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Interventions to increase influenza vaccination rates of those 60 years and older in the community
Abstract
BACKGROUND: Although the evidence to support influenza vaccination is poor, it is promoted by many health authorities. There is uncertainty about the effectiveness of interventions to increase influenza vaccination rates in those 60 years or older. OBJECTIVES: To assess effects of interventions to increase influenza vaccination rates in those 60 or older. SEARCH STRATEGY: We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library, 2010, issue 3), containing the Cochrane Acute Respiratory Infections Group's Specialized Register, MEDLINE (January 1950 to July 2010), PubMed (January 1950 to July 2010), EMBASE (1980 to 2010 Week 28), AgeLine (1978 to July 2010), ERIC (1965 to July 2010) and CINAHL (1982 to July 2010). SELECTION CRITERIA: Randomized controlled trials (RCTs) to increase influenza vaccination rates in those aged 60 years and older, recording influenza vaccination status either through clinic records, billing data or local/national vaccination registers. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed study quality and extracted data. MAIN RESULTS: Forty-four RCTs were included. All included RCTs studied seniors in the community and in high-income countries. No RCTs of society-level interventions were included. Heterogeneity was marked and meta-analysis was limited. Only five RCTs were graded at low and six at moderate risk of bias. They included three of 13 personalized postcard interventions (all three with the 95% confidence interval (CI) above unity), two of the four home visit interventions (both with 95% CI above unity, but one a small study), three of the four reminder to physicians interventions (none with 95% CI above unity) and three of the four facilitator interventions (one with 95% CI above unity, and one P < 0.01). The other 33 RCTs were at high risk of bias and no recommendations for practice can be drawn. AUTHORS' CONCLUSIONS: Personalized postcards or phone calls are effective, and home visits, and facilitators, may be effective. Reminders to physicians are not. There is insufficient good evidence for other interventions.
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Protein-energy malnutrition is among the top 10 causes of death among children and adolescents, accounting for 225,906 deaths in 2013.
“Recent findings from the global burden of diseases and injuries among children and adolescents suggest that protein-energy malnutrition is among the top 10 causes of death among children and adolescents, accounting for 225,906 deaths in 2013.15”
From Nutrition in adolescents: physiology, metabolism, and nutritional needs (2017) · cites this paper as [15]
Globally, around 34 deaths per 100,000 children and adolescents are attributed to malnutrition, varying between developing countries (38.5 per 100,000) and developed countries (0.2 per 100,000).
“Globally, around 34 deaths per 100,000 children and adolescents are attributed to malnutrition, and this number significantly varies between developing (38.5 per 100,000) and developed countries (0.2 per 100,000).15”
From Nutrition in adolescents: physiology, metabolism, and nutritional needs (2017) · cites this paper as [15]
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Metadata
- Authors
- Thomas, R. E., Russell, M., & Lorenzetti, D.
- Affiliations
- University of Calgary (CA)
- Venue
- Cochrane Database of Systematic Reviews
- Publisher
- John Wiley & Sons, Ltd
- Published
- 2010-09-08
- Issue
- 9
- Pages
- CD005188-CD005188
- ISSN
- 1361-6137 (ISSN-L)
- OpenAlex
- W4243010092
- Cited by
- 32
- References
- 406
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 3 · 2021: 2 · 2020: 1 · 2019: 5 · 2018: 3 · 2017: 3 · 2016: 1 · 2015: 2 · 2014: 8 · 2013: 1
- Type
- reference entry
- Language
- en
- Update notices
- new_version (2014-07-07)
- Open access
- closed
- Locations
- Cochrane Database of Systematic Reviews (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Health Sciences › Medicine › Epidemiology › Influenza Virus Research Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Keywords
- influenza vaccination, older adults, vaccine uptake, community-based intervention, home visits, physician reminders, facilitators, health promotion
- MeSH terms
- Aged, Attitude of Health Personnel, Community Participation, Health Services Needs and Demand, Humans, Influenza, Human, Influenza Vaccines, Middle Aged, Vaccination, Randomized Controlled Trials as Topic, Reminder Systems, Immunization Programs
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