|
|
|
| Influencing factors for influenza vaccination among the elderly |
| LI Yiyao, LI Xiaoju, SHEN Xiaoying, ZHANG Xianqi, ZHAO Li, ZHANG Yuhan, WANG Xinmeng
|
| Department of Preventive Medicine, School of Medicine, Shihezi University, Shihezi, Xinjiang 832002, China |
|
|
|
|
Abstract Objective To investigate the status and influencing factors of influenza vaccination among the elderly, so as to provide insights into improving the strategies for influenza vaccination among the elderly. Methods Elderly people aged 60 years and above were recruited from one community each in five sub-districts of Shihezi City, Xinjiang Uygur Autonomous Region using a random sampling method. Demographic information, knowledge about influenza and influenza vaccines, vaccine literacy and influenza vaccination status in the past year were collected through questionnaire surveys. Factors affecting influenza vaccination among the elderly were analyzed using a multivariable logistic regression model. Results Totally 1 121 valid questionnaires were recovered, with an effective recovery rate of 95.08%. There were 417 males (37.20%) and 704 females (62.80%). The majority were aged 60-<81 years, accounting for 80.37% (901 individuals). The awareness of knowledge about influenza and influenza vaccines was 78.86%. Low vaccine literacy was observed in 786 individuals, representing 70.12%. The influenza vaccination rate was 20.96%. Multivariable logistic regression analysis showed that age (71-<81 years, OR=1.607, 95%CI: 1.041-2.479; ≥81 years, OR=1.719, 95%CI: 1.040-2.842), educational level (middle school/technical secondary school, OR=0.616, 95%CI: 0.416-0.911), medical expense payment (employee medical insurance, OR=6.531, 95%CI: 2.030-21.010; resident medical insurance, OR=3.385, 95%CI: 1.095-10.466; public expense, OR=4.828, 95%CI: 1.700-13.712), vaccination willingness (yes, OR=6.237, 95%CI: 3.277-11.871), influenza vaccination history (yes, OR=14.600, 95%CI: 8.733-24.408) and vaccine literacy (medium and above, OR=2.412, 95%CI: 1.636-3.555) were associated with influenza vaccination among the elderly. Conclusion The influenza vaccination rate among the elderly was relatively low, and was mainly affected by age, educational level, medical expense payment, vaccination willingness, influenza vaccination history and vaccine literacy.
|
|
Received: 04 September 2024
Revised: 29 November 2024
Published: 14 January 2025
|
|
|
|
|
|
[1] IULIANO A D,ROGUSKI K M,CHANG H H,et al.Estimates of global seasonal influenza-associated respiratory mortality:a modelling study[J].Lancet,2018,391(10127):1285-1300.
[2] 沈干,戴朦.从老年综合评估角度看流感疫苗预防接种[J].中国临床保健杂志,2019,22(2):152-155.
SHEN G,DAI M.From the perspective of comprehensive geriatric assessment,influenza vaccination as a preventive measure[J].Chin J Clin Healthc,2019,22(2):152-155.(in Chinese)
[3] PANG Y J,WANG Q,LYU M,et al.Influenza vaccination and hospitalization outcomes among older patients with cardiovascular or respiratory diseases[J].J Infect Dis,2021,223(7):1196-1204.
[4] O'BRIEN K L,LEMANGO E,NANDY R,et al.The immunization agenda 2030:a vision of global impact,reaching all,grounded in the realities of a changing world[J].Vaccine,2024,42(Suppl.1):1-4.
[5] 王雯,倪莉红,张习习,等.中国老年人疫苗接种的现状、挑战和建议[J].中国疫苗和免疫,2022,28(4):486-490.
WANG W,NI L H,ZHANG X X,et al.Status,challenges and recommendations for improving vaccination of the elderly in China[J].Chin J Vaccines Immunization,2022,28(4):486-490.(in Chinese)
[6] BIASIO L R,GIAMBI C,FADDA G,et al.Validation of an Italian tool to assess vaccine literacy in adulthood vaccination:a pilot study[J].Ann Ig,2020,32(3):205-222.
[7] 丁睿尧,阿克忠,马艳梅,等.2019—2021年青海省≥60岁老年人流感疫苗接种率和影响因素调查[J].中国疫苗和免疫,2023,29(4):432-435.
DING R Y,A K Z,MA Y M,et al.Influenza vaccine coverage and factors influencing coverage among elderly people of Qinghai province during 2019-2021[J].Chin J Vaccines Immunization,2023,29(4):432-435.(in Chinese)
[8] 黄琳娟,郑翔,刘令初,等.椒江区老年人群流感疫苗免费接种意愿及影响因素分析[J].预防医学,2019,31(8):806-808.
HUANG L J,ZHENG X,LIU L C,et al.Willingness and influencing factors for free influenza vaccination among the elderly population in Jiaojiang District[J].China Prev Med J,2019,31(8):806-808.(in Chinese)
[9] 陈爱宏,李华丹,刘晓岑,等.深圳市坪山区老年人群流感疫苗接种影响因素及效果分析[J].中国药房,2023,34(19):2423-2426.
CHEN A H,LI H D,LIU X C,et al.Analysis of the influential factors for influenza vaccination and their effects among elderly people of Shenzhen Pingshan District[J].Chin Pharmacy,2023,34(19):2423-2426.(in Chinese)
[10] 石春雷,宋晓哲,常桂秋,等.徐州市某区冠心病患者流感疫苗接种情况及影响因素分析[J].中国公共卫生,2020,36(11):1628-1632.
SHI C L,SONG X Z,CHANG G Q,et al.Influenza vaccination and its associates among coronary heart diseasepatients in urban communities of Xuzhou city:a cross-sectional analysis[J].Chin J Public Health,2020,36(11):1628-1632.(in Chinese)
[11] 付小强,颜娜,徐小玲,等.鄂州市居民流感疫苗接种意愿及影响因素分析[J].预防医学,2022,34(12):1273-1278.
FU X Q,YAN N,XU X L,et al.Willingness to receive influenza vaccines and its influencing factors among residents in Ezhou City[J].China Prev Med J,2022,34(12):1273-1278.(in Chinese)
[12] 杨弦弦,丁贤彬,唐文革,等.重庆市65岁以上老年人流感疫苗接种意愿及其影响因素分析[J].重庆医学,2021,50(8):1389-1393.
YANG X X,DING X B,TANG W G,et al.Willingness of influenza vaccination among elderly residents over 65 years old in Chongqing Municipality and its influence factors analysis[J].Chongqing Med,2021,50(8):1389-1393.(in Chinese)
[13] KHARROUBI G,CHERIF I,BOUABID L,et al.Influenza vaccination knowledge,attitudes,and practices among Tunisian elderly with chronic diseases[J].BMC Geriatr,2021,21(1):700-708.
[14] PRADA-GARCÍA C,FERNÁNDEZ-ESPINILLA V,HERNÁN-GARCÍA C,et al.Attitudes,perceptions and practices of influenza vaccination in the adult population:results of a cross-sectional survey in Spain[J].Int J Environ Res Public Health,2022,19(17):1-12.
[15] 王超,姜茂敏,沈世勇,等.上海市老年人健康素养的城乡差异及影响因素[J].中国卫生事业管理,2023,40(2):148-152.
WANG C,JIANG M M,SHEN S Y,et al.Study on the urban-rural differences and influencing factors of health literacy of the elderly in Shanghai[J].Chin Health Serv Manag,2023,40(2):148-152.(in Chinese)
[16] 李敏超,赵天旺,雷朝秋,等.60岁及以上老年人免费接种流感疫苗的影响因素分析[J].预防医学,2020,32(6):604-607.
LI M C,ZHAO T W,LEI C Q,et al.Influencing factors of free influenza vaccination for the elderly aged 60 years and over[J].China Prev Med J,2020,32(6):604-607.(in Chinese)
[17] 孟冰冰,侯芊,徐慧,等.疫苗素养研究进展综述[J].中国疫苗和免疫,2022,28(5):601-604.
MENG B B,HOU Q,XU H,et al.Research advances in vaccine literacy:a literature review[J].Chin J Vaccines Immunization,2022,28(5):601-604.(in Chinese) |
|
|
|
