Influenza Vaccination Coverage among Older Adults with Hypertension in Shenzhen, China: A Cross-Sectional Survey during the COVID-19 Pandemic

Background: Older individuals with hypertension are at a high risk of being infected with influenza. However, there have been few studies investigating the influenza vaccination status among older people with hypertension. The present work aimed to estimate the vaccination coverage and determine the predictors of seasonal influenza vaccinations among hypertensive patients aged over 60 years in Shenzhen, China. Method: The study used data from an online cross-sectional survey that was conducted in Shenzhen City, China, in October 2020. Frequencies and proportions of all the variables including sociodemographic characteristics and health-related information were described and tabulated based on the influenza vaccination status. Bivariate and multivariable logistic regression analyses were used to identify independent predictors associated with the influenza vaccination. Results: A total of 5216 older people with hypertension aged above 60 years were recruited. Overall, only 4.7% had received an influenza vaccine in the latest influenza season. Using the action toward being vaccinated as the primary outcome, the multivariable regression analysis showed that participants aged over 80 years (aOR 2.957, 95% CI: 1.784–4.900), obtaining higher education levels (aOR 1.424, 95% CI: 1.060–1.914 for high school, aOR 1.681, 95% CI: 1.066–2.650 for college or above), living with a partner (aOR 1.432, 95% CI: 1.068–1.920), using a family doctor (aOR 2.275, 95% CI: 1.744–2.968), and taking a physical examination 1–2 and ≥3 times each year (aOR 2.107, 95% CI: 1.601–2.772 and aOR 2.118, 95% CI: 1.083–4.143, respectively) were more likely to be vaccinated. In contrast, smokers had less likelihood of having the influenza vaccination than non-smokers (aOR 1.829, 95% CI: 1.208–2.767). Conclusions: The coverage rate of influenza vaccinations is far away from optimistic among older adults with hypertension. Additional works should be undertaken immediately to improve the influenza vaccination status.

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Influenza Vaccination Coverage and Intention to Receive Hypothetical Ebola and COVID-19 Vaccines among Medical Students

Vaccines ◽

10.3390/vaccines9070709 ◽

2021 ◽

Vol 9 (7) ◽

pp. 709

Author(s):

Ewa Talarek ◽

Joanna Warzecha ◽

Marcin Banasiuk ◽

Aleksandra Banaszkiewicz

Keyword(s):

Medical Students ◽

Influenza Vaccine ◽

Influenza Vaccination ◽

Vaccination Coverage ◽

Vaccination Status ◽

Vaccine Uptake ◽

Cross Sectional ◽

Medical University ◽

Influenza Vaccinations ◽

To Receive

The study aimed to determine influenza vaccine uptake among medical students and their intention to receive a hypothetical Ebola or COVID-19 vaccine. This cross-sectional questionnaire-based study was performed in 2015 and 2020 on 675 medical students at the Medical University of Warsaw, Poland. In 2020, the influenza vaccination coverage was 36.5%, and students were almost five times more likely to be vaccinated than in 2015 (OR = 4.8; 95% CI: 3.1–7.5). In 2020, the survey was conducted during the first university campaign targeted at free influenza vaccinations for all students, as well as during the first lockdown in Poland due to the COVID-19 pandemic. In 2020, clinical students (4th–6th study year) were significantly more often vaccinated than preclinical students (p < 0.001), in contrast to 2015. A majority—67.0% and 94.6%—of students expressed their intention to receive a hypothetical Ebola or COVID-19 vaccine, respectively. Among the medical students, influenza vaccination status was a predictor of the intention to receive a COVID-19 vaccine. Influenza vaccine uptake among medical students has increased significantly, but it is still not optimal; thus, further educational efforts are needed to convince those who are hesitant regarding vaccines. A high number of students reported their intention to receive a COVID-19 vaccine, and it is crucial to support their positive attitude about it.

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Influenza Vaccination Coverage of Healthcare Workers in Nursing Homes in France and Related Determinants, 2018- 2019 Season: A Cross-Sectional Survey

10.21203/rs.3.rs-934635/v1 ◽

2021 ◽

Author(s):

Sophie Vaux ◽

Laure Fonteneau ◽

Anne-Gaëlle Venier ◽

Arnaud Gautier ◽

Sophan Soing Altrach ◽

...

Keyword(s):

Nursing Home ◽

Nursing Homes ◽

Influenza Vaccination ◽

Vaccination Coverage ◽

Healthcare Workers ◽

Negative Binomial ◽

Nursing Assistants ◽

Influenza Vaccines ◽

Cross Sectional Survey ◽

Cross Sectional

Abstract Background The burden of influenza morbidity and mortality in nursing homes (NH) is high. Vaccination of residents and healthcare workers (HCW) is the main prevention strategy. Despite recommendations, HCW vaccination coverage is generally low. Methods We performed a nationwide cross-sectional survey of NH using a single-stage stratified random sampling design to estimate influenza vaccination coverage in nursing home HCW in France during the 2019-2020 season, and to identify measures likely to increase it. A multivariate analysis was performed using a negative binomial regression. Results Overall influenza vaccination coverage in HCW was 31.9% (95% CI [29.7-34.1]). It varied according to occupational category: 75.5% [69.3-81.7] for physicians, 42.9% [39.4-46.4] for nurses, 26.7% [24.5-29.0] for nursing assistants, and 34.0% [30.1-38.0] for other paramedical personnel. When considering all professionals (i.e., HCW and non-medical professionals), overall vaccination coverage was 30.6% [28.2-33.0]. Vaccination coverage was higher in private nursing homes, in i) small nursing homes, ii) when vaccination was offered free of charge (RRa: 1.4, [1.1-1.8]), iii) when vaccination promotion for professionals included individual (RRa: 1.6 [1.1-2.1]) or collective (RRa: 1.3 [1.1-1.5]) information sessions, videos or games (RRa: 1.4 [1.2-1.6], iv) when information on influenza vaccines was provided (RRa: 1.2 [1.0-1.3], and finally, vi) when a vaccination point of contact - defined as an HCW who could provide reliable information on vaccination - was nominated within the nursing home (RRa: 1.7 [1.3-2.2]). Conclusions Urgent and innovative actions are required to increase coverage in HCW. Vaccination programmes should include free vaccination and education campaigns, and particularly target nursing assistants. The results of this nationwide study provide keys for improving influenza vaccination coverage in HCW. Programmes should ensure that information on influenza vaccines is provided by a vaccination point of contact in NH using attractive media. Combining the different prevention measures proposed could increase coverage in NH nationwide by over 50%.

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Self-reported testing and treatment histories among older Australian men and women who may be at risk of a sexually transmissible infection

Sexual Health ◽

10.1071/sh16075 ◽

2017 ◽

Vol 14 (2) ◽

pp. 139 ◽

Cited By ~ 4

Author(s):

Wendy Heywood ◽

Anthony Lyons ◽

Bianca Fileborn ◽

Victor Minichiello ◽

Catherine Barrett ◽

...

Keyword(s):

Older Adults ◽

At Risk ◽

Family Doctor ◽

Cross Sectional Survey ◽

Cross Sectional ◽

The Past ◽

Sti Testing ◽

Sexually Transmissible Infections ◽

Education Campaigns ◽

Sexually Transmissible Infection

Background: Rates of sexually transmissible infections (STIs) are increasing among older adults in many countries. Little is known about the testing and treatment histories of these populations. Correlates of testing in the past 5 years among older adults who may be at risk of a STI were examined. Methods: A cross-sectional survey of 2137 Australians aged 60+ years that involved questions on STIs and STI testing was conducted in 2015. To help inform potential education campaigns, analyses focused on those who may have been at risk of a STI (n = 805, 38%). Results: Less than one in three reported a STI test in the past 5 years (n = 241, 30%) while 6% (n = 51) reported a STI diagnosis. Those diagnosed typically received treatment from a family doctor or general practitioner. Among men, lower testing rates were associated with older age, identifying as heterosexual, lower educational attainment, not using online dating and reporting one partner in the past 5 years. For women, lower rates of testing were found among those who did not use a condom at their most recent sexual encounter and those with one partner in the past 5 years. Conclusions: STI testing rates were low. This study indicates that consideration should be given to the way targeted education campaigns are formulated, such as emphasising the importance of STI testing to older people who are at risk, as well as encouraging healthcare professionals to discuss sexual health with their older patients.

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Diurnal Profiles of Locomotive and Household Activities Using an Accelerometer in Community-Dwelling Older Adults with Musculoskeletal Disorders: A Cross-Sectional Survey

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17155337 ◽

2020 ◽

Vol 17 (15) ◽

pp. 5337

Author(s):

Harutoshi Sakakima ◽

Seiya Takada ◽

Kosuke Norimatsu ◽

Shotaro Otsuka ◽

Kazuki Nakanishi ◽

...

Keyword(s):

Older Adults ◽

Chronic Pain ◽

Older People ◽

Musculoskeletal Disorders ◽

Cross Sectional Survey ◽

Household Activity ◽

Cross Sectional ◽

Healthy Older Adults ◽

Severe Chronic Pain ◽

Household Activities

The present study investigates the diurnal profiles of locomotive and household activities in older adults with musculoskeletal disorders (MSDs) using an accelerometer. Furthermore, we examined the effect of chronic pain on their diurnal profiles in both activities. Seventy-one older adults with MSDs (73–89 years) were included in this cross-sectional survey, and 25 age-matched older adults (75–86 years) were selected as healthy older adults. The daily physical activities, including steps walked and locomotive and household activity intensities, were recorded using a triaxial accelerometer in terms of metabolic equivalent task-hours per week (MET-h/week). The diurnal profiles of steps and locomotive activities in older adults with MSDs were considerably lower than those of healthy older adults. In contrast, there was no significant decline in household activity. However, the locomotive and household activities were reduced by severe chronic pain. This survey demonstrated that the diurnal profiles of household activity in older people with MSDs as well as those in age-matched healthy older adults were maintained. Furthermore, severe chronic pain influenced both activities. Therefore, the maintenance of household activity throughout the day, as well as the management of chronic pain, may be important strategies for the promotion of physical activity in older people with MSDs.

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Reasons for low influenza vaccination coverage – a cross-sectional survey in Poland

Croatian Medical Journal ◽

10.3325/cmj.2011.52.126 ◽

2011 ◽

Vol 52 (2) ◽

pp. 126-133 ◽

Cited By ~ 14

Author(s):

Przemyslaw Kardas ◽

Anna Zasowska ◽

Joanna Dec ◽

Magdalena Stachurska

Keyword(s):

Influenza Vaccination ◽

Vaccination Coverage ◽

Cross Sectional Survey ◽

Cross Sectional

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Do older people with cardiovascular-metabolic multimorbidity prefer to sign contracts for family doctor services? Evidence from a cross-sectional study in rural Shandong, China

BMC Geriatrics ◽

10.1186/s12877-021-02543-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Shijun Yang ◽

Jie Li ◽

Peipei Fu ◽

Yan Chen ◽

Yi Wang ◽

...

Keyword(s):

Older Adults ◽

Older People ◽

Family Doctor ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Logistic Analysis ◽

The Status ◽

The Government ◽

Rural Older Adults

Abstract Background Family doctor policy is an important part of deepening healthcare reform in China. The study aimed to explore the association between cardiovascular-metabolic multimorbidity and the status of signing a contract for family doctor services among the older people in rural Shandong, China. Methods A cross-sectional study was conducted in 3 cities of Shandong province, China. A total of 1395 rural residents over 60 years of age were included in this study using a multistage stratified random sampling method. Covariates included demographic and socioeconomic characteristics, health-related characteristics, health service utilization, and awareness of family doctor contract services. The univariate and multivariate regression logistic analysis was used to analyze the data. Results There were 28.2% of the rural older people contracted for the family doctor contract services. The contract rate of seniors with cardiovascular-metabolic multimorbidity was statistically higher than those without cardiovascular-metabolic multimorbidity (OR = 1.67, 95%CI, 1.21-2.32) after controlling for confounding factors. In addition, occupation, physical activities, self-rated health status, distance from the village clinic, the awareness of family doctor contract services were found to be associated with the signing behavior among the rural older adults. Conclusion This study demonstrated that the rural older people with cardiovascular-metabolic multimorbidity had a higher family doctor contract rate than those without cardiovascular-metabolic multimorbidity, and there was a gap between the current signing rate and the policy goal. To increase the rate of signing for family doctor contract services, the government should take joint efforts to expand the publicity and coverage, and give priority to meeting the healthcare demands of rural older adults with cardiovascular-metabolic multimorbidity.

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Influenza vaccination coverage and its influencing factors among older people in Shanghai, China: A cross-sectional study

Revue d Épidémiologie et de Santé Publique ◽

10.1016/j.respe.2018.05.332 ◽

2018 ◽

Vol 66 ◽

pp. S358

Author(s):

C. Ye ◽

W. Zhu ◽

Q. Sun ◽

G. Zhao

Keyword(s):

Older People ◽

Influenza Vaccination ◽

Influencing Factors ◽

Vaccination Coverage ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Instructors’ Perceptions of Mostly Seated Exercise Classes: Exploring the Concept of Chair Based Exercise

BioMed Research International ◽

10.1155/2016/3241873 ◽

2016 ◽

Vol 2016 ◽

pp. 1-8 ◽

Cited By ~ 3

Author(s):

Katie R. Robinson ◽

Tahir Masud ◽

Helen Hawley-Hague

Keyword(s):

Older Adults ◽

Older People ◽

Qualitative Data ◽

Framework Analysis ◽

Delphi Consensus ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Term Care ◽

Exercise Programmes ◽

Exercise Classes

Chair based exercise (CBE) can be used to engage older adults unable to take part in standing exercise programmes. Defining and understanding the context of CBE have been acknowledged as a challenge. We explore instructor experiences of delivering mostly seated exercise classes for older people and how this helps us to further understand the concept of CBE. We extracted qualitative data from a cross-sectional survey with 731 exercise instructors. 378 delivered mostly seated classes and 223 of those instructors provided qualitative data. There were 155 instructors who did not provide any qualitative comments. Framework analysis was used and informed by a Delphi consensus study on CBE. Instructors perceived mostly seated classes as predominantly CBE; they defined it as an introductory class that should be offered as part of a continuum of exercise. It was considered suitable for those with limitations and older adults in long-term care and with dementia. Instructors reported CBE used inappropriately for more active older people. Instructors reported observing improvements in mood and cognition and broader social benefits. Instructors’ perspectives largely support expert consensus that CBE has an important role in a continuum of exercise. Providers of CBE need to ensure that more challenging exercises are introduced where appropriate. Further research is needed to explore older adults’ perceptions of CBE.

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Validity of Maternal Recall to Assess Vaccination Coverage: Evidence from Six Districts in Zhejiang Province, China

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16060957 ◽

2019 ◽

Vol 16 (6) ◽

pp. 957

Author(s):

Yu Hu ◽

Yaping Chen ◽

Ying Wang ◽

Hui Liang

Keyword(s):

Vaccination Coverage ◽

Home Delivery ◽

Vaccination Status ◽

Zhejiang Province ◽

Recall Bias ◽

Cross Sectional Survey ◽

Cross Sectional ◽

High Parity ◽

Maternal Recall ◽

Level Of Agreement

Background: Although recall-based data are collected by survey when the vaccination records are not available, the preferred estimates remain the record-based ones due to the limited validity of recall-based data. However, the evidence on validity of maternal recalls is limited and varied across vaccine types. To close the gaps, we validated the maternal recall on vaccination against record-based data in six districts in Zhejiang Province, China. Methods: We used a cross-sectional survey of about 648 households with mothers who delivered in the last 12 months prior to the survey in October 2017, from six districts in Zhejiang Province. Vaccination status on five vaccine types scheduled before 12 months of age were collected through maternal recall and vaccination records. The level of agreement and recall bias between the two resources, the sensitivity and specificity of maternal recall were evaluated. Risk factors for maternal recall bias were also identified through logistic regression model for each type of vaccine. Results: The level of agreement between recall and record was above 90% across vaccine types, with the recall bias ranged from 2.2% to 9.7%. Recall bias due to over-reporting was slightly higher than that due to under-reporting. Recall bias was positively associated with high parity, home delivery, younger mothers, mothers with low education, and migrant mothers. Conclusions: This study indicated most of the vaccination status across vaccine types was accurately identified through maternal recall and supported the use of maternal recall to estimate the vaccination coverage as an alternative in the absence of record-based data.

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