title: Coverage of and factors associated with pneumococcal vaccination in chronic obstructive pulmonary disease.
abstract: METHODS
  Patients aged ⩾ 40 years with a diagnosis of chronic obstructive pulmonary disease (COPD; codes R95, R79 and R91 in the International Classification for Primary Care) registered in primary care clinical records in the Autonomous Community of Madrid, Spain.
  
  
  OBJECTIVE
  To assess pneumococcal vaccination coverage in patients with COPD and to analyse factors associated with vaccination uptake.
  
  
  METHODS
  Population-based cross-sectional study in which data were collected in September 2010.
  
  
  RESULTS
  We found that 93,797 patients (72.0% men and 28.0% women) had COPD. Overall coverage was 65.5% (67.5% men vs. 60.4% women, P < 0.001). In patients aged 40-59 years, coverage was 19.5%, reaching 75.8% in those aged ⩾ 60 years. In patients aged <60 years, uptake was associated with a higher number of comorbidities and appropriate adherence to seasonal influenza and pandemic vaccination schedules. In patients aged ⩾ 60 years, factors associated with uptake in both sexes were older age and appropriate adherence to seasonal influenza vaccination schedules. Factors associated with uptake in men were concomitant comorbidities and pandemic vaccination.
  
  
  CONCLUSIONS
  Vaccination coverage in individuals aged <60 years with COPD is less than acceptable in Madrid. Coverage was higher in men and in patients with another chronic condition.
authors.affiliation: Servicio de Medina Preventiva, Hospital Clinico Universitario San Carlos, Madrid, Spain.
authors.forename: L V
authors.initials: LV
authors.lastname: Carreño-Ibáñez
authors.affiliation: Subdirección de Promoción de la Salud y Prevención, Consejeria de Sanidad, Comunidad de Madrid, Madrid, Spain.
authors.forename: M D
authors.initials: MD
authors.lastname: Esteban-Vasallo
authors.affiliation: Subdirección de Promoción de la Salud y Prevención, Consejeria de Sanidad, Comunidad de Madrid, Madrid, Spain.
authors.forename: M F
authors.initials: MF
authors.lastname: Domínguez-Berjón
authors.affiliation: Subdirección de Promoción de la Salud y Prevención, Consejeria de Sanidad, Comunidad de Madrid, Madrid, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Astray-Mochales
authors.affiliation: Subdirección de Promoción de la Salud y Prevención, Consejeria de Sanidad, Comunidad de Madrid, Madrid, Spain.
authors.forename: C
authors.initials: C
authors.lastname: González Del Yerro
authors.affiliation: Subdirección de Promoción de la Salud y Prevención, Consejeria de Sanidad, Comunidad de Madrid, Madrid, Spain.
authors.forename: D
authors.initials: D
authors.lastname: Iniesta-Fornies
authors.affiliation: Subdirección de Promoción de la Salud y Prevención, Consejeria de Sanidad, Comunidad de Madrid, Madrid, Spain.
authors.forename: M J
authors.initials: MJ
authors.lastname: Gascón-Sancho
authors.affiliation: Preventive Medicine Unit, Rey Juan Carlos University, Madrid, Spain.
authors.forename: R
authors.initials: R
authors.lastname: Jiménez-García
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D003430:Cross-Sectional Studies; D005260:Female; D019983:Guideline Adherence / Q000639:trends; D019538:Health Care Surveys; D006801:Humans; D007115:Immunization Schedule; D008297:Male; D008875:Middle Aged; D011008:Pneumococcal Infections / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control*; D022242:Pneumococcal Vaccines / Q000008:administration & dosage*; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000639:trends*; D011320:Primary Health Care; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D012042:Registries; D012737:Sex Factors; D013030:Spain / Q000453:epidemiology; D014611:Vaccination / Q000639:trends*
chemical_list: D022242:Pneumococcal Vaccines