Capitolo 7

Differenze nella copertura vaccinale antinfluenzale tra sottogruppi di immigrati adulti residenti in Italia a rischio di complicanze (2012-2013)

Translated title of the contribution: Differences in influenza vaccination coverage among subgroups of adult immigrants residing in Italy at risk for complications (2012-2013)

Massimo Fabiani, Anteo Di Napoli, Flavia Riccardo, Lidia Gargiulo, Silvia Declich, Alessio Petrelli

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

OBJECTIVES: to evaluate differences in influenza vaccination coverage (IVC) in immigrants at risk for influenza-related complications, according to their area of origin and length of stay in Italy.

DESIGN: cross-sectional survey conducted on the sample of foreign citizens included in the survey on health conditions and use of health services of the Italian resident population (Italian national institute of statistics, 2012-2013).

SETTING AND PARTICIPANTS: analysis conducted on 885 foreign adult citizens (≥18 years) at risk for influenza-related complications (elderly residents ≥65 years and residents with specific chronic diseases).

MAIN OUTCOME MEASURES: vaccination coverage ratios (VCR) comparison between long-term immigrants (≥10 years) and recent immigrants (<10 years), and between non-African and African immigrants, adjusted by demographic and socioeconomic characteristics and level of health services utilization.

RESULTS: IVC among immigrants was 15.6%, significantly higher in long-term immigrants (18.3%) compared to recent immigrants (10.2%) (VCR: 1.79; 95%CI 1.21-2.66), and in non-African immigrants (17.1%) compared to African immigrants (9.4%) (VCR: 1.82; 95%CI 1.04-3.17). After adjusting on the basis of demographic and socioeconomic characteristics and for level of health services utilization between the compared subgroups, the difference in IVC according to the length of stay was greatly reduced (VCR: 1.41; 95%CI 0.94- 2.10), while IVC difference reduction according to area of origin was less relevant (VCR: 1.66; 95%CI 0.95-2.91).

CONCLUSIONS: demographic and socioeconomic characteristics and level of health services utilization explained part of the difference in IVC between the compared subgroups, particularly between long-term and recent immigrants. The difference in IVC between African immigrants and immigrants from other areas remained quite pronounced even after adjusting on the basis of these factors. This suggests that IVC, especially in African immigrants, is affected by other informal barriers, such as cultural and linguistic barriers, that need to be addressed when planning effective immunization access strategies.

Original languageItalian
Pages (from-to)50-56
Number of pages7
JournalEpidemiologia e prevenzione
Volume41
Issue number3-4 (Suppl 1)
DOIs
Publication statusPublished - Sep 21 2017

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Human Influenza
Italy
Vaccination
Health Services
Health Status
Demography
Length of Stay
Linguistics
Health Surveys
Immunization
Chronic Disease
Cross-Sectional Studies

Cite this

Capitolo 7 : Differenze nella copertura vaccinale antinfluenzale tra sottogruppi di immigrati adulti residenti in Italia a rischio di complicanze (2012-2013). / Fabiani, Massimo; Di Napoli, Anteo; Riccardo, Flavia; Gargiulo, Lidia; Declich, Silvia; Petrelli, Alessio.

In: Epidemiologia e prevenzione, Vol. 41, No. 3-4 (Suppl 1), 21.09.2017, p. 50-56.

Research output: Contribution to journalArticle

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title = "Capitolo 7: Differenze nella copertura vaccinale antinfluenzale tra sottogruppi di immigrati adulti residenti in Italia a rischio di complicanze (2012-2013)",
abstract = "OBJECTIVES: to evaluate differences in influenza vaccination coverage (IVC) in immigrants at risk for influenza-related complications, according to their area of origin and length of stay in Italy.DESIGN: cross-sectional survey conducted on the sample of foreign citizens included in the survey on health conditions and use of health services of the Italian resident population (Italian national institute of statistics, 2012-2013).SETTING AND PARTICIPANTS: analysis conducted on 885 foreign adult citizens (≥18 years) at risk for influenza-related complications (elderly residents ≥65 years and residents with specific chronic diseases).MAIN OUTCOME MEASURES: vaccination coverage ratios (VCR) comparison between long-term immigrants (≥10 years) and recent immigrants (<10 years), and between non-African and African immigrants, adjusted by demographic and socioeconomic characteristics and level of health services utilization.RESULTS: IVC among immigrants was 15.6{\%}, significantly higher in long-term immigrants (18.3{\%}) compared to recent immigrants (10.2{\%}) (VCR: 1.79; 95{\%}CI 1.21-2.66), and in non-African immigrants (17.1{\%}) compared to African immigrants (9.4{\%}) (VCR: 1.82; 95{\%}CI 1.04-3.17). After adjusting on the basis of demographic and socioeconomic characteristics and for level of health services utilization between the compared subgroups, the difference in IVC according to the length of stay was greatly reduced (VCR: 1.41; 95{\%}CI 0.94- 2.10), while IVC difference reduction according to area of origin was less relevant (VCR: 1.66; 95{\%}CI 0.95-2.91).CONCLUSIONS: demographic and socioeconomic characteristics and level of health services utilization explained part of the difference in IVC between the compared subgroups, particularly between long-term and recent immigrants. The difference in IVC between African immigrants and immigrants from other areas remained quite pronounced even after adjusting on the basis of these factors. This suggests that IVC, especially in African immigrants, is affected by other informal barriers, such as cultural and linguistic barriers, that need to be addressed when planning effective immunization access strategies.",
author = "Massimo Fabiani and {Di Napoli}, Anteo and Flavia Riccardo and Lidia Gargiulo and Silvia Declich and Alessio Petrelli",
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language = "Italian",
volume = "41",
pages = "50--56",
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T1 - Capitolo 7

T2 - Differenze nella copertura vaccinale antinfluenzale tra sottogruppi di immigrati adulti residenti in Italia a rischio di complicanze (2012-2013)

AU - Fabiani, Massimo

AU - Di Napoli, Anteo

AU - Riccardo, Flavia

AU - Gargiulo, Lidia

AU - Declich, Silvia

AU - Petrelli, Alessio

PY - 2017/9/21

Y1 - 2017/9/21

N2 - OBJECTIVES: to evaluate differences in influenza vaccination coverage (IVC) in immigrants at risk for influenza-related complications, according to their area of origin and length of stay in Italy.DESIGN: cross-sectional survey conducted on the sample of foreign citizens included in the survey on health conditions and use of health services of the Italian resident population (Italian national institute of statistics, 2012-2013).SETTING AND PARTICIPANTS: analysis conducted on 885 foreign adult citizens (≥18 years) at risk for influenza-related complications (elderly residents ≥65 years and residents with specific chronic diseases).MAIN OUTCOME MEASURES: vaccination coverage ratios (VCR) comparison between long-term immigrants (≥10 years) and recent immigrants (<10 years), and between non-African and African immigrants, adjusted by demographic and socioeconomic characteristics and level of health services utilization.RESULTS: IVC among immigrants was 15.6%, significantly higher in long-term immigrants (18.3%) compared to recent immigrants (10.2%) (VCR: 1.79; 95%CI 1.21-2.66), and in non-African immigrants (17.1%) compared to African immigrants (9.4%) (VCR: 1.82; 95%CI 1.04-3.17). After adjusting on the basis of demographic and socioeconomic characteristics and for level of health services utilization between the compared subgroups, the difference in IVC according to the length of stay was greatly reduced (VCR: 1.41; 95%CI 0.94- 2.10), while IVC difference reduction according to area of origin was less relevant (VCR: 1.66; 95%CI 0.95-2.91).CONCLUSIONS: demographic and socioeconomic characteristics and level of health services utilization explained part of the difference in IVC between the compared subgroups, particularly between long-term and recent immigrants. The difference in IVC between African immigrants and immigrants from other areas remained quite pronounced even after adjusting on the basis of these factors. This suggests that IVC, especially in African immigrants, is affected by other informal barriers, such as cultural and linguistic barriers, that need to be addressed when planning effective immunization access strategies.

AB - OBJECTIVES: to evaluate differences in influenza vaccination coverage (IVC) in immigrants at risk for influenza-related complications, according to their area of origin and length of stay in Italy.DESIGN: cross-sectional survey conducted on the sample of foreign citizens included in the survey on health conditions and use of health services of the Italian resident population (Italian national institute of statistics, 2012-2013).SETTING AND PARTICIPANTS: analysis conducted on 885 foreign adult citizens (≥18 years) at risk for influenza-related complications (elderly residents ≥65 years and residents with specific chronic diseases).MAIN OUTCOME MEASURES: vaccination coverage ratios (VCR) comparison between long-term immigrants (≥10 years) and recent immigrants (<10 years), and between non-African and African immigrants, adjusted by demographic and socioeconomic characteristics and level of health services utilization.RESULTS: IVC among immigrants was 15.6%, significantly higher in long-term immigrants (18.3%) compared to recent immigrants (10.2%) (VCR: 1.79; 95%CI 1.21-2.66), and in non-African immigrants (17.1%) compared to African immigrants (9.4%) (VCR: 1.82; 95%CI 1.04-3.17). After adjusting on the basis of demographic and socioeconomic characteristics and for level of health services utilization between the compared subgroups, the difference in IVC according to the length of stay was greatly reduced (VCR: 1.41; 95%CI 0.94- 2.10), while IVC difference reduction according to area of origin was less relevant (VCR: 1.66; 95%CI 0.95-2.91).CONCLUSIONS: demographic and socioeconomic characteristics and level of health services utilization explained part of the difference in IVC between the compared subgroups, particularly between long-term and recent immigrants. The difference in IVC between African immigrants and immigrants from other areas remained quite pronounced even after adjusting on the basis of these factors. This suggests that IVC, especially in African immigrants, is affected by other informal barriers, such as cultural and linguistic barriers, that need to be addressed when planning effective immunization access strategies.

U2 - 10.19191/EP17.3-4S1.P050.065

DO - 10.19191/EP17.3-4S1.P050.065

M3 - Articolo

VL - 41

SP - 50

EP - 56

JO - Epidemiologia e prevenzione

JF - Epidemiologia e prevenzione

SN - 1120-9763

IS - 3-4 (Suppl 1)

ER -