Department of Public Health and Epidemiology, Faculty of Pharmaceutical Sciences, Meiji Pharmaceutical University, 2-522-1 Noshio, Kiyose, Tokyo 204-8588, Japan.
Department of Health Care Policy and Health Economics, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennoudai, Tsukuba, Ibaraki 305-8577, Japan.
Vaccine. 2018 Sep 18;36(39):5886-5890. doi: 10.1016/j.vaccine.2018.08.023. Epub 2018 Aug 22.
In October 2014, a routine pneumococcal vaccination programme in the elderly aged 65-100 years old was initiated in Japan. Currently, this programme is within a transitional period. Eligibility for subsidy under the programme is granted for target ages in 5-year increments, over a 5-year roll-out period. We assessed the impact of the routine vaccination programme on vaccination coverage and explored the factors relating to pneumococcal vaccine uptake. We conducted a cross-sectional web-based survey in 2015 for respondents aged 65-79 years. A total of 3889 respondents answered the survey. The vaccination coverage in this study was estimated as 33.5%. Of the total respondents, 3327 were not vaccinated at initiation of the routine vaccination programme. The uptake of vaccination after implementation of the programme among them was 22.3%. There was a significant relationship between vaccination and eligibility for subsidy under the routine vaccination programme (adjusted odds ratio: 16.7). While there are some limitations to this study, introduction of the routine vaccination programme might affect pneumococcal vaccination coverage in the elderly.
2014 年 10 月，日本启动了针对 65-100 岁老年人的常规肺炎球菌疫苗接种计划。目前，该计划正处于过渡期。该计划的补贴资格按目标年龄每 5 年递增一次，在 5 年的推广期内授予。我们评估了常规疫苗接种计划对疫苗接种覆盖率的影响，并探讨了与肺炎球菌疫苗接种率相关的因素。我们于 2015 年针对 65-79 岁的受访者进行了一项基于网络的横断面调查。共有 3889 名受访者回答了调查。本研究中的疫苗接种覆盖率估计为 33.5%。在常规疫苗接种计划启动时，总计 3327 名受访者未接种疫苗。在计划实施后，他们中有 22.3%进行了疫苗接种。疫苗接种与常规疫苗接种计划补贴资格之间存在显著关系（调整后的优势比：16.7）。虽然这项研究存在一些局限性，但常规疫苗接种计划的引入可能会影响老年人的肺炎球菌疫苗接种覆盖率。
