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Vaccines (Basel) . Missed Opportunities of Flu Vaccination in Italian Target Categories: Insights from the Online EPICOVID 19 Survey

tetano

Editor, Senior Moderator
Vaccines (Basel)


. 2020 Nov 9;8(4):E669.
doi: 10.3390/vaccines8040669.
Missed Opportunities of Flu Vaccination in Italian Target Categories: Insights from the Online EPICOVID 19 Survey


Andrea Giacomelli[SUP] 1 [/SUP], Massimo Galli[SUP] 1 [/SUP], Stefania Maggi[SUP] 2 [/SUP], Gabriele Pagani[SUP] 1 [/SUP], Raffaele Antonelli Incalzi[SUP] 3 [/SUP], Claudio Pedone[SUP] 3 [/SUP], Mauro Di Bari[SUP] 4 [/SUP], Marianna Noale[SUP] 2 [/SUP], Caterina Trevisan[SUP] 2 5 [/SUP], Fabrizio Bianchi[SUP] 6 [/SUP], Marcello Tavio[SUP] 7 [/SUP], Massimo Andreoni[SUP] 8 [/SUP], Claudio Mastroianni[SUP] 9 [/SUP], Aleksandra Sojic[SUP] 10 [/SUP], Federica Prinelli[SUP] 10 [/SUP], Fulvio Adorni[SUP] 10 [/SUP]



Affiliations
Free article

Abstract

We aimed to assess the reported rate of flu vaccination in the 2019/2020 season for respondents to the Italian nationwide online EPICOVID 19 survey. A national convenience sample of volunteers aged 18 or older was assessed between 13 April and 2 June 2020. Flu vaccine rates were calculated for all classes of age. The association between the independent variables and the flu vaccine was assessed by applying a multivariable binary logistic regression model. Of the 198,822 respondents, 41,818 (21.0%) reported having received a flu vaccination shot during the last influenza season. In particular, 15,009 (53.4%) subjects aged 65 years or older received a flu vaccination shot. Being 65 years aged or older (Adjusted Odds Ratios (aOR) 3.06, 95% Confidence Interval (CI) 2.92-3.20) and having a high education level (aOR 1.34. 95%CI 1.28-1.41) were independently associated to flu vaccination. Heart and lung diseases were the morbidities associated with the higher odds of being vaccinated (aOR 1.97 (95%CI 1.86-2.09) and aOR 1.92 (95%CI 1.84-2.01), respectively). Nursing home residents aged ≥ 65 years showed lower odds of being vaccinated (aOR 0.39 (95%CI 0.28-0.54)). Our data indicate the need for an urgent public heath effort to fill the gap of missed vaccination opportunities reported in the past flu seasons.

Keywords: COVID-19; Italy; SARS-CoV-2; elderly; influenza; vaccine.
 
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