Identifying people at risk for influenza with low vaccine uptake based on deprivation status: a systematic review.

Cross-Sectional Studies Europe Female Humans Influenza Vaccines Influenza, Human / prevention & control Italy Pregnancy Vaccination

Journal

European journal of public health
ISSN: 1464-360X
Titre abrégé: Eur J Public Health
Pays: England
ID NLM: 9204966

Informations de publication

Date de publication:
01 02 2020
Historique:
pubmed: 1 1 2019
medline: 25 6 2021
entrez: 1 1 2019
Statut: ppublish

Résumé

Influenza vaccination is an important public health intervention for controlling disease burden, but coverage rates are still low also in risk groups. In order to identify non-vaccinating subgroups, deprivation and socio-economic indices, i.e. measures used to synthetically describe people's socio-economic status while taking into account several dimensions, may be used. We aimed to synthetize evidence from studies investigating association between deprivation/socio-economic indices and influenza vaccination coverage in population at risk-persons ≥65 years of age, individuals with comorbidities, pregnant women and health-care workers. We searched PubMed, ISI WoS, CINAHL and Scopus to identify observational studies published up to October 10th 2017 in English or Italian. Studies reporting quantitative estimates of the association between deprivation/socio-economic indices and influenza vaccination coverage in populations at risk were included. A total of 1474 articles were identified and 12 were eventually included in the final review. Studies were mostly cross-sectional, performed in European countries, from 2004 to 2017. Seven studies focussed on deprivation and five on socio-economic indices. Studies on deprivation indices and vaccination coverage showed that people from the most deprived areas had lower coverage. Regarding socio-economic condition, results were contrasting, even though it may also be concluded that people from lower groups have lower vaccination coverage. Our work supports the possibility to identify people likely to have lower influenza vaccination coverage based on deprivation/socio-economic indices. Efforts should be performed in order to further strengthen robustness, transferability and suitability of these indices in addressing public health problems.

Sections du résumé

BACKGROUND
Influenza vaccination is an important public health intervention for controlling disease burden, but coverage rates are still low also in risk groups. In order to identify non-vaccinating subgroups, deprivation and socio-economic indices, i.e. measures used to synthetically describe people's socio-economic status while taking into account several dimensions, may be used. We aimed to synthetize evidence from studies investigating association between deprivation/socio-economic indices and influenza vaccination coverage in population at risk-persons ≥65 years of age, individuals with comorbidities, pregnant women and health-care workers.
METHODS
We searched PubMed, ISI WoS, CINAHL and Scopus to identify observational studies published up to October 10th 2017 in English or Italian. Studies reporting quantitative estimates of the association between deprivation/socio-economic indices and influenza vaccination coverage in populations at risk were included.
RESULTS
A total of 1474 articles were identified and 12 were eventually included in the final review. Studies were mostly cross-sectional, performed in European countries, from 2004 to 2017. Seven studies focussed on deprivation and five on socio-economic indices. Studies on deprivation indices and vaccination coverage showed that people from the most deprived areas had lower coverage. Regarding socio-economic condition, results were contrasting, even though it may also be concluded that people from lower groups have lower vaccination coverage.
CONCLUSIONS
Our work supports the possibility to identify people likely to have lower influenza vaccination coverage based on deprivation/socio-economic indices. Efforts should be performed in order to further strengthen robustness, transferability and suitability of these indices in addressing public health problems.

Identifiants

DOI: 10.1093/eurpub/cky264 PMID: 30597009
pubmed: 30597009
pii: 5265295
doi: 10.1093/eurpub/cky264
doi:

Substances chimiques

Influenza Vaccines 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

132-141

Informations de copyright

© The Author(s) 2019. Published by Oxford University Press on behalf of the European Public Health Association.

Auteurs

Vladimir Vukovic (V)

Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
Institute for Biomedicine, Eurac Research, Affiliated Institute of the University of Lübeck, Bolzano, Italy.

Roberto Lillini (R)

Department of Health Sciences, University of Genoa, Genoa, Italy.
Analytical Epidemiology & Health Impact, Fondazione IRCCS "Istituto Nazionale Tumori", Milan, Italy.

Silvia Lupi (S)

Department of Medical Sciences, University of Ferrara, Ferrara, Italy.

Francesca Fortunato (F)

Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.

Michela Cicconi (M)

Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.

Giulio Matteo (G)

Department of Medical Sciences, University of Ferrara, Ferrara, Italy.

Lucia Arata (L)

Department of Health Sciences, University of Genoa, Genoa, Italy.

Daniela Amicizia (D)

Department of Health Sciences, University of Genoa, Genoa, Italy.

Sara Boccalini (S)

Department of Health Sciences, University of Florence, Florence, Italy.

Angela Bechini (A)

Department of Health Sciences, University of Florence, Florence, Italy.

Rosa Prato (R)

Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.

Armando Stefanati (A)

Department of Medical Sciences, University of Ferrara, Ferrara, Italy.

Donatella Panatto (D)

Department of Health Sciences, University of Genoa, Genoa, Italy.

Chiara de Waure (C)

Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
Department of Experimental Medicine, University of Perugia, Perugia, Italy.

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Classifications MeSH

questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études transversales › Identifying people at risk for influenza with...
questionsmedicales.fr › Régions géographiques › Europe › Identifying people at risk for influenza with...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Identifying people at risk for influenza with...
questionsmedicales.fr › Mélanges complexes › Produits biologiques › Vaccins › Vaccins antiviraux › Vaccins antigrippaux › Identifying people at risk for influenza with...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Infections de l'appareil respiratoire › Grippe humaine › Identifying people at risk for influenza with...
questionsmedicales.fr › Régions géographiques › Europe › Italie › Identifying people at risk for influenza with...
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Reproduction › Grossesse › Identifying people at risk for influenza with...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Pratiques en santé publique › Prévention primaire › Immunisation › Vaccination › Identifying people at risk for influenza with...