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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Seasonal influenza vaccine uptake among people with disabilities: A nationwide population study of disparities by type of disability and socioeconomic status in France
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Seasonal influenza vaccine uptake among people with disabilities: A nationwide population study of disparities by type of disability and socioeconomic status in France

机译：残疾人的季节性流感疫苗摄取：法国残疾类型的全国人口差异研究差异

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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. Highlights ? Influenza vaccine uptake is more frequent among people with mobility limitations. ? After adjustment for morbidity, this is true only for a few with major limitations. ? Socioeconomic inequalities persist in influenza vaccine uptake. ]]>
机译：摘要残疾人比其他人更频繁地使用各种预防性保健服务，特别是因为社会经济地位较低（SES）。我们根据残疾和SES的类型/严重程度检查了季节性流感疫苗吸收的变化。我们分析（2016年）来自2008年法国国家横断面调查（N = 12,396名居住在社区的成年人，属于季节性流感疫苗的目标群体）的数据。我们通过2007年9月至2008年3月之间的流感疫苗的自我报告，在2007-2008赛季中定义了季节性流感疫苗摄取。我们建立了基于教育，职业的行动，认知和感官局限性的分数，占据了分数，和收入。我们执行了双变量分析，然后进行了多个日志二项式回归。 18-64组疫苗摄取的患病率为23％，≥65组≥65组。在双年度分析中，这两个年龄群的人群在具有感官局限性的人群中具有流动性和/或认知局限性的人群和≥65组。在多元回归分析中，只有在18-64组中的主要行动局限性的存在仍然显着。疫苗摄取的概率在最高的SES类别中比最低的缺点更高。在风险群体中，残疾人比其他人更频繁地接种疫苗，主要是因为他们的发病率和医疗保健水平较高。在法国进入疫苗接种的社会经济不等式。需要未来的研究来监测机构中疫苗摄取的趋势。强调 ？流动性疫苗摄取在具有流动性限制的人群中更频繁。还调整发病率后，这对于一些主要限制来说是真的。还流感疫苗吸收的社会经济不平等。 ]]>

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