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Prev Med. 2017 Aug;101:1-7. doi: 10.1016/j.ypmed.2017.05.014. Epub 2017 May 19.

Seasonal influenza vaccine uptake among people with disabilities: A nationwide population study of disparities by type of disability and socioeconomic status in France.

Author information

1
Aix Marseille Univ, INSERM, IRD, SESSTIM, Economics and Social Sciences Applied to Health & Analysis of Medical Information, Marseille, France; ORS PACA, Southeastern Health Regional Observatory, Marseille, France. Electronic address: aurelie.bocquier@inserm.fr.
2
Aix Marseille Univ, INSERM, IRD, SESSTIM, Economics and Social Sciences Applied to Health & Analysis of Medical Information, Marseille, France; ORS PACA, Southeastern Health Regional Observatory, Marseille, France.
3
ORS PACA, Southeastern Health Regional Observatory, Marseille, France; Aix Marseille Univ, CNRS, EHESS, Centrale Marseille, GREQAM, Marseille, France.

Abstract

People with disabilities use various preventive health services less frequently than others, notably because of a lower socioeconomic status (SES). We examined variations of seasonal influenza vaccine uptake according to type/severity of disability and SES. We analyzed (in 2016) data from the 2008 French national cross-sectional survey on health and disability (n=12,396 adults living in the community and belonging to target groups for seasonal influenza vaccination). We defined seasonal influenza vaccine uptake during the 2007-2008 season by the self-reporting of a flu shot between September 2007 and March 2008. We built scores of mobility, cognitive, and sensory limitations, and an SES score based on education, occupation, and income. We performed bivariate analyses and then multiple log-binomial regressions. The prevalence of vaccine uptake was 23% in the 18-64 group and 63% in the ≥65 group. In bivariate analyses, it was higher among people in both age groups who had mobility and/or cognitive limitations and in the ≥65 group among those with sensory limitations. In the multiple regression analyses, only the presence of major mobility limitations in the18-64 group remained significant. The probability of vaccine uptake was higher in the highest SES category than in the lowest. Among at-risk groups, people with disabilities were more frequently vaccinated than others, mainly because of their higher levels of morbidity and healthcare use. Socioeconomic inequalities in access to vaccination persist in France. Future research is needed to monitor the trend in vaccine uptake in institutions.

KEYWORDS:

Disabled persons; France; Influenza vaccines; Social determinants of health; Socioeconomic factors

PMID:
28533104
DOI:
10.1016/j.ypmed.2017.05.014
[Indexed for MEDLINE]

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