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Free Content Coverage of and factors associated with pneumococcal vaccination in chronic obstructive pulmonary disease

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SETTING: Patients aged 40 years with a diagnosis of chronic obstructive pulmonary disease (COPD; codes R95, R79 and R91 in the International Classification for Primary Care) registered in primary care clinical records in the Autonomous Community of Madrid, Spain.

OBJECTIVE: To assess pneumococcal vaccination coverage in patients with COPD and to analyse factors associated with vaccination uptake.

DESIGN: Population-based cross-sectional study in which data were collected in September 2010.

RESULTS: We found that 93 797 patients (72.0% men and 28.0% women) had COPD. Overall coverage was 65.5% (67.5% men vs. 60.4% women, P < 0.001). In patients aged 40–59 years, coverage was 19.5%, reaching 75.8% in those aged 60 years. In patients aged <60 years, uptake was associated with a higher number of comorbidities and appropriate adherence to seasonal influenza and pandemic vaccination schedules. In patients aged 60 years, factors associated with uptake in both sexes were older age and appropriate adherence to seasonal influenza vaccination schedules. Factors associated with uptake in men were concomitant comorbidities and pandemic vaccination.

CONCLUSION: Vaccination coverage in individuals aged <60 years with COPD is less than acceptable in Madrid. Coverage was higher in men and in patients with another chronic condition.
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Keywords: Spain; lung disease; pneumococcal vaccines; primary care

Document Type: Research Article

Affiliations: 1: Servicio de Medina Preventiva, Hospital Clinico Universitario San Carlos, Madrid, Spain 2: Subdirección de Promoción de la Salud y Prevención, Consejeria de Sanidad, Comunidad de Madrid, Madrid, Spain 3: Preventive Medicine Unit, Rey Juan Carlos University, Madrid, Spain

Publication date: June 1, 2015

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  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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