title: Influenza vaccination coverage rates among diabetes sufferers, predictors of adherence and time trends from 2003 to 2010 in Spain.
abstract: A descriptive cross-sectional study was conducted for adults (aged ≥ 50 y) with diabetes. Data was obtained from the 2009 European Health Interview Survey for Spain and the 2003 and 2006 Spanish National Health Surveys. To assess influenza vaccination status, we considered the response (yes or no) to the question "Have you received the influenza vaccine in the previous season?" Both dependent and independent variables were based on the survey questionnaires. The independent variables analyzed included socio-demographic characteristics, health-related variables and use of health care services. The coverage among adults with diabetes in 2010 was 65.0% (95% CI: 62.1-67.7) compared with 41.2% (95% CI 40.0-42.4) for those without diabetes (p<0.01) adjusted OR 1.67 (95% CI: 1.40-1.99). The positive predictors of vaccine uptake among diabetic adults were: higher age, being male, the presence of associated chronic conditions and physician visits in the last 2 wk. The vaccine uptake among adults with diabetes was 61.4% (95% CI: 57.9-64.8) in 2003 and 63.8% (95% CI: 60.7-66.8) in 2006.The adjusted OR of having been vaccinated in 2010 with respect to 2003 was not significant 1.18 (95% CI: 0.97-1.44). We conclude that the levels of influenza vaccination coverage are below desirable levels among adults with diabetes. Furthermore, trend analysis in influenza vaccination coverage indicates that influenza vaccination rates in adults with diabetes have not improved in recent years. Urgent strategies for increasing vaccination coverage among diabetes sufferers are necessary especially for those aged 50-59, women, those without chronic conditions and those who are not frequent users of health care services.
authors: Preventive Medicine Unit; Rey Juan Carlos University; Madrid, Spain.
authors: Isabel
authors: I
authors: Jimenez-Trujillo
authors: Ana
authors: A
authors: López-de Andrés
authors: Valentín
authors: V
authors: Hernández-Barrera
authors: Pilar
authors: P
authors: Carrasco-Garrido
authors: Juana María
authors: JM
authors: Santos-Sancho
authors: Rodrigo
authors: R
authors: Jiménez-García
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D048909:Diabetes Complications / Q000517:prevention & control*; D005260:Female; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage*; D007251:Influenza, Human / Q000517:prevention & control*; D008297:Male; D055118:Medication Adherence; D008875:Middle Aged; D013030:Spain; D011795:Surveys and Questionnaires; D013997:Time Factors; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D007252:Influenza Vaccines
keywords: coverage; diabetes; influenza; trends; uptake; vaccine
references: Diabetes Care. 2005 Aug;28(8):2031-3
references: 16043751
references: Am J Public Health. 2003 Dec;93(12):2074-8
references: 14652337
references: Hum Vaccin Immunother. 2012 Feb;8(2):228-33
references: 22426373
references: Commun Dis Public Health. 2002 Jun;5(2):119-26
references: 12166297
references: Vaccine. 2011 Feb 1;29(6):1332-8
references: 21182996
references: J Prev Med Public Health. 2011 Jul;44(4):141-8
references: 21894062
references: Vaccine. 2006 Jan 30;24(5):622-8
references: 16169638
references: Ann Intern Med. 2006 Apr 4;144(7):465-74
references: 16585660
references: BMC Public Health. 2011 Oct 13;11:799
references: 21995560
references: Vaccine. 2003 Mar 28;21(13-14):1486-91
references: 12615445
references: Gac Sanit. 2006 Mar;20 Suppl 1:15-24
references: 16539961
references: Diabetes Care. 2003 Sep;26(9):2562-7
references: 12941719
references: Am J Prev Med. 2000 Apr;18(3):215-8
references: 10722987
references: Eur J Health Econ. 2013 Apr;14(2):211-9
references: 22072321
references: Int Psychogeriatr. 2013 Feb;25(2):328-38
references: 23069128
references: Hum Vaccin Immunother. 2012 Mar;8(3):363-70
references: 22327503
references: MMWR Morb Mortal Wkly Rep. 1999 Oct 29;48(42):961-7
references: 10553810
references: Diabetes Care. 2006 Aug;29(8):1771-6
references: 16873778
references: Infection. 2009 Oct;37(5):390-400
references: 19768382
references: Vaccine. 2011 Apr 5;29(16):2840-5
references: 21334388
references: JAMA. 2004 Dec 8;292(22):2715-2716
references: 15585722
references: Health Rep. 2007 Nov;18(4):9-19
references: 18074993
references: Vaccine. 2010 Aug 31;28(38):6169-75
references: 20659518
references: MMWR Recomm Rep. 2005 Apr 1;54(RR-5):1-11
references: 15800472
references: Am J Prev Med. 1999 Apr;16(3):173-7
references: 10198654
references: Expert Rev Vaccines. 2009 Apr;8(4):425-33
references: 19348558
references: JAMA. 2004 Nov 3;292(17):2089-95
references: 15523069
references: Wien Med Wochenschr. 2011 Mar;161(5-6):136-42
references: 21253812
references: Diabetes Res Clin Pract. 2008 Mar;79(3):510-7
references: 18035444
references: Med Clin (Barc). 2012 Sep 22;139(7):284-9
references: 22015007
references: Diabet Med. 2001 Jul;18(7):599-603
references: 11553193
references: Vaccine. 2013 Jan 11;31(4):718-24
references: 23153445
references: Diabetes Care. 2012 Jan;35 Suppl 1:S11-63
references: 22187469