SP6-5 Influenza vaccination among elderly persons: prevalence, associated factors and reasons for non-compliance in Campinas, state of SAo Paulo, Brazil

Abstract

midwife (PHM) area, Vidatalativu East PHM and Vidatalativu West PHM area. These areas were randomly selected PHM areas from the resettlement areas in Mannar. Sample size was selected as a 25% of the population. Simple random sampling method was done, house holds were randomised. Two members were invited from each house hold. Results There are 87 participants from all three areas. 48 (55%) were females. 15 (17%) were children. In our study we found 79% (n¼27, 95% CI 11.6 to 12.7, SD 1.58) of men are anaemic and 60% (n¼23, 95% CI 11.0 to 12.0, SD 1.4) of women are anaemic. In children 53% (n¼8, 95% CI 10.6 to 12.3, SD 1.54) of them are anaemic. Conclusions According to the previous studies in Sri Lanka this small study shows very high prevalence of anaemia among these resettled populations. Introduction The benefits of influenza vaccination among the elderly and people with chronic conditions have been shown in several studies. The aim this study was to assess the influenza vaccination coverage in the elderly, identifying associated factors and reasons for non-compliance. Methods This was a cross-sectional population-based study with stratified clustered two-stage sampling in Campinas, São Paulo, Brazil in 2008e2009. Results Among the 1517 elderly, 62.6% reported influenza vaccination during the previous year. Physical activity in leisure, selfreported diabetes and recommendation from a healthcare worker were positively associated with the vaccination, while occupational activity and hospitalisation were negatively statistically related. Except for diabetics, the vaccination didn't reach adequate levels in elderly with chronic diseases. Reasons for non-compliance were: not find it necessary and belief that the vaccine causes reaction. Conclusion Socioeconomic conditions, life style and physical mobility did not restrict adherence to vaccination, but the coverage was below the target of 80% established by the Ministry of Health. Campaigns focused on the elderly aged 60e69 years and on patients with chronic conditions, beyond the guidance of health professionals can expand coverage to groups with low adherence to the campaigns. SP6-5

Correlates of influenza vaccine uptake among community-dwelling older adults in Brazil

“…The most prevalent motives for having not taken the vaccine reported here are consistent with previous studies. 18,25 Moreover, our results concur with the concern that accessibility for older adults is not limited to free-of-cost access and includes several dimensions, such as the distance to the health care center, means of transport, and health literacy. 26 The success of vaccination campaigns in the country is supported by the credibility of the Brazilian National Immunization Program.…”

“…The role of current lifestyle in predicting vaccine uptake has been reported earlier 4,12,18 in studies highlighting a higher prevalence of vaccination among older adults who practice physical activities and who did not smoke and drink. These associations may be explained by the fact that these individuals are more committed to healthy behaviors and have more access to health care facilities.…”

“…These associations are also coherent with previous findings in different cities. 12,18,28 The contact with health professionals and services increases the likelihood of receiving influenza vaccine. 12,36,37 Finally, as previously observed, 4,12,18,36-38 vaccine uptake was more prevalent among individuals with chronic diseases.…”

“…15 Vaccine uptake varies widely between and within regions, independent of the country's level of economic development. 11 In Brazil, previous studies have reported evidence on vaccination coverage in specific sites [16][17][18] or in the biggest city of the country. 12,19 However, no previous study has reported information regarding either the national level or its macroregions.…”

Prevalence of influenza and adherence to the anti-flu vaccination among elderly

“…Systemic reactions such as fever, malaise and myalgia can also occur, usually 6 to 12 hours after vaccination, lasting one to two days. Hypersensitivity reactions, anaphylaxis and neurological manifestations are extremely rare [18][19][20][21] . Based on the exposed, the purpose of this study was to estimate An interview was performed by a trained medical student present at the Health Unit two days a week over 12 months.…”