死亡率 (SMR) 考虑了一般医疗机构的聚类和位置。结果。根据混杂因素进行调整后，最贫困三分位数实践中的疫苗接种率是最贫困三分位数和中间三分位数的 0.88（95% CI 0.80-0.96）。在每个剥夺三分位数中，中间和最高 SMR 三分位数的吸收率分别是最低三分位数的 0.86（95% CI 0.79，0.94）和 0.87（95% CI 0.81，0.95）。住房质量较差的个人的使用率最多降低 10%。如果已婚或有呼吸系统疾病，则摄入量较高，而如果吸烟且患有认知障碍或抑郁症，则摄入量较低，这并不能解释社会经济差异。结论。贫困地区实践的采用率较低，有利于资源定位。在个人层面，那些较为孤立的人需要支持才能接种流感疫苗。 (c) 2005 年，爱思唯尔公司出版。
Background. In the UK, payments to providers (General Practitioners) for vaccinating all people aged over 64 years old against influenza commenced in 2000. Little information exists on the relationship between uptake and need. We assessed factors influencing uptake and equity in uptake in over 74 year olds.Methods. We analysed cohort data from 5572 subjects in a community-based trial. Analyses took into account clustering and location of general practices in terms of Underprivileged Area (UPA) Score and area Standardised Mortality Ratio (SMR).Results. Vaccine uptake in practices in the most deprived tertile was 0.88 (95% CI 0.80-0.96) that of the least deprived and mid tertile, adjusted for confounding. Within each deprivation tertile, uptake in the mid and highest SMR tertile was 0.86 (95% CI 0.79, 0.94) and 0.87 (95% CI 0.81, 0.95) that of the lowest respectively. Uptake was 10% lower at the most in individuals with poorer quality housing. Higher uptake if married or with respiratory conditions and lower uptake if smoked had cognitive impairment or depression did not explain the socioeconomic differentials.Conclusions. Lower uptake in practices in deprived areas supports targeting of resources. At the individual level, those who are more isolated require support to access influenza vaccination. (c) 2005 Published by Elsevier Inc.