Immunisation against influenza among people aged over 65 living at home in Leicestershire during winter 1991-2.
OBJECTIVE
To assess the size of the elderly population for whom influenza vaccine is indicated and how many are vaccinated.


METHODS
Cohort questionnaire study.


METHODS
Leicestershire general practices.


METHODS
800 elderly subjects selected a random from the Leicestershire family health services authority list who were not living in residential care, 565 of whom returned a questionnaire.


METHODS
Patient profile, vaccine offers, vaccination status, and reasons for not accepting vaccine.


RESULTS
170 of 334 (51%) people aged 65-74 years and 106 of 205 (52%) aged > or = 75 years had one or more medical indications for influenza vaccine. 195 people were offered vaccine, 49 of whom had no risk factor. 152 offers were made opportunistically during visits to the practice and only six were made in writing or by telephone. Overall 113 of 266 patients with known medical indications were immunised. Vaccine was accepted by 148 of 189 (78%) offered it, and, as judged by acceptance in sequential years, influenza vaccine was well tolerated. The main reasons for not being vaccinated were misconception about risk status and inadequate advice from doctors.


CONCLUSIONS
The prevalence of medical indications for vaccine is not large enough to justify a policy of universal immunisation. Most patients offered vaccine accept it and tolerate it well. Improved targeting and education is needed to increase immunisation of people at risk.
Nicholson
K G
KG
D000368:Aged; D015331:Cohort Studies; D004739:England / Q000453:epidemiology; D005260:Female; D006266:Health Education; D006801:Humans; D007252:Influenza Vaccines; D007251:Influenza, Human / Q000453:epidemiology / Q000517:prevention & control*; D008297:Male; D010342:Patient Acceptance of Health Care; D015995:Prevalence; D014611:Vaccination / Q000191:economics
D007252:Influenza Vaccines