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    题名: Use of Seasonal Influenza Vaccination and its Associated Factors among Elderly People with Disabilities in Taiwan: A Population-Based Study
    作者: Tsai；*, 張育嘉；Yu-Chia Chang；董和銳；Ho-Jui Tung；徐尚為；Shang-Wei Hsu；Lei-Shin Che；Lei-Shin Chen；龔佩珍；Pei-Tseng Kung；Kuang-Hua Hu；Kuang-Hua Huang；Shang-Jyh Ch；Shang-Jyh Chiou；Wen-Chen Tsa；Wen-Chen
    贡献者: 健康產業管理學系
    日期: 2016-06
    上传时间: 2016-09-20 03:41:13 (UTC+0)
    摘要: Background

    Influenza immunization among elderly people with disabilities is a critical public health concern; however, few studies have examined the factors associated with vaccination rates in non-Western societies.

    Methods

    By linking the National Disability Registration System and health service claims dataset from the National Health Insurance program, this population-based study investigated the seasonal influenza vaccination rate among elderly people with disabilities in Taiwan (N = 283,172) in 2008. A multivariate logistic regression analysis was conducted to adjust for covariates.

    Results

    Nationally, only 32.7% of Taiwanese elderly people with disabilities received influenza vaccination. The strongest predictor for getting vaccinated among older Taiwanese people with disabilities was their experience of receiving an influenza vaccination in the previous year (adjusted odds ratio [AOR] = 6.80, 95% confidence interval [CI]: 6.67–6.93). Frequent OPD use (AOR = 1.85, 95% CI: 1.81–1.89) and undergoing health examinations in the previous year (AOR = 1.66, 95% CI: 1.62–1.69) also showed a moderate and significant association with receiving an influenza vaccination.

    Conclusions

    Although free influenza vaccination has been provided in Taiwan since 2001, influenza immunization rates among elderly people with disabilities remain low. Policy initiatives are required to address the identified factors for improving influenza immunization rates among elderly people with disabilities.
    關聯: PLoS One.
    显示于类别:[健康產業管理學系] 期刊論文

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