Regina Roller-Wirnsberger1, Sonja Lindner2, Lea Kolosovski2, Elisabeth Platzer3, Peter Dovjak4, Holger Flick5, Chariklia Tziraki6, Maddalena Illario7. 1. Department of Internal Medicine/Geriatrics, Medical University of Graz, Graz, Austria. regina.roller-wirnsberger@medunigraz.at. 2. Department of Internal Medicine/Geriatrics, Medical University of Graz, Graz, Austria. 3. Division of Nephrology, Department of Internal Medicine, Medical University of Graz, Graz, Austria. 4. Department of Acute Geriatrics, Salzkammergut Klinikum Gmunden, Gmunden, Austria. 5. Division of Pneumology, Department of Internal Medicine, Medical University of Graz, Graz, Austria. 6. Clinic of Social and Family Medicine, School of Medicine, University of Crete, Crete, Greece. 7. Federico II Department of Public Health, Naples, Italy.
Abstract
BACKGROUND: Although the burden of influenza infection is the highest in older adults, vaccination coverage remains low, despite this age group being more vulnerable than others. AIMS: Given the current pandemic of SARS-CoV-2, it was the aim of this scope review to update knowledge on factors affecting seasonal influenza vaccine uptake among older adults to strengthen prevention approaches in the context of an overall burden of infectious diseases. METHODS: We searched bibliographic databases from 2012 to 2019. All studies reviewed one or more social determinant of health listed by WHO, or factors affecting the decision-making process whether to accept influenza vaccine or not. RESULTS: Overall, 44 studies were included, 41 determinants were extracted and summarized into six categories. Older age and constitutional factors including multiple chronic diseases as well as preventive lifestyle and frequent routine healthcare utilization positively affected vaccination uptake (VU). Living and working conditions are also researched determinants of influenza vaccine uptake. A small number of studies explored the role of social inclusion and system-based interventions. DISCUSSION AND CONCLUSIONS: This scope review provides a comprehensive overview on factors affecting seasonal influenza vaccination uptake among older citizens. The review also clearly shows gaps for evidence on system-based level or political strategies to improve vaccination uptake.
BACKGROUND: Although the burden of influenza infection is the highest in older adults, vaccination coverage remains low, despite this age group being more vulnerable than others. AIMS: Given the current pandemic of SARS-CoV-2, it was the aim of this scope review to update knowledge on factors affecting seasonal influenza vaccine uptake among older adults to strengthen prevention approaches in the context of an overall burden of infectious diseases. METHODS: We searched bibliographic databases from 2012 to 2019. All studies reviewed one or more social determinant of health listed by WHO, or factors affecting the decision-making process whether to accept influenza vaccine or not. RESULTS: Overall, 44 studies were included, 41 determinants were extracted and summarized into six categories. Older age and constitutional factors including multiple chronic diseases as well as preventive lifestyle and frequent routine healthcare utilization positively affected vaccination uptake (VU). Living and working conditions are also researched determinants of influenza vaccine uptake. A small number of studies explored the role of social inclusion and system-based interventions. DISCUSSION AND CONCLUSIONS: This scope review provides a comprehensive overview on factors affecting seasonal influenza vaccination uptake among older citizens. The review also clearly shows gaps for evidence on system-based level or political strategies to improve vaccination uptake.
Authors: Tjeerd G Kimman; Hein J Boot; Guy A M Berbers; Patricia E Vermeer-de Bondt; G Ardine de Wit; Hester E de Melker Journal: Vaccine Date: 2006-03-27 Impact factor: 3.641
Authors: Jason M Nagata; Isabel Hernández-Ramos; Anand Sivasankara Kurup; Daniel Albrecht; Claudia Vivas-Torrealba; Carlos Franco-Paredes Journal: BMC Public Health Date: 2013-04-25 Impact factor: 3.295