Lower vaccine uptake amongst older individuals living alone: A systematic review and meta-analysis of social determinants of vaccine uptake

Highlights • Quantifies systematically ten social determinants of vaccine uptake in older people. • Living alone is a key determinant, those not living alone had 39–71% higher uptake. • Immigrants and those living in more deprived areas have lower vaccine uptake. • Direction of effect for education...

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Bibliographic Details
Published in:	Vaccine Vol. 35; no. 18; pp. 2315 - 2328
Main Authors:	Jain, Anu, van Hoek, A.J, Boccia, Delia, Thomas, Sara L
Format:	Journal Article
Language:	English
Published:	Netherlands Elsevier Ltd 25-04-2017 Elsevier Limited
Subjects:	Age Aged Aged, 80 and over Aging Allergy and Immunology Bias Chronic obstructive pulmonary disease Control theory Deprivation Estimates Europe Health care Health care policy Healthcare Disparities Heterogeneity Humans Hypothesis testing Immunization Inequalities Infections Infectious diseases Influenza Living alone Marital status Medical personnel Meta-analysis Morbidity Older Older people Pandemics Public health Regression analysis Religion Rural areas Social determinants Social Determinants of Health Social factors Systematic review Vaccination Vaccination Coverage Vaccine uptake Vaccines Vaccines - administration & dosage Europe Living alone Vaccine uptake Social determinants Inequalities Older Meta-analysis
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Summary:	Highlights • Quantifies systematically ten social determinants of vaccine uptake in older people. • Living alone is a key determinant, those not living alone had 39–71% higher uptake. • Immigrants and those living in more deprived areas have lower vaccine uptake. • Direction of effect for education and income was heterogeneous. • Vaccine costs and confounding bias contributed partly to between-study heterogeneity.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 ObjectType-Review-4 content type line 23 ObjectType-Undefined-3
ISSN:	0264-410X 1873-2518
DOI:	10.1016/j.vaccine.2017.03.013