Vaccine
Volume 34, Issue 41, 2016, Pages 4898-4904

Influenza vaccination coverages among high risk subjects and health care workers in Spain. Results of two consecutive National Health Surveys (2011–2014) (Article)

Astray-Mochales J. , López de Andres A. , Hernandez-Barrera V. , Rodríguez-Rieiro C. , Carrasco Garrido P. , Esteban-Vasallo M.D. , Domínguez-Berjón M.F. , Jimenez-Trujillo I. , Jiménez-García R.*
  • a Department of Epidemiology, Directorate of Health Promotion and Prevention, Ministry of Health, Community of Madrid, C/ Julián Camarillo, 4B, Madrid, 28037, Spain
  • b Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón, Madrid, 28922, Spain
  • c Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón, Madrid, 28922, Spain
  • d Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón, Madrid, 28922, Spain
  • e Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón, Madrid, 28922, Spain
  • f Department of Epidemiology, Directorate of Health Promotion and Prevention, Ministry of Health, Community of Madrid, C/ Julián Camarillo, 4B, Madrid, 28037, Spain
  • g Department of Epidemiology, Directorate of Health Promotion and Prevention, Ministry of Health, Community of Madrid, C/ Julián Camarillo, 4B, Madrid, 28037, Spain
  • h Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón, Madrid, 28922, Spain
  • i Preventive Medicine and Public Health Department, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón, Madrid, 28922, Spain

Abstract

Objectives We aim to describe influenza vaccination coverage for the Spanish population using data from two consecutive nation-wide representative health surveys. The data was analysed by high risk groups, health care workers (HCWs) and immigrants. Also, coverage trends were analysed. Material and methods The 2011/12 Spanish National Health Survey (N = 21,007) and the 2014 European Health Interview Survey for Spain (N = 22,842) were analysed. Influenza vaccination status was self-reported. Time trends for were estimated by a multivariate logistic regression model. Results Overall vaccination uptake was similar in 2011/12 and 2014, 19.1% and 18.9%, respectively, (p > 0.05). 47% of the subjects surveyed were in the groups for which vaccination was recommended with coverages of 41.1% in 2011/12 and 40% in 2014 (p > 0.05). In both surveys, uptake among subjects with a chronic disease was three times higher than uptake in subjects who did not have these diseases. In 2011/12 and 2014, 20% and 27.6% of health workers were vaccinated. Subjects born outside Spain were vaccinated less frequently than Spanish-born subjects (9.3% vs 20.4% and 8.9% vs 20%). Within the diseases studied, the best uptake was for patients with heart disease (52.5% in 2011/12 and 51.1% in 2014) and patients with diabetes (50.5% and 51.8%). Multivariate analysis showed that older age, having a chronic disease or being a HCW increases the possibility of being vaccinated whereas being born outside Spain decreased it. Conclusions Seasonal influenza vaccine uptake rates in the recommended target groups, patients with chronic conditions and health care workers, in Spain are unacceptably low and seem to be stable in the post pandemic seasons. This finding should alert health authorities to the need to work directly with health care providers on the indications for this vaccine and to study strategies that make it possible to increase vaccination uptake. © 2016 Elsevier Ltd

Author Keywords

Influenza Coverage Trends Public health policy vaccines

Index Keywords

Health Personnel immigrant Influenza, Human demography health care personnel health insurance human epidemiology comorbidity middle aged Self Report statistics and numerical data diabetes mellitus priority journal Aged Health Surveys Epidemiologic Studies chronic disease Young Adult Humans Influenza Vaccines migrant influenza vaccine influenza vaccination Adolescent male Emigrants and Immigrants Spain female health care personnel management drug indication heart disease Article major clinical study adult vaccination coverage influenza high risk patient health survey
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84990068761&doi=10.1016%2fj.vaccine.2016.08.065&partnerID=40&md5=cad8c0d27c0356f823a054ee7d03e1bf
DOI: 10.1016/j.vaccine.2016.08.065
ISSN: 0264410X
Cited by: 8
Original Language: English