Factors associated with pneumococcal vaccination among an urban elderly population in China

Abstract

Objectives: To investigate the coverage of the 23-valent pneumococcal polysaccharide vaccine (23-PPV) in the Chinese urban elderly population and to understand the attitudes, knowledge and beliefs of this population toward the 23-PPV vaccination. Methods: A cross-sectional approach was employed to survey the willingness of this population to receive the 23-PPV vaccination. Two thousand 9 hundred 2 six subjects over the age of 60 y were enrolled via a multistage random sampling method from the urban community population in Hangzhou, China. The relationships between the variables and the willingness to receive the 23-PPV vaccination were computed as odds ratios (ORs) by multivariate analysis. Results Of the participants, 21.77% were willing to undergo 23-PPV vaccination, and 61.65% of the subjects agreed that pneumonia is a serious disease among elderly people. The rate of reasonable perceptions about vaccination, including the perception about vaccine efficacy and safety, among the subjects was below 50%. Only 1.23% of subjects had been vaccinated with 23-PPV, and a similarly low rate was observed for the seasonal influenza vaccine (4.17%). The factors that were independently related to the willingness to receive the 23-PPV vaccine included consensus with the hazards of pneumonia (OR D 1.67, 95% CI: 1.28 -2.17), the safety of vaccination (OR D 2.00, 95% CI: 1.54 -2.59), advice about the 23-PPV vaccination from family members (OR D 2.37, 95% CI: 1.39 -4.40), influenza vaccination history (OR D 2.57, 95% CI: 1.66 -3.98) and pneumococcal vaccination history (OR D 7.48, 95% CI: 2.4-22.92). Conclusion: The administration of the 23-PPV vaccine among the urban elderly population is not optimistic in China. Emphasis on persuasion from families and the improvement of knowledge about vaccination might encourage elderly people to get the 23-PPV vaccination. Suggestions from physicians did not affect the participants' willingness to get the 23-PPV vaccination in multivariate analysis, but elderly people typically visited the Community Health Center (CHC) in their residential districts, and thus, systematic encouragement from healthcare physicians might be the key to increasing 23-PPV vaccination.

Factors associated with pneumococcal vaccination in elderly people: a cross-sectional study among elderly club members in Miyakonojo City, Japan

“…The reason for our finding was presumed to be as follows: participants who had this type of perception held a belief that the consequences of disease could possibly have a great impact not only clinically (death, disability, and pain) but also socially (effects on work, family life, and social relationships); consequently, these people were more likely to receive vaccination. An association between an individual’s perception and pneumococcal vaccination has been reported in some studies [ 23 , 27 , 28 ], supporting our result.…”

“…Receiving influenza vaccination at least once in the previous three seasons also had a strong association with pneumococcal vaccination (aOR 3.94, 95% CI 1.70–9.13, p = 0.001). An association between influenza vaccination history and pneumococcal vaccination have been reported previously [ 23 , 25 , 27 , 28 ]. Vaccination itself is a fundamental and important measure to prevent disease.…”

Herpes Zoster Vaccine Coverage in Older Adults in the U.S., 2007–2013

“…20 Similar findings of the association between influenza vaccination and pneumococcal vaccination have also been noted. [21][22][23] In addition, this study found that adults with more outpatient hospital visits, more doctor office visits, and more pharmacy visits with prescription drugs filled were more likely to receive the vaccine. This could be because patients with more healthcare encounters were more likely to be informed about the vaccine or be more aware of the recommendation for the vaccine.…”

Knowledge, attitude, and practice regarding infection and vaccination in patients with rheumatic diseases in China

“…6 Another Chinese study found that few subjects received suggestions from physicians (7.73%), and only 1.23% of the subjects had previously received the 23-PPV vaccination. 7 Inactivated vaccines that are recommended in patients with autoimmune diseases (ARD). Influenza vaccination and pneumococcal vaccine are routinely recommended to adults using immunosuppressive agents as influenza and pneumonia are among the most common and life-threatening infections.…”