Russell M L, Maxwell C J
Department of Community Health Sciences, Faculty of Medicine, University of Calgary, 3330 Hospital Dr NW, Calgary, AB T2N 4N1.
Can J Public Health. 2000 Nov-Dec;91(6):441-4. doi: 10.1007/BF03404825.
To estimate the prevalence and correlates of influenza vaccination in a Home Care population.
This was a cross-sectional investigation involving linkage of three population-based databases from a rural Alberta Regional Health Authority, i.e., the Regional immunization and the Regional home oxygen information systems to the Regional home care information system. The sample comprised 649 persons who had been admitted or discharged from the Regional Home Care Program in the period Oct. 1-Dec. 31, 1998. An anonymous data file was released to the investigators. We estimated the proportion ever vaccinated against influenza, the proportion vaccinated in the period Oct. 1-Dec. 31, 1998 ("currently vaccinated"); and explored sociodemographic and program correlates of current vaccination.
67% had ever been vaccinated against influenza; 60.7% were currently vaccinated. Factors associated with current vaccination (multivariate analysis) include older age, being married, not receiving nursing services, district of residence and program status.
Influenza vaccination rates were suboptimal. The correlates of vaccination suggest systems-level impediments to influenza vaccination.
评估居家护理人群中流感疫苗接种率及其相关因素。
这是一项横断面调查，涉及将阿尔伯塔省农村地区卫生当局的三个基于人群的数据库相链接，即地区免疫数据库、地区家庭氧气信息系统与地区居家护理信息系统。样本包括1998年10月1日至12月31日期间从地区居家护理项目入院或出院的649人。向研究人员提供了一个匿名数据文件。我们估计了曾经接种过流感疫苗的比例、1998年10月1日至12月31日期间接种疫苗的比例（“当前接种疫苗”）；并探讨了当前接种疫苗的社会人口学和项目相关因素。
67%的人曾经接种过流感疫苗；60.7%的人当前接种疫苗。与当前接种疫苗相关的因素（多变量分析）包括年龄较大、已婚、未接受护理服务、居住地区和项目状态。
流感疫苗接种率不理想。接种疫苗的相关因素表明存在影响流感疫苗接种的系统层面障碍。
