Inequalities in influenza vaccine uptake among people aged over 74 years in Britain.


Mangtani, P; Breeze, E; Kovats, RS; Ng, ES; Roberts, JA; Fletcher, A; (2005) Inequalities in influenza vaccine uptake among people aged over 74 years in Britain. Preventive medicine, 41 (2). pp. 545-53. ISSN 0091-7435 DOI: 10.1016/j.ypmed.2005.02.001

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Abstract

BACKGROUND:: In the UK, payments to providers (General Practitioners) for vaccinating all people aged over 64 years old against influenza commenced in 2000. Little information exists on the relationship between uptake and need. We assessed factors influencing uptake and equity in uptake in over 74 year olds. METHODS:: We analysed cohort data from 5572 subjects in a community-based trial. Analyses took into account clustering and location of general practices in terms of Underprivileged Area (UPA) Score and area Standardised Mortality Ratio (SMR). RESULTS:: Vaccine uptake in practices in the most deprived tertile was 0.88 (95% CI 0.80-0.96) that of the least deprived and mid tertile, adjusted for confounding. Within each deprivation tertile, uptake in the mid and highest SMR tertile was 0.86 (95% CI 0.79, 0.94) and 0.87 (95% CI 0.81, 0.95) that of the lowest respectively. Uptake was 10% lower at the most in individuals with poorer quality housing. Higher uptake if married or with respiratory conditions and lower uptake if smoked had cognitive impairment or depression did not explain the socioeconomic differentials. CONCLUSIONS:: Lower uptake in practices in deprived areas supports targeting of resources. At the individual level, those who are more isolated require support to access influenza vaccination.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Faculty of Public Health and Policy > Dept of Social and Environmental Health Research
Faculty of Epidemiology and Population Health > Dept of Non-Communicable Disease Epidemiology
Faculty of Public Health and Policy > Dept of Health Services Research and Policy
Academic Services & Administration > Academic Administration
Research Centre: Vaccine Centre
PubMed ID: 15917051
Web of Science ID: 230008000023
URI: http://researchonline.lshtm.ac.uk/id/eprint/13627

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