title: Patterns and determinants of influenza and pneumococcal immunisation among adults with chronic disease living in Queensland, Australia.
abstract: Using findings from a random, computer assisted telephone survey of households, this paper examines influenza and pneumococcal immunisation coverage and predictors of immunisation in 2203 adults with asthma, diabetes or a cardiovascular condition living in Queensland, Australia. 47% and 31% of high-risk persons were immunised against influenza and pneumococcus respectively. Immunisation coverage varied across chronic conditions and increased with age, being significantly higher for those aged 65 years and older and consequently eligible for free vaccination. Poor self reported health status was an independent predictor of pneumococcal vaccination status for people with asthma, diabetes or a cardiovascular condition; however it was only an independent predictor of influenza immunisation status for people with diabetes. Extending free vaccination to all people at risk may increase immunisation rates for younger people with a chronic condition.
authors.affiliation: School of Population Health, University of Queensland, Herston Campus, Australia. j.dower@uq.edu.au
authors.forename: Jo
authors.initials: J
authors.lastname: Dower
authors.forename: Maria
authors.initials: M
authors.lastname: Donald
authors.forename: Nelufa
authors.initials: N
authors.lastname: Begum
authors.forename: Sue
authors.initials: S
authors.lastname: Vlack
authors.forename: Ieva
authors.initials: I
authors.lastname: Ozolins
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D005260:Female; D006304:Health Status; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage*; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D022242:Pneumococcal Vaccines / Q000008:administration & dosage*; D011793:Queensland; D057566:Self Report; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000706:statistics & numerical data*; D055815:Young Adult
chemical_list: D007252:Influenza Vaccines; D022242:Pneumococcal Vaccines