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Disparities in Coverage of Adult Immunization among Older Adults in India

A lack of a universal adult immunization scheme in India poses a challenge to achieve universal health coverage. Healthcare disparity is one of the biggest challenges in low- and middle-income countries such as India. We aimed to estimate the disparities in coverage of various adult vaccines among o...

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Autores principales: Singh, Damini, Sinha, Abhinav, Kanungo, Srikanta, Pati, Sanghamitra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9787512/
https://www.ncbi.nlm.nih.gov/pubmed/36560534
http://dx.doi.org/10.3390/vaccines10122124
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author Singh, Damini
Sinha, Abhinav
Kanungo, Srikanta
Pati, Sanghamitra
author_facet Singh, Damini
Sinha, Abhinav
Kanungo, Srikanta
Pati, Sanghamitra
author_sort Singh, Damini
collection PubMed
description A lack of a universal adult immunization scheme in India poses a challenge to achieve universal health coverage. Healthcare disparity is one of the biggest challenges in low- and middle-income countries such as India. We aimed to estimate the disparities in coverage of various adult vaccines among older adults in India using nationally representative data. An observational analysis among 31,464 participants aged ≥60 years from the Longitudinal Ageing Study in India, 2017–2018, was conducted. Vaccination coverage across wealth quintiles and selected non-communicable diseases were reported as frequencies and weighted proportions along with their 95% confidence intervals as a measure of uncertainty. The highest coverage was of the diphtheria and tetanus vaccine (2.75%) followed by typhoid (1.84%), hepatitis B (1.82%), influenza (1.59%), and pneumococcal (0.74%). The most affluent groups had a higher coverage of all vaccines. Participants having high cholesterol, psychiatric conditions, and cancer had the highest coverage of all vaccines. Overall, a very low coverage of all vaccines was observed. The coverage was influenced by social determinants of health, depicting a disparity in accessing immunization. Hence, at-risk groups such as the deprived and multimorbid patients need to be covered under the ambit of free immunization to achieve universal health coverage.
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spelling pubmed-97875122022-12-24 Disparities in Coverage of Adult Immunization among Older Adults in India Singh, Damini Sinha, Abhinav Kanungo, Srikanta Pati, Sanghamitra Vaccines (Basel) Article A lack of a universal adult immunization scheme in India poses a challenge to achieve universal health coverage. Healthcare disparity is one of the biggest challenges in low- and middle-income countries such as India. We aimed to estimate the disparities in coverage of various adult vaccines among older adults in India using nationally representative data. An observational analysis among 31,464 participants aged ≥60 years from the Longitudinal Ageing Study in India, 2017–2018, was conducted. Vaccination coverage across wealth quintiles and selected non-communicable diseases were reported as frequencies and weighted proportions along with their 95% confidence intervals as a measure of uncertainty. The highest coverage was of the diphtheria and tetanus vaccine (2.75%) followed by typhoid (1.84%), hepatitis B (1.82%), influenza (1.59%), and pneumococcal (0.74%). The most affluent groups had a higher coverage of all vaccines. Participants having high cholesterol, psychiatric conditions, and cancer had the highest coverage of all vaccines. Overall, a very low coverage of all vaccines was observed. The coverage was influenced by social determinants of health, depicting a disparity in accessing immunization. Hence, at-risk groups such as the deprived and multimorbid patients need to be covered under the ambit of free immunization to achieve universal health coverage. MDPI 2022-12-12 /pmc/articles/PMC9787512/ /pubmed/36560534 http://dx.doi.org/10.3390/vaccines10122124 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Singh, Damini
Sinha, Abhinav
Kanungo, Srikanta
Pati, Sanghamitra
Disparities in Coverage of Adult Immunization among Older Adults in India
title Disparities in Coverage of Adult Immunization among Older Adults in India
title_full Disparities in Coverage of Adult Immunization among Older Adults in India
title_fullStr Disparities in Coverage of Adult Immunization among Older Adults in India
title_full_unstemmed Disparities in Coverage of Adult Immunization among Older Adults in India
title_short Disparities in Coverage of Adult Immunization among Older Adults in India
title_sort disparities in coverage of adult immunization among older adults in india
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9787512/
https://www.ncbi.nlm.nih.gov/pubmed/36560534
http://dx.doi.org/10.3390/vaccines10122124
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