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自我报告糖尿病患者的流感疫苗接种率及其预测因素——来自匈牙利实施的欧洲健康访谈调查的结果。

Influenza Vaccination Coverage and Its Predictors among Self-Reported Diabetic Patients-Findings from the Hungarian Implementation of the European Health Interview Survey.

机构信息

Faculty of Health Sciences, University of Debrecen, 4032 Debrecen, Hungary.

出版信息

Int J Environ Res Public Health. 2022 Dec 5;19(23):16289. doi: 10.3390/ijerph192316289.

Abstract

In high-risk populations, such as the elderly or those with serious medical issues, for instance, people with cardiovascular diseases or diabetes, influenza can have devastating effects because it might contribute to severe complications or even death. This makes vaccination against influenza an essential component of public health. The primary objective of our research was to identify the characteristics that influenced whether an individual chose to become vaccinated against influenza, with an emphasis on whether they reported having diabetes. The data were obtained from the Hungarian implementation of the European Health Interview Surveys, which were conducted in 2009, 2014, and 2019. The total sample size was 15,874 people. To determine the variables that were related to vaccination, a multivariate logistic regression analysis that included interactions was performed. The overall vaccination coverage was 13% in 2009 and 12% in 2014 and 2019 among non-diabetic respondents; the coverage was 26% in 2009, 28% in 2014, and 25% in 2019 among diabetic respondents. Despite vaccination coverage in both groups being below the optimal level of 75%, we were able to identify factors influencing vaccination coverage. Among diabetic respondents, younger age, lower education level, sex, and co-morbidities were factors that influenced vaccination status. It is important for authorities managing healthcare and medical practitioners to be aware of the potential effects that influenza can have on diabetic patients; therefore, more efforts need to be made to increase the number of diabetic people receiving a vaccination against influenza.

摘要

在高危人群中,例如老年人或有严重医疗问题的人,如心血管疾病或糖尿病患者,流感可能会产生破坏性影响,因为它可能导致严重的并发症,甚至死亡。因此,接种流感疫苗是公共卫生的重要组成部分。我们研究的主要目的是确定影响个人是否选择接种流感疫苗的特征,重点是他们是否报告患有糖尿病。数据来自 2009 年、2014 年和 2019 年在匈牙利实施的欧洲健康访谈调查。总样本量为 15874 人。为了确定与接种疫苗相关的变量,我们进行了包括交互作用的多变量逻辑回归分析。在非糖尿病患者中,2009 年的总体疫苗接种率为 13%,2014 年和 2019 年为 12%;在糖尿病患者中,2009 年的接种率为 26%,2014 年为 28%,2019 年为 25%。尽管两组的疫苗接种率都低于 75%的最佳水平,但我们还是能够确定影响疫苗接种率的因素。在糖尿病患者中,年龄较小、受教育程度较低、性别和合并症是影响接种状况的因素。管理医疗保健的当局和医疗从业者必须意识到流感对糖尿病患者可能产生的潜在影响;因此,需要做出更多努力来增加接种流感疫苗的糖尿病患者人数。

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