Restivo V, Cernigliaro A, Palmeri S, Sinatra I, Costantino C, Casuccio A
Department of Science for Health Promotion and Mother-Child Care "G. D'Alessandro", University of Palermo, Italy.
Department of Health Services and Epidemiological Observatory, Regional Health Authority, Sicilian Region, Palermo, Italy.
J Prev Med Hyg. 2019 Feb 28;59(4 Suppl 2):E26-E30. doi: 10.15167/2421-4248/jpmh2018.59.4s2.1074. eCollection 2018 Dec.
Socio-economic status (SES) seems to be a determinant of health and is associated with vaccination coverage among older and at-risk populations. The aim of this study was to evaluate trends in health outcomes and the Socio-Economic and Health Deprivation Index (SEHDI) among elderly people in the city of Palermo.
In the 2015 CCM project, the Palermo Unit collected mortality data for use in validating the SEHDI. Italian census data from 2009 to 2015 on overall mortality and causes of death were used. The outcome used to validate the SEHDI was vaccination coverage from the 2009-2010 to 2014-2015 influenza seasons among the elderly in Palermo.
The SEHDI correlated significantly with all-cause mortality (p < 0.05), though this correlation displayed a decreasing trend. Regarding mortality due to influenza or pneumonia, however, the significant correlation (p < 0.05) showed an increasing trend. A linear trend was observed in the inverse correlation between the SEHDI and vaccination coverage rates (p < 0.05), with an overall 27% vaccination coverage among older people. Elderly subjects living in a census district with more regular immigrants, divorced people and single-parent families were more reluctant to undergo influenza vaccination.
This study allowed us to identify subgroups of elderly people who are less likely to adhere to influenza vaccination, and to whom health promotion interventions could be addressed in order to facilitate "healthy aging".
社会经济地位（SES）似乎是健康的一个决定因素，并且与老年及高危人群的疫苗接种覆盖率相关。本研究的目的是评估巴勒莫市老年人的健康结果趋势以及社会经济与健康剥夺指数（SEHDI）。
在2015年的CCM项目中，巴勒莫小组收集了死亡率数据以用于验证SEHDI。使用了2009年至2015年意大利人口普查中关于总体死亡率和死因的数据。用于验证SEHDI的结果是2009 - 2010年至2014 - 2015年流感季节巴勒莫老年人的疫苗接种覆盖率。
SEHDI与全因死亡率显著相关（p < 0.05），尽管这种相关性呈下降趋势。然而，关于流感或肺炎导致的死亡率，显著相关性（p < 0.05）呈上升趋势。观察到SEHDI与疫苗接种覆盖率之间呈负相关的线性趋势（p < 0.05），老年人的总体疫苗接种覆盖率为27%。居住在有更多正规移民、离婚者和单亲家庭的普查区的老年受试者更不愿意接受流感疫苗接种。
本研究使我们能够识别出不太可能坚持接种流感疫苗的老年亚组人群，并针对他们开展健康促进干预措施，以促进“健康老龄化”。
