Analysis of influenza vaccination coverage among the elderly living in Rome, based on a deprivation index, 2009-13
De Waure C
MetadataShow full item record
Introduction: Elderly people are more likely to develop influenza-related complications, but despite the recommendations, the optimal vaccination coverage is not reached. The use of deprivation indices can help identifying subgroups with lower vaccine uptake. We analyzed vaccination coverage of elderly living in the city of Rome based on their socioeconomic characteristics using a local deprivation index. Methods: We focused on population ≥65 years living in the city of Rome from 2009 to 2013. Information about vaccination coverage was collected from general practitioners. A combination of multivariate techniques, including multiple linear regression, factor and cluster analysis, was used to construct a composite area-based deprivation index. The index was calculated for each census tract, based on data from the 2001 Italian census. Results: The majority of elderly living in the city of Rome belonged to the medium (40.4%) and medium-high (24%) deprivation groups, and only 4.5% of the population was in the low deprivation group. An inverse relationship was found between influenza vaccination coverage and deprivation index: elderly from low deprivation group had lower coverage (55.45%) in respect to high deprivation group (57.59%). In particular, vaccination coverage decreased with the increase of replacement index, employment rate and the percentage of: singles, divorced; graduates and higher school graduates; employed, entrepreneurs and freelancers, family assistants, students; foreigners and stateless persons residing in Italy; families of one person. Conclusions: Our results show an inverse relationship between deprivation and vaccination coverage and may help identifying subgroups that could benefit from targeted initiatives to increase vaccination coverage.
Showing items related by title, author, creator and subject.
Talamona, T; Azzali, S; Mazza, T (Pavia University Press, 2013)Control systems are an important component of Corporate Governance because their design and effectiveness impact on strategic success and stakeholder care. The results of this empirical research, carried out here for the ...
Influenza della specie vegetale, nutrizione ferrica e substrato di crescita nella determinazione della comunità microbica della rizosfera Pii Y; Borruso L; Brusetti L; Crecchio C; Cesco S; Mimmo T (AISSA, 2015)
Influenza dell’interazione pianta-suolo-microrganismo sull’acquisizione del Fe in piante di cetriolo e sulla componente mineralogica del suolo Pii Y; Marastoni L; Penn A; Gattullo CE; Allegretta I; Terzano R; Crecchio C; Mimmo T; Cesco S (SICA, 2016)Il ruolo della componente biotica del suolo nei processi rizosferici di mobilizzazione e assorbimento dei nutrienti è ancora oggetto di ampia discussione. Tuttavia sono sempre più numerose le evidenze a supporto di un ruolo ...