Influenza vaccination coverage and uptake predictors among Spanish adults suffering COPD

Abstract

Abbreviations: chronic obstructive pulmonary disease, COPDThe aim of this study is to compare influenza vaccination coverage among Spaniards aged 40 y or over who suffer from chronic obstructive pulmonary disease (COPD) with those without this illness to identify the factors that influence vaccination uptake among patients with COPD.Data was extracted from the European Health Survey performed in Spain in 2009/10, and analyzed data on 15,355 Spaniards ($ 40 y of age), of whom 1,309 (8.2% 95% CI 7.7-8.7) had COPD was used. We considered the answer (yes/no) to the question about whether or not the interviewed person had been vaccinated against influenza in the previous flu season. We used the answer to this question as the dependent variable. For independent variables, we analyzed social demographic characteristics, health related variables, and the utilization of health care services.Vaccination coverage among patients with COPD is 49.4% (95% CI: 46.3-52.5%) and 21.3% (95% CI: 20.7-21.9) among people without (p , 0.001). The probability of being vaccinated is three times greater for COPD patients (crude OR = 3.0, 95% CI: 2.6-3.5). Among COPD patients the uptake of vaccination increased with age. Other factors associated with an increase in vaccination coverage were: being male, perceiving one's health as fair or poor, not smoking and having seen a doctor during the previous month.The rate of flu vaccination among adult Spaniards with COPD is lower than desired. Urgent strategies for increasing vaccination coverage are necessary for COPD sufferers aged under 65 of age and those with unhealthy lifestyles.

The cost-effectiveness of domiciliary non-invasive ventilation in patients with end-stage chronic obstructive pulmonary disease: a systematic review and economic evaluation

“…160 This assumption was based on vaccination rates of 50% and between 80% and 93% reported in Spanish and UK studies. 161,162 The average number of days and cost of home oxygen therapy received in each severity group was derived from expert opinion reported in Hertel et al (2012). 140 Smoking-cessation advice and pulmonary rehabilitation are also recommended by NICE as usual care for COPD patients.…”

Influenza vaccination coverage and factors affecting adherence to influenza vaccination among patients with diabetes in Taiwan

“…The morbidity and mortality associated with influenza are high among the elderly, pregnant women, immunocompromised hosts, and those with chronic diseases such as diabetes mellitus (DM). [1][2][3] Diabetes is a serious and growing health problem worldwide. It is estimated that a total of 439 million adults will be affected by DM by 2030, with a 20% increase in developed countries and a 69% increase in developing countries from 2010 to 2030.…”

Association between Psychological Flexibility and Health Beliefs in the Uptake of Influenza Vaccination among People with Chronic Respiratory Diseases in Hong Kong

“…In this regard, an extensive review of the literature was carried out to identify the existing evidence on vaccination behavior. Previous studies have reported that people who are older [ 19 , 20 , 21 , 22 ], married [ 23 , 24 , 25 , 26 ], better educated [ 27 , 28 ], non-smokers [ 22 , 25 , 26 ], have chronic illnesses [ 16 ], no limitations on their activities [ 29 ], or who have medical insurance [ 29 ] are more likely to receive the vaccine than those without these characteristics. Conversely, research has shown that people who are allergic to medication [ 16 ] or smokers [ 30 ] are less likely to be vaccinated.…”

“…A scant few studies have been published on influenza vaccinations among Chinese populations. It should be noted that vaccination rates for people with CRD vary greatly, from 19.9% to 71% [ 16 , 22 , 23 , 24 , 25 , 28 ], still far behind the 2020 target to increase the percentage of high-risk adults to the rate of 90% that is common in developed countries [ 31 ].…”