Evidence map›Paper›PMID 37515056›Full record

ArticleVaccines2023

Influenza Vaccination Coverage Rates and Determinants in Greek Children until the Age of Ten (2008-2019), the Rhea Mother-Child Cohort.

Marianna Karachaliou, Irene Damianaki, Maria Moudatsaki, Katerina Margetaki, Theano Roumeliotaki, Vicky Bempi, Marina Moudatsaki, Lida Vaia Chatzi, Marina Vafeiadi, Manolis Kogevinas

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 3 countries.

Marianna KarachaliouBarcelona Institute for Global Health, 08036 Barcelona, Spain.
Irene Damianaki5th Local Healthcare Unit, 71307 Heraklion, Greece.
Maria MoudatsakiDepartment of Pediatrics, University Hospital of Heraklion, 71500 Heraklion, Greece.ORCID 0000-0001-6785-3807
Katerina MargetakiDepartment of Social Medicine, Faculty of Medicine, University of Crete, 71500 Heraklion, Greece.
Theano RoumeliotakiDepartment of Social Medicine, Faculty of Medicine, University of Crete, 71500 Heraklion, Greece.ORCID 0000-0002-5044-983X
Vicky BempiDepartment of Social Medicine, Faculty of Medicine, University of Crete, 71500 Heraklion, Greece.ORCID 0009-0004-2315-5571
Marina MoudatsakiDepartment of Social Medicine, Faculty of Medicine, University of Crete, 71500 Heraklion, Greece.
Lida Vaia ChatziDepartment of Preventive Medicine, Division of Environmental Health, University of Southern California, Los Angeles, CA 90033, USA.
Marina VafeiadiDepartment of Social Medicine, Faculty of Medicine, University of Crete, 71500 Heraklion, Greece.
Manolis KogevinasBarcelona Institute for Global Health, 08036 Barcelona, Spain.
University of Crete · GRBarcelona Institute for Global Health · ESUniversitat Pompeu Fabra · ESUniversity of Southern California · US

Funding

European Union Social Fund and the Hellenic Ministry of Health MIS number 349580 NSRF 2007-2013
6 · The paper itself

Abstract

backgroundIn Greece, influenza vaccination is currently recommended for children with high-risk conditions. There are limited data on influenza vaccination uptake among Greek children with and without high-risk conditions. We aim to describe the annual influenza vaccination uptake until the age of ten in a population-based mother-child cohort and identify the factors influencing vaccination rates.

methodsImmunization data from the child's health cards at 4 and 10 years were available for 830 and 298 children participating in the Rhea cohort (2008-2019). We calculated vaccination coverage by age, winter season and among children with asthma and obesity for whom the vaccine is indicated. Univariable and multivariable stepwise logistic regression models were utilized to identify the association between several sociodemographic, lifestyle and health-related variables and vaccine uptake by age four.

resultsBy the ages of four and ten, 37% and 40% of the children, respectively, had received at least one influenza vaccination. Only 2% of the children were vaccinated for all winter seasons during their first four years of life. The vaccination rate was highest at the age of two and during the 2009-2010 season. Vaccination rates for children with asthma and obesity were 18.2% and 13.3% at age four and 8.3% and 2.9% at age ten. About 10% of all vaccines were administered after December and 24% of the children received only one dose upon initial vaccination. Children with younger siblings and those who had experienced more respiratory infections were more likely to be vaccinated by the age of four, while children exposed to smoking were less likely to be vaccinated.

conclusionsChildren in our study were more likely to be vaccinated against influenza at an early age with the peak occurring at the age of two. Nonetheless, annual vaccination uptake was uncommon. Vaccination rates of children with asthma and obesity were well below the national target of 75% for individuals with chronic conditions. Certain groups may merit increased attention in future vaccination campaigns such as children raised in families with unfavourable health behaviours.

Indexed as

asthmachildrenGreeceinfluenzaobesityvaccine

Identifiers

PMID37515056
PMCPMC10384674
OpenAlexW4384525553

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.