Bechini A, Pieralli F, Chellini E, Martini A, Dugheri G, Crescioli F, Scatena T, Baggiani L, Lillini R, Fiaschi P, Bonanni P, Boccalini S
Department of Health Sciences, University of Florence, Italy.
Regional Mortality Register of Tuscany, Florence, Italy.
J Prev Med Hyg. 2019 Feb 28;59(4 Suppl 2):E18-E25. doi: 10.15167/2421-4248/jpmh2018.59.4s2.1116. eCollection 2018 Dec.
The aim of this paper is to describe the results obtained from the application of a specific local deprivation index, to general and cause-specific mortality and influenza vaccination coverage among elderly people in the municipality of Florence.
General and cause-specific mortality data (2009-2013) and influenza vaccination coverage data (2015/16 and 2016/17) were collected for subjects aged ≥ 65 years residing in the municipality of Florence (Tuscany), at the 2011 Census section level. A Socio-Economic and Health Deprivation Index (SEHDI) was constructed and validated by means of socio-economic indicators and mortality ratios.
Half of the population of Florence belonged to the medium deprivation group; about 25% fell into the two most deprived groups, and the remaining 25% were deemed to be wealthy. Elderly people mostly belonged to the high deprivation group. All-cause mortality and cause-specific mortality (cancer and respiratory diseases) reached their highest values in the high deprivation group. Influenza vaccination coverage (VC) was 54.7% in the 2015/16 and 2016/17 seasons, combined. VC showed a linear rising trend as deprivation increased and appeared to be correlated with different factors in the different deprivation groups.
As socio-economic deprivation plays an important role in health choices, application of the SEHDI enables us to identify the characteristics of the main sub-groups of the population with low adherence to influenza vaccination. The results of the present study should be communicated to General Practitioners, in order to help them to promote influenza vaccination among their patients.
本文旨在描述应用特定的局部剥夺指数，对佛罗伦萨市老年人的总体死亡率、特定病因死亡率及流感疫苗接种覆盖率所取得的结果。
收集了居住在托斯卡纳大区佛罗伦萨市、年龄≥65岁的受试者在2011年人口普查区层面的总体死亡率和特定病因死亡率数据（2009 - 2013年）以及流感疫苗接种覆盖率数据（2015/16和2016/17年）。通过社会经济指标和死亡率比值构建并验证了社会经济与健康剥夺指数（SEHDI）。
佛罗伦萨市一半人口属于中等剥夺组；约25%属于两个最贫困组，其余25%被视为富裕。老年人大多属于高剥夺组。全因死亡率和特定病因死亡率（癌症和呼吸系统疾病）在高剥夺组达到最高值。2015/16和2016/17季节的流感疫苗接种覆盖率（VC）合并后为54.7%。随着剥夺程度增加，VC呈线性上升趋势，且在不同剥夺组中似乎与不同因素相关。
由于社会经济剥夺在健康选择中起重要作用，应用SEHDI使我们能够识别流感疫苗接种依从性低的主要人群亚组的特征。本研究结果应告知全科医生，以帮助他们在患者中推广流感疫苗接种。
