Jiménez-García Rodrigo, Hernández-Barrera Valentín, Carrasco-Garrido Pilar, de Andres Ana Lopez, Esteban y Peña Maria Mercedes, de Miguel Angel Gil
Preventive Medicine and Public Health Teaching and Research Unit, Health Sciences Faculty, Rey Juan Carlos University, Avda de Atenas s/n, Alcorcón 28402 Madrid, Spain.
Vaccine. 2008 Aug 5;26(33):4218-23. doi: 10.1016/j.vaccine.2008.05.053. Epub 2008 Jun 6.
This study sought to evaluate influenza vaccination coverage in Madrid (Spain). Coverages were estimated for vaccine target groups and special attention was placed on the immigrant population. Individual data from 7341 adults included in the Madrid City Health Survey conducted in 2005 was used. Overall influenza vaccination coverage was 24%. Compliance with age-based influenza vaccine guidelines (>or=65 years) was 63.9%, among those<65 years who had an associated chronic condition, it was 37.9% and 24.1% among HCWs. Immigrants accounted for 12.4% of the sample. Overall crude coverage was significantly lower among immigrants than among the indigenous population (11.2% vs. 25.9%), but once the multivariate analysis had been performed, the association became non-significant. In conclusion, it must be said that all the available evidence indicates an inadequate level of influenza vaccination coverage among HCWs and high-risk subjects <65 years. On the other hand, coverages among subjects aged >or=65 years are acceptable and there is no observable difference in vaccine use between immigrants and indigenous subjects. Strategies that have demonstrated their effectiveness in enhancing vaccination coverages should be applied in Madrid.
本研究旨在评估西班牙马德里地区的流感疫苗接种覆盖率。估算了疫苗目标群体的覆盖率，并特别关注了移民人群。研究使用了2005年马德里市健康调查中纳入的7341名成年人的个体数据。总体流感疫苗接种覆盖率为24%。符合基于年龄的流感疫苗接种指南（≥65岁）的比例为63.9%，在65岁以下患有相关慢性病的人群中为37.9%，在医护人员中为24.1%。移民占样本的12.4%。移民的总体粗略覆盖率显著低于本土人群（11.2%对25.9%），但在进行多变量分析后，这种关联变得不显著。总之，必须指出的是，所有现有证据表明，医护人员和65岁以下高危人群的流感疫苗接种覆盖率不足。另一方面，65岁及以上人群的覆盖率是可以接受的，移民和本土人群在疫苗使用方面没有明显差异。在马德里应采用已证明在提高疫苗接种覆盖率方面有效的策略。
