title: [Influenza vaccination coverage in children with risk conditions in Catalonia].
abstract: BACKGROUND
  Influenza vaccination is recommended in Catalonia in children older than 6 months with risk conditions for developing flu-related complications. The aim of this study is to determine influenza vaccine coverage in children with risk conditions and their association with socio-demographic factors and medical variables.
  
  
  METHODS
  Descriptive cross-sectional study of children with risk conditions for developing influenza complications (aged between 6months and 15years old) assigned to Primary Health Care centers in Catalonia at the beginning of the 2011-2012 influenza vaccination campaign. The information on vaccination status and study variables were obtained from data registered on electronic health records by primary care teams. The relationship between influenza vaccination and demographic and medical variables was analyzed using bivariate analysis and a multiple logistic regression model.
  
  
  RESULTS
  Influenza vaccination coverage was 23.9%. Variables associated with influenza vaccination were: age 2years or older (aOR: 1.6 [1.4-1.7] in children 3-5years old; 1.8 [1.7-2.0] in those 6-10 years, and 2.2 [2.0 -2.4] in children ≥11years]); male sex (aOR: 1.1 [1.0-1.1]); foreign nationality (aOR: 1.2 [1.2-1.3]); age-appropriate immunization according to the systematic immunization schedule (aOR: 3.3 [2.8-3.8]); more than one visit to the primary care physician (5 or more visits) (aOR: 4.1 [3.8-4.4]), and more than one risk condition (3 or more conditions) (aOR: 2.5 [1.6-3.9]).
  
  
  CONCLUSIONS
  Compared to other countries, influenza vaccination coverage among children with risk conditions is low in our study. Strategies to improve coverage should be implemented.
authors.affiliation: Servicio de Medicina Preventiva y Epidemiología, Hospital Universitario Vall d'Hebron, Barcelona, España. Electronic address: rgonzaba79@hotmail.com.
authors.forename: Roser
authors.initials: R
authors.lastname: González
authors.affiliation: Servicio de Medicina Preventiva y Epidemiología, Hospital Universitario Vall d'Hebron, Barcelona, España.
authors.forename: Magda
authors.initials: M
authors.lastname: Campins
authors.affiliation: Servicio de Medicina Preventiva y Epidemiología, Hospital Universitario Vall d'Hebron, Barcelona, España.
authors.forename: José Ángel
authors.initials: JÁ
authors.lastname: Rodrigo
authors.affiliation: Institut de Recerca Biomédica, Hospital Universitario Vall d'Hebron, Barcelona, España.
authors.forename: Sonia
authors.initials: S
authors.lastname: Uriona
authors.affiliation: Institut de Recerca Biomédica, Hospital Universitario Vall d'Hebron, Barcelona, España.
authors.forename: Luz María
authors.initials: LM
authors.lastname: Vilca
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D015897:Comorbidity; D003430:Cross-Sectional Studies; D004198:Disease Susceptibility; D057286:Electronic Health Records; D005260:Female; D006801:Humans; D007115:Immunization Schedule; D007223:Infant; D007252:Influenza Vaccines; D008297:Male; D012306:Risk; D013030:Spain; D014611:Vaccination / Q000706:statistics & numerical data*; D035862:Vulnerable Populations
chemical_list: D007252:Influenza Vaccines
keywords: Calendario vacunal; Cobertura vacunal; Gripe estacional; Immunization coverage; Immunization schedule; Influenza vaccination; Pediatric population; Población pediátrica; Seasonal influenza; Vacunación antigripal
vernacular_title: Cobertura de vacunación antigripal en niños con condiciones de riesgo en Cataluña.