Human Vaccines and Immunotherapeutics
2019

Decreasing influenza vaccine coverage among adults with high-risk chronic diseases in Spain from 2014 to 2017 (Article)

Martinez-Huedo M.A. , Lopez-De-Andrés A.* , Mora-Zamorano E. , Hernández-Barrera V. , Jiménez-Trujillo I. , Zamorano-Leon J.J. , Jiménez-García R.
  • a Preventive Medicine and Public Health Teaching and Research Unit, La Paz Hospital University, Madrid, Spain
  • b Preventive Medicine and Public Health Teaching and Research Unit, Health Sciences Faculty, Universidad Rey Juan Carlos, Madrid, Spain
  • c Dirección Técnica de Sistemas de Información, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain
  • d Preventive Medicine and Public Health Teaching and Research Unit, Health Sciences Faculty, Universidad Rey Juan Carlos, Madrid, Spain
  • e Preventive Medicine and Public Health Teaching and Research Unit, Health Sciences Faculty, Universidad Rey Juan Carlos, Madrid, Spain
  • f Preventive Medicine and Public Health Teaching and Research Unit, School of Medicine. Complutense Univesity, Madrid, Spain
  • g Preventive Medicine and Public Health Teaching and Research Unit, School of Medicine. Complutense Univesity, Madrid, Spain

Abstract

The objectives of this study were to estimate coverage of influenza vaccination in Spain among adults suffering chronic conditions, to assess time trends from 2014 to 2017 and to identify vaccine uptake predictors. We used individualized data of persons ≥15 y interviewed in the 2017 Spanish National Health Survey. Vaccine uptake and the presence of the chronic conditions analyzed (diabetes; cancer; chronic respiratory disease; chronic heart disease and cerebrovascular disease) were self-reported. Independent variables included sex, age and nationality. In 2017 overall influenza vaccination uptake among subjects with high-risk chronic conditions remained low (40.3%) and decreased significantly from 2014 (41.7%, adjusted OR 0.98 95%CI 0.84–0.98). The highest coverage was found among those with cerebrovascular disease (52.2%), diabetes (51.5%) and heart disease (51.4%) and the lowest figures for those suffering cancer (34.9%) and respiratory disease (35.1%). Coverage for cancer patients declined a 25% from 2014 to 2017. Older persons had higher coverages whereas females and immigrant population had lower uptakes. We conclude that influenza vaccination coverage among the high-risk population in Spain for suffering chronic conditions remains at a low level and has decreased significantly from 2014 to 2017, this affects more intensely to females and immigrants. © 2019, © 2019 Taylor & Francis Group, LLC.

Author Keywords

Influenza Coverage time-trends high-risk population uptake Vaccine diabetes

Index Keywords

[No Keywords available]
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85074560951&doi=10.1080%2f21645515.2019.1646577&partnerID=40&md5=ca751f536df87b92651bddf3611e34aa
DOI: 10.1080/21645515.2019.1646577
ISSN: 21645515
Original Language: English