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Exploring missed opportunities for influenza vaccination and influenza vaccine co-administration patterns among Italian older adults: a retrospective cohort study.
Domnich, Alexander; Orsi, Andrea; Ogliastro, Matilde; Trombetta, Carlo-Simone; Scarpaleggia, Marianna; Ceccaroli, Chiara; Amadio, Carla; Raffo, Anna; Berisso, Luca; Yakubovich, Alla; Zappa, Giacomo; Amicizia, Daniela; Panatto, Donatella; Icardi, Giancarlo.
Afiliação
  • Domnich A; Hygiene Unit, San Martino Policlinico Hospital-IRCCS for Oncology and Neurosciences, Genoa, Italy.
  • Orsi A; Hygiene Unit, San Martino Policlinico Hospital-IRCCS for Oncology and Neurosciences, Genoa, Italy.
  • Ogliastro M; Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.
  • Trombetta CS; Interuniversity Research Center on Influenza and Other Transmissible Infections (CIRI-IT), Genoa, Italy.
  • Scarpaleggia M; Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.
  • Ceccaroli C; Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.
  • Amadio C; Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.
  • Raffo A; Local Health Unit 3 (ASL3), Genoa, Italy.
  • Berisso L; Local Health Unit 3 (ASL3), Genoa, Italy.
  • Yakubovich A; Local Health Unit 3 (ASL3), Genoa, Italy.
  • Zappa G; Local Health Unit 3 (ASL3), Genoa, Italy.
  • Amicizia D; Local Health Unit 3 (ASL3), Genoa, Italy.
  • Panatto D; Local Health Unit 3 (ASL3), Genoa, Italy.
  • Icardi G; Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy.
Eur J Public Health ; 33(6): 1183-1187, 2023 12 09.
Article em En | MEDLINE | ID: mdl-37632235
ABSTRACT

BACKGROUND:

Missed opportunities constitute a main driver of suboptimal seasonal influenza vaccination (SIV) coverage in older adults. Vaccine co-administration is a way to reduce these missed opportunities. In this study, we quantified missed opportunities for SIV, identified some of their socio-structural correlates and documented SIV co-administration patterns.

METHODS:

In this registry-based retrospective cohort study, we verified the SIV status of all subjects aged ≥65 years who received at least one dose of coronavirus disease 2019 (COVID-19), pneumococcal or herpes zoster vaccines during the 2022/23 influenza season. The frequency of concomitant same-day administration of SIV with other target vaccines was also assessed.

RESULTS:

Among 41 112, 5482 and 3432 older adults who received ≥1 dose of COVID-19, pneumococcal and herpes zoster vaccines, missed opportunities for SIV accounted for 23.3%, 5.0% and 13.2%, respectively. Younger, male and foreign-born individuals were generally more prone to missing SIV. The co-administration of SIV with other recommended vaccines was relatively low, being 11.0%, 53.1% and 17.1% in COVID-19, pneumococcal and herpes zoster cohorts, respectively.

CONCLUSIONS:

A sizeable proportion of older adults who received other recommended vaccines during the last influenza season did not receive SIV. This share of missed opportunities, which are subject to some social inequalities, may be addressed by increasing vaccine co-administration rates and implementing tailored health promotion interventions.
Assuntos

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 1_ASSA2030 / 4_TD Base de dados: MEDLINE Assunto principal: Vacinas contra Influenza / Influenza Humana / Vacina contra Herpes Zoster / COVID-19 / Herpes Zoster Tipo de estudo: Etiology_studies / Observational_studies Limite: Aged / Humans / Male País/Região como assunto: Europa Idioma: En Revista: Eur J Public Health Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 1_ASSA2030 / 4_TD Base de dados: MEDLINE Assunto principal: Vacinas contra Influenza / Influenza Humana / Vacina contra Herpes Zoster / COVID-19 / Herpes Zoster Tipo de estudo: Etiology_studies / Observational_studies Limite: Aged / Humans / Male País/Região como assunto: Europa Idioma: En Revista: Eur J Public Health Ano de publicação: 2023 Tipo de documento: Article