title: [Pneumococcal vaccination coverage in at-risk children in Catalonia].
abstract: BACKGROUND
  The public health system in Catalonia only funds pneumococcal vaccination in paediatrics for children at-risk. The aim of this study was to determine pneumococcal vaccination coverage and its association with age, sociodemographic factors and other variables.
  
  
  METHODS
  Descriptive cross-sectional study of children aged between 2 months and 15 years old assigned to primary care centres in Catalonia and with diseases that are included for pneumococcal vaccine in the official vaccination program. The information on vaccination status and study variables were obtained from data registered in the electronic medical records in the primary care centres. An analysis was made of the association between pneumococcal vaccination and demographic and medical variables using bivariate analysis and a multiple logistic regression model. The adjusted odds ratio (aOR), with a confidence interval of 95%, was used to measure the relationships.
  
  
  RESULTS
  Pneumococcal vaccination coverage was 47.7%. Variables which predicted pneumococcal vaccination were: age (aOR: 9.2 [7.9-10.7] in children 2 months-2 years old; aOR 8.1 [7.0-9.3] in children 3-5 years; aOR: 4.6 [4.0-5.2] in children 6-10 years), Spanish nationality (aOR: 3.9 [3.5-4.3]), correct immunisation according to systematic immunisation schedule (aOR: 2.5 [2.1-3.0]), and number of risk conditions (aOR: 3.2 [2.5-4.1] in children with 2 or more conditions).
  
  
  CONCLUSIONS
  Pneumococcal vaccination coverage in children with risk conditions is low in Catalonia. Strategies need to be implemented to increase coverage.
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: Lluís
authors.initials: L
authors.lastname: Armadans
authors.affiliation: Servicio de Medicina Preventiva y Epidemiología, Hospital Universitario Vall d'Hebron, Barcelona, España.
authors.forename: Xavier
authors.initials: X
authors.lastname: Martínez
authors.affiliation: Unidad de Patología Infecciosa e Inmunodeficiencias de Pediatría, Hospital Universitario Vall d'Hebron, Barcelona, España.
authors.forename: Fernando
authors.initials: F
authors.lastname: Moraga
authors.affiliation: Servicio de Medicina Preventiva y Epidemiología, Hospital Universitario Vall d'Hebron, Barcelona, España.
authors.forename: Magda
authors.initials: M
authors.lastname: Campins
mesh_terms: D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease / Q000453:epidemiology; D003430:Cross-Sectional Studies; D004198:Disease Susceptibility; D005260:Female; D006801:Humans; D007115:Immunization Schedule; D007117:Immunization, Secondary / Q000706:statistics & numerical data; D007223:Infant; D008297:Male; D022242:Pneumococcal Vaccines; D012306:Risk; D013030:Spain / Q000453:epidemiology; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D022242:Pneumococcal Vaccines
keywords: Calendario vacunal; Cobertura de vacunación; Immunisation schedule; Paediatric population; Pneumococcal vaccination; Población pediátrica; Vaccine coverage; Vacunación antineumocócica