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Vaccine . Seasonal influenza vaccination coverage and the social determinants of influenza vaccination among people over 50 with diabetes in Europe:

tetano

Editor, Senior Moderator
Vaccine


. 2024 Dec 21:45:126646.
doi: 10.1016/j.vaccine.2024.126646. Online ahead of print. Seasonal influenza vaccination coverage and the social determinants of influenza vaccination among people over 50 with diabetes in Europe: Analyzing population-based SHARE data for the 2019-2020 and 2021-2022 influenza seasons

Jiancong Wang[SUP] 1 [/SUP], Thaddäus Tönnies[SUP] 2 [/SUP], Ralph Brinks[SUP] 3 [/SUP]



Affiliations
Abstract

Background: Seasonal influenza vaccination coverage data for adults with chronic medical conditions are very scarce. We aimed to investigate the influenza vaccination rates and explore the common social determinants associated with vaccination in Europe across two influenza seasons.
Methods: This cross-sectional study used data from the European SHARE survey for the 2019-2020 and 2021-2022 influenza seasons. Participants over 50 diagnosed with diabetes were included, and weighted influenza vaccination rates for both seasons were calculated. Multivariable analyses were used to examine the relationships between vaccination coverage and demographic, physical, social, and healthcare factors over the two seasons.
Results: The weighted seasonal influenza vaccination coverage rate was significantly higher in the 2021-2022 season (54 %) than in the 2019-2020 season (46 %) among people over 50 with diabetes. Factors simultaneously and positively associated with influenza vaccination in both seasons included being aged 65 or older; residing in Western, Northern, or Southern Europe; satisfaction with basic health insurance; having supplementary health insurance; and frequent medical consultations.
Conclusions: Despite the increase, the average European influenza vaccination level remains below the EU target of 75 %. This study fills an important data gap for the ECDC by providing information on influenza vaccination coverage rates among people over 50 with diabetes. The findings highlight the crucial role of a robust social and healthcare system in promoting vaccination. To improve vaccination rates, the ECDC-funded VENICE network should enhance vaccination knowledge, address socioeconomic disparities by strengthening local programs and funding, and collaborate with various stakeholders to develop regional strategies.

Keywords: Diabetes; ECDC-funded VENICE network; Europe; SHARE-project; Seasonal influenza vaccination coverage; Social determinants.

 
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