title: Factors associated with pneumococcal polysaccharide vaccination of the elderly in Spain: A cross-sectional study.
abstract: Vaccination of the elderly is an important factor in limiting the impact of pneumonia in the community. The aim of this study was to investigate the factors associated with pneumococcal polysaccharide vaccination in patients aged ≥ 65 years hospitalized for causes unrelated to pneumonia, acute respiratory disease, or influenza-like illness in Spain. We made a cross-sectional study during 2013-2014. A bivariate analysis was performed comparing vaccinated and unvaccinated patients, taking into account sociodemographic variables and risk medical conditions. A multivariate analysis was performed using multilevel regression models. 921 patients were included; 403 (43.8%) had received the pneumococcal vaccine (394 received the polysaccharide vaccine). Visiting the general practitioner ≥ 3 times during the last year (OR = 1.79; 95% CI 1.25-2.57); having received the influenza vaccination in the 2013-14 season (OR = 2.57; 95% CI 1.72-3.84) or in any of the 3 previous seasons (OR = 11.70; 95% CI 7.42-18.45) were associated with receiving the pneumococcal polysaccharide vaccine. Pneumococcal vaccination coverage of hospitalized elderly people is low. The elderly need to be targeted about pneumococcal vaccination and activities that encourage healthcare workers to proactively propose vaccination might be useful. Educational campaigns aimed at the elderly could also help to increase vaccination coverages and reduce the burden of pneumococcal disease in the community.
authors.affiliation: Departament de Salut Pública , Universitat de Barcelona , Barcelona , Spain.|CIBER Epidemiología y Salud Pública (CIBERESP) , Madrid , Spain.
authors.forename: Angela
authors.initials: A
authors.lastname: Domínguez
authors.affiliation: Departament de Salut Pública , Universitat de Barcelona , Barcelona , Spain.|CIBER Epidemiología y Salud Pública (CIBERESP) , Madrid , Spain.
authors.forename: Núria
authors.initials: N
authors.lastname: Soldevila
authors.affiliation: Departament de Salut Pública , Universitat de Barcelona , Barcelona , Spain.|CIBER Epidemiología y Salud Pública (CIBERESP) , Madrid , Spain.
authors.forename: Diana
authors.initials: D
authors.lastname: Toledo
authors.affiliation: CIBER Epidemiología y Salud Pública (CIBERESP) , Madrid , Spain.|Agència de Salut Pública de Catalunya , Barcelona , Spain.|Institut de Recerca Biomèdica de Lleida, Universitat de Lleida , Lleida , Spain.
authors.forename: Pere
authors.initials: P
authors.lastname: Godoy
authors.affiliation: Departament de Salut Pública , Universitat de Barcelona , Barcelona , Spain.|CIBER Epidemiología y Salud Pública (CIBERESP) , Madrid , Spain.|Agència de Salut Pública de Catalunya , Barcelona , Spain.
authors.forename: Núria
authors.initials: N
authors.lastname: Torner
authors.affiliation: Unidad de Enfermedades Infecciosas, Hospital de Mataró , Mataró , Spain.
authors.forename: Luis
authors.initials: L
authors.lastname: Force
authors.affiliation: CIBER Epidemiología y Salud Pública (CIBERESP) , Madrid , Spain.|Instituto de Salud Pública, Instituto de Investigación Sanitaria de Navarra , Pamplona , Spain.
authors.forename: Jesús
authors.initials: J
authors.lastname: Castilla
authors.affiliation: Servicio de Vigilancia de Andalucía , Sevilla , Spain.
authors.forename: José María
authors.initials: JM
authors.lastname: Mayoral
authors.affiliation: Dirección General de Salud Pública, Investigación, Desarrollo e Innovación, Junta de Castilla y León , León , Spain.
authors.forename: Sonia
authors.initials: S
authors.lastname: Tamames
authors.affiliation: CIBER Epidemiología y Salud Pública (CIBERESP) , Madrid , Spain.|Área de Medicina Preventiva y Salud Pública, Universidad de León , León , Spain.
authors.forename: Vicente
authors.initials: V
authors.lastname: Martín
authors.affiliation: Servicio de Neumología, Hospital de Galdakao-Usansolo , Vizcaya , Spain.
authors.forename: Mikel
authors.initials: M
authors.lastname: Egurrola
authors.affiliation: Servicio de Neumología, Consorci Hospital General Universitari de Valencia , Valencia , Spain.
authors.forename: Francisco
authors.initials: F
authors.lastname: Sanz
authors.affiliation: Área de Epidemiología, Consejería de Sanidad de Madrid , Madrid , Spain.
authors.forename: Jenaro
authors.initials: J
authors.lastname: Astray
authors.affiliation: Instituto de Salud Carlos III , Madrid , Spain.
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D011008:Pneumococcal Infections / Q000517:prevention & control*; D022242:Pneumococcal Vaccines / Q000008:administration & dosage*; D013030:Spain; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D022242:Pneumococcal Vaccines
keywords: elderly patients; immunization; pneumococcal vaccination; public health; vaccination