Vaccination status and related factors in an elderly Turkish population sample: A cross-sectional study

Monday, 18 November 2013

Hatice Cicek, Assoc.Prof. PhD, RN1
Mehmet Ilkin Naharci, MD2
Fatma Ilknur Cinar, PhD, RN3
Gulcan Bagcivan, PhD, RN1
Ergun Bozoglu, Assoc. Prof. MD2
Ilker Tasci, Assoc Prof , MD4
Muhammet Cinar, MD5
Nurittin Ardic, Assoc Prof. MD6
Ayla Yava, Assoc.Prof. PhD, RN7
Cengiz Han Acikel Sr., MD8
Huseyin Doruk, Prof MD9
(1)School of Nursing, Gulhane Military Medical Academy, Ankara, Turkey
(2)Department of Geratrics, Gulhane Military Medical Academy, Ankara, Turkey
(3)School of Nursing, Medical Nursing, Gulhane Milary Medical Academy, Ankara, Turkey
(4)Department Geriatrics, Gulhane Military Medical Academy, Ankara, Turkey
(5)Department of Rheumatology, Gulhane Military Medical Academy, Ankara, Turkey
(6)Department of Microbiology and Clinical Microbiology, Gulhane Military Medical Academy, Ankara, Turkey
(7)Surgical Nursing, Hasan Kalyoncu University, School of Nursing, Gaziantep, Turkey
(8)Public Health Department, Gulhane Military Medical Academy, Ankara, Turkey
(9)Department of Geriatrics, Gulhane Military Medical Academy, Ankara, Turkey

Learning Objective 1: The learner will be able to investigate vaccination status in adults aged 65 years

Learning Objective 2: The learner will be able to investigate the factors influencing vaccination behavior in adults aged 65 years

Vaccination status and related factors in an elderly Turkish population sample: A cross-sectional study

Background: Vaccination is one of the basic activities in preventive health care. Data related to vaccination in the elderly Turkish population is limited. The aim of the present study was to investigate the vaccination status and related factors among geriatric individuals. 

Methods:In this single center, cross sectional study self-reported status of vaccinations for influenza, pneumococcal, tetanus, pandemic influenza A/H1N1 and hepatitis B were recorded in people over 65 years of age.  The information was collected separately for the last 12 months and for the preceding 5 years, reaching a total of 6 years. Associates of having been vaccinated were also examined systematically.

Results: Between June 2010 and June 2011, a total of 810 subjects (age range 65-101) were interviewed. In the last 6 years as a whole, 47.2% (382) of the participants reported at least 1 vaccination. The frequency of getting vaccinated in the last 12 months was higher compared to the preceding 5 years. Influenza vaccine was the most administered one both in the last 12 months and the preceding 5 years (33.7%, 12.1%). The most frequent personal reason reported for vaccination was the need for protection against diseases. Healthcare professionals and media were the most effective factors in inducing awareness of vaccination among the elderly. Unwillingness to get vaccinated was linked to the idea of inessentiality as well as having inadequate information. Higher education, male gender and previous diagnosis of pneumonia were linked to increased likelihood of being vaccinated.

Conclusions: This study showed considerably low rates of vaccination among elderly outpatients in Turkey. Efforts to increasing awareness of vaccination through healthcare professionals and media releases may help improve preventive patient care in this particular population.