tetano
Editor, Senior Moderator
Eur J Public Health. 2018 Dec 28. doi: 10.1093/eurpub/cky264. [Epub ahead of print]
[h=1]Identifying people at risk for influenza with low vaccine uptake based on deprivation status: a systematic review.[/h] Vukovic V[SUP]1,[/SUP][SUP]2[/SUP], Lillini R[SUP]3,[/SUP][SUP]4[/SUP], Lupi S[SUP]5[/SUP], Fortunato F[SUP]6[/SUP], Cicconi M[SUP]1[/SUP], Matteo G[SUP]5[/SUP], Arata L[SUP]3[/SUP], Amicizia D[SUP]3[/SUP], Boccalini S[SUP]7[/SUP], Bechini A[SUP]7[/SUP], Prato R[SUP]6[/SUP], Stefanati A[SUP]5[/SUP], Panatto D[SUP]3[/SUP], de Waure C[SUP]1,[/SUP][SUP]8[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]Background:[/h] Influenza vaccination is an important public health intervention for controlling disease burden, but coverage rates are still low also in risk groups. In order to identify non-vaccinating subgroups, deprivation and socio-economic indices, i.e. measures used to synthetically describe people's socio-economic status while taking into account several dimensions, may be used. We aimed to synthetize evidence from studies investigating association between deprivation/socio-economic indices and influenza vaccination coverage in population at risk-persons ≥65 years of age, individuals with comorbidities, pregnant women and health-care workers.
[h=4]Methods:[/h] We searched PubMed, ISI WoS, CINAHL and Scopus to identify observational studies published up to October 10th 2017 in English or Italian. Studies reporting quantitative estimates of the association between deprivation/socio-economic indices and influenza vaccination coverage in populations at risk were included.
[h=4]Results:[/h] A total of 1474 articles were identified and 12 were eventually included in the final review. Studies were mostly cross-sectional, performed in European countries, from 2004 to 2017. Seven studies focussed on deprivation and five on socio-economic indices. Studies on deprivation indices and vaccination coverage showed that people from the most deprived areas had lower coverage. Regarding socio-economic condition, results were contrasting, even though it may also be concluded that people from lower groups have lower vaccination coverage.
[h=4]Conclusions:[/h] Our work supports the possibility to identify people likely to have lower influenza vaccination coverage based on deprivation/socio-economic indices. Efforts should be performed in order to further strengthen robustness, transferability and suitability of these indices in addressing public health problems.
PMID: 30597009 DOI: 10.1093/eurpub/cky264
[h=1]Identifying people at risk for influenza with low vaccine uptake based on deprivation status: a systematic review.[/h] Vukovic V[SUP]1,[/SUP][SUP]2[/SUP], Lillini R[SUP]3,[/SUP][SUP]4[/SUP], Lupi S[SUP]5[/SUP], Fortunato F[SUP]6[/SUP], Cicconi M[SUP]1[/SUP], Matteo G[SUP]5[/SUP], Arata L[SUP]3[/SUP], Amicizia D[SUP]3[/SUP], Boccalini S[SUP]7[/SUP], Bechini A[SUP]7[/SUP], Prato R[SUP]6[/SUP], Stefanati A[SUP]5[/SUP], Panatto D[SUP]3[/SUP], de Waure C[SUP]1,[/SUP][SUP]8[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]Background:[/h] Influenza vaccination is an important public health intervention for controlling disease burden, but coverage rates are still low also in risk groups. In order to identify non-vaccinating subgroups, deprivation and socio-economic indices, i.e. measures used to synthetically describe people's socio-economic status while taking into account several dimensions, may be used. We aimed to synthetize evidence from studies investigating association between deprivation/socio-economic indices and influenza vaccination coverage in population at risk-persons ≥65 years of age, individuals with comorbidities, pregnant women and health-care workers.
[h=4]Methods:[/h] We searched PubMed, ISI WoS, CINAHL and Scopus to identify observational studies published up to October 10th 2017 in English or Italian. Studies reporting quantitative estimates of the association between deprivation/socio-economic indices and influenza vaccination coverage in populations at risk were included.
[h=4]Results:[/h] A total of 1474 articles were identified and 12 were eventually included in the final review. Studies were mostly cross-sectional, performed in European countries, from 2004 to 2017. Seven studies focussed on deprivation and five on socio-economic indices. Studies on deprivation indices and vaccination coverage showed that people from the most deprived areas had lower coverage. Regarding socio-economic condition, results were contrasting, even though it may also be concluded that people from lower groups have lower vaccination coverage.
[h=4]Conclusions:[/h] Our work supports the possibility to identify people likely to have lower influenza vaccination coverage based on deprivation/socio-economic indices. Efforts should be performed in order to further strengthen robustness, transferability and suitability of these indices in addressing public health problems.
PMID: 30597009 DOI: 10.1093/eurpub/cky264