Trends in influenza vaccination uptake in Switzerland: Swiss Health Survey 2007 and 2012

AIMS We studied time trends in seasonal influenza vaccination and assessed associations with socioeconomic and health-related determinants in Switzerland (overall and people aged ≥65 years). METHODS We used data from the Swiss Health Surveys of 200...

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Main Authors: Kathrin Zürcher, Marcel Zwahlen, Claudia Berlin, Matthias Egger, Lukas Fenner
Format: Article
Language:English
Published: SMW supporting association (Trägerverein Swiss Medical Weekly SMW) 2019-01-01
Series:Swiss Medical Weekly
Subjects:
Online Access:https://www.smw.ch/index.php/smw/article/view/2570
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author Kathrin Zürcher
Marcel Zwahlen
Claudia Berlin
Matthias Egger
Lukas Fenner
author_facet Kathrin Zürcher
Marcel Zwahlen
Claudia Berlin
Matthias Egger
Lukas Fenner
author_sort Kathrin Zürcher
collection DOAJ
description AIMS We studied time trends in seasonal influenza vaccination and assessed associations with socioeconomic and health-related determinants in Switzerland (overall and people aged ≥65 years). METHODS We used data from the Swiss Health Surveys of 2007 and 2012. We calculated the proportion of the population (overall and those ≥65 years old) reporting influenza vaccination in the last 12 months, and performed multivariate logistic regression analyses, presented as adjusted odds ratios (aORs). RESULTS The average overall frequency of people reporting having been vaccinated for influenza in the previous 12 months was 15.2% (95% confidence interval [CI] 14.7–15.7); frequency decreased from 16.4% in 2007 to 14.1% in 2012 (p <0.001). In elderly people (≥65 years) the frequency declined from 47.8 to 38.5% (p <0.001). The decline was more pronounced in both the 15 to 19 age group (aOR 0.5, 95% CI 0.3–1.0) and those 65 to 75 years old (aOR 0.6, 95% CI 0.5–0.7), and in those with less education (aOR 0.6, 95% CI 0.4–0.7). Pregnant women had the lowest frequency for influenza vaccination (2.3%, 95% CI 0.6–7.9), but the frequency increased between 2007 and 2012 (aOR 4.5, 95% CI 1.0–20.5). Influenza vaccination in the last 12 months was positively associated with the ≥65 age group, living in French-speaking and urban areas, history of smoking, bad self-reported health status, health insurance for private/semiprivate hospital stays and working in healthcare professions. CONCLUSIONS Influenza vaccination coverage was low overall and declined over time. To increase influenza vaccine uptake and reach the European target of 75% in people aged ≥65 years, more efforts should be put into novel intervention approaches.
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spelling doaj.art-5c2916ebd4f149daa9885d063ed197dc2024-11-02T21:08:17ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972019-01-01149030410.4414/smw.2019.14705Trends in influenza vaccination uptake in Switzerland: Swiss Health Survey 2007 and 2012Kathrin Zürcher0Marcel Zwahlen1Claudia Berlin2Matthias Egger3Lukas Fenner4Institute of Social and Preventive Medicine, University of Bern, SwitzerlandInstitute of Social and Preventive Medicine, University of Bern, SwitzerlandInstitute of Social and Preventive Medicine, University of Bern, SwitzerlandInstitute of Social and Preventive Medicine, University of Bern, SwitzerlandInstitute of Social and Preventive Medicine, University of Bern, Switzerland; Gesundheitsamt, Kanton Solothurn, Switzerland AIMS We studied time trends in seasonal influenza vaccination and assessed associations with socioeconomic and health-related determinants in Switzerland (overall and people aged ≥65 years). METHODS We used data from the Swiss Health Surveys of 2007 and 2012. We calculated the proportion of the population (overall and those ≥65 years old) reporting influenza vaccination in the last 12 months, and performed multivariate logistic regression analyses, presented as adjusted odds ratios (aORs). RESULTS The average overall frequency of people reporting having been vaccinated for influenza in the previous 12 months was 15.2% (95% confidence interval [CI] 14.7–15.7); frequency decreased from 16.4% in 2007 to 14.1% in 2012 (p <0.001). In elderly people (≥65 years) the frequency declined from 47.8 to 38.5% (p <0.001). The decline was more pronounced in both the 15 to 19 age group (aOR 0.5, 95% CI 0.3–1.0) and those 65 to 75 years old (aOR 0.6, 95% CI 0.5–0.7), and in those with less education (aOR 0.6, 95% CI 0.4–0.7). Pregnant women had the lowest frequency for influenza vaccination (2.3%, 95% CI 0.6–7.9), but the frequency increased between 2007 and 2012 (aOR 4.5, 95% CI 1.0–20.5). Influenza vaccination in the last 12 months was positively associated with the ≥65 age group, living in French-speaking and urban areas, history of smoking, bad self-reported health status, health insurance for private/semiprivate hospital stays and working in healthcare professions. CONCLUSIONS Influenza vaccination coverage was low overall and declined over time. To increase influenza vaccine uptake and reach the European target of 75% in people aged ≥65 years, more efforts should be put into novel intervention approaches. https://www.smw.ch/index.php/smw/article/view/2570coveragehealth surveyinfluenza vaccinationpatient factorsself-reported
spellingShingle Kathrin Zürcher
Marcel Zwahlen
Claudia Berlin
Matthias Egger
Lukas Fenner
Trends in influenza vaccination uptake in Switzerland: Swiss Health Survey 2007 and 2012
Swiss Medical Weekly
coverage
health survey
influenza vaccination
patient factors
self-reported
title Trends in influenza vaccination uptake in Switzerland: Swiss Health Survey 2007 and 2012
title_full Trends in influenza vaccination uptake in Switzerland: Swiss Health Survey 2007 and 2012
title_fullStr Trends in influenza vaccination uptake in Switzerland: Swiss Health Survey 2007 and 2012
title_full_unstemmed Trends in influenza vaccination uptake in Switzerland: Swiss Health Survey 2007 and 2012
title_short Trends in influenza vaccination uptake in Switzerland: Swiss Health Survey 2007 and 2012
title_sort trends in influenza vaccination uptake in switzerland swiss health survey 2007 and 2012
topic coverage
health survey
influenza vaccination
patient factors
self-reported
url https://www.smw.ch/index.php/smw/article/view/2570
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AT matthiasegger trendsininfluenzavaccinationuptakeinswitzerlandswisshealthsurvey2007and2012
AT lukasfenner trendsininfluenzavaccinationuptakeinswitzerlandswisshealthsurvey2007and2012