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Application of socio-economic-health deprivation index, analysis of mortality and influenza vaccination coverage in the elderly population of Tuscany
OBJECTIVE: The aim of this paper is to describe the results obtained from the application of a specific local deprivation index, to general and cause-specific mortality and influenza vaccination coverage among elderly people in the municipality of Florence. METHODS: General and cause-specific mortal...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Pacini editore srl
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419307/ https://www.ncbi.nlm.nih.gov/pubmed/31016263 http://dx.doi.org/10.15167/2421-4248/jpmh2018.59.4s2.1116 |
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author | BECHINI, A. PIERALLI, F. CHELLINI, E. MARTINI, A. DUGHERI, G. CRESCIOLI, F. SCATENA, T. BAGGIANI, L. LILLINI, R. FIASCHI, P. BONANNI, P. BOCCALINI, S. |
author_facet | BECHINI, A. PIERALLI, F. CHELLINI, E. MARTINI, A. DUGHERI, G. CRESCIOLI, F. SCATENA, T. BAGGIANI, L. LILLINI, R. FIASCHI, P. BONANNI, P. BOCCALINI, S. |
author_sort | BECHINI, A. |
collection | PubMed |
description | OBJECTIVE: The aim of this paper is to describe the results obtained from the application of a specific local deprivation index, to general and cause-specific mortality and influenza vaccination coverage among elderly people in the municipality of Florence. METHODS: General and cause-specific mortality data (2009-2013) and influenza vaccination coverage data (2015/16 and 2016/17) were collected for subjects aged ≥ 65 years residing in the municipality of Florence (Tuscany), at the 2011 Census section level. A Socio-Economic and Health Deprivation Index (SEHDI) was constructed and validated by means of socio-economic indicators and mortality ratios. RESULTS: Half of the population of Florence belonged to the medium deprivation group; about 25% fell into the two most deprived groups, and the remaining 25% were deemed to be wealthy. Elderly people mostly belonged to the high deprivation group. All-cause mortality and cause-specific mortality (cancer and respiratory diseases) reached their highest values in the high deprivation group. Influenza vaccination coverage (VC) was 54.7% in the 2015/16 and 2016/17 seasons, combined. VC showed a linear rising trend as deprivation increased and appeared to be correlated with different factors in the different deprivation groups. CONCLUSIONS: As socio-economic deprivation plays an important role in health choices, application of the SEHDI enables us to identify the characteristics of the main sub-groups of the population with low adherence to influenza vaccination. The results of the present study should be communicated to General Practitioners, in order to help them to promote influenza vaccination among their patients. |
format | Online Article Text |
id | pubmed-6419307 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Pacini editore srl |
record_format | MEDLINE/PubMed |
spelling | pubmed-64193072019-04-23 Application of socio-economic-health deprivation index, analysis of mortality and influenza vaccination coverage in the elderly population of Tuscany BECHINI, A. PIERALLI, F. CHELLINI, E. MARTINI, A. DUGHERI, G. CRESCIOLI, F. SCATENA, T. BAGGIANI, L. LILLINI, R. FIASCHI, P. BONANNI, P. BOCCALINI, S. J Prev Med Hyg Original Article OBJECTIVE: The aim of this paper is to describe the results obtained from the application of a specific local deprivation index, to general and cause-specific mortality and influenza vaccination coverage among elderly people in the municipality of Florence. METHODS: General and cause-specific mortality data (2009-2013) and influenza vaccination coverage data (2015/16 and 2016/17) were collected for subjects aged ≥ 65 years residing in the municipality of Florence (Tuscany), at the 2011 Census section level. A Socio-Economic and Health Deprivation Index (SEHDI) was constructed and validated by means of socio-economic indicators and mortality ratios. RESULTS: Half of the population of Florence belonged to the medium deprivation group; about 25% fell into the two most deprived groups, and the remaining 25% were deemed to be wealthy. Elderly people mostly belonged to the high deprivation group. All-cause mortality and cause-specific mortality (cancer and respiratory diseases) reached their highest values in the high deprivation group. Influenza vaccination coverage (VC) was 54.7% in the 2015/16 and 2016/17 seasons, combined. VC showed a linear rising trend as deprivation increased and appeared to be correlated with different factors in the different deprivation groups. CONCLUSIONS: As socio-economic deprivation plays an important role in health choices, application of the SEHDI enables us to identify the characteristics of the main sub-groups of the population with low adherence to influenza vaccination. The results of the present study should be communicated to General Practitioners, in order to help them to promote influenza vaccination among their patients. Pacini editore srl 2019-02-28 /pmc/articles/PMC6419307/ /pubmed/31016263 http://dx.doi.org/10.15167/2421-4248/jpmh2018.59.4s2.1116 Text en ©2018 Pacini Editore SRL, Pisa, Italy http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0), which permits for noncommercial use, distribution, and reproduction in any digital medium, provided the original work is properly cited and is not altered in any way. For details, please refer to https://creativecommons.org/licenses/by-nc-nd/4.0/ |
spellingShingle | Original Article BECHINI, A. PIERALLI, F. CHELLINI, E. MARTINI, A. DUGHERI, G. CRESCIOLI, F. SCATENA, T. BAGGIANI, L. LILLINI, R. FIASCHI, P. BONANNI, P. BOCCALINI, S. Application of socio-economic-health deprivation index, analysis of mortality and influenza vaccination coverage in the elderly population of Tuscany |
title | Application of socio-economic-health deprivation index, analysis of mortality and influenza vaccination coverage in the elderly population of Tuscany |
title_full | Application of socio-economic-health deprivation index, analysis of mortality and influenza vaccination coverage in the elderly population of Tuscany |
title_fullStr | Application of socio-economic-health deprivation index, analysis of mortality and influenza vaccination coverage in the elderly population of Tuscany |
title_full_unstemmed | Application of socio-economic-health deprivation index, analysis of mortality and influenza vaccination coverage in the elderly population of Tuscany |
title_short | Application of socio-economic-health deprivation index, analysis of mortality and influenza vaccination coverage in the elderly population of Tuscany |
title_sort | application of socio-economic-health deprivation index, analysis of mortality and influenza vaccination coverage in the elderly population of tuscany |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419307/ https://www.ncbi.nlm.nih.gov/pubmed/31016263 http://dx.doi.org/10.15167/2421-4248/jpmh2018.59.4s2.1116 |
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