Primary school flu vaccination in remote and rural Scotland - the relationship between uptake and an individual measure of deprivation (free school uniforms)
PHE ePoster Library. Rideout A. 09/10/18; 221190; 154
Andrew Rideout
Andrew Rideout
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Abstract
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Abstract Background:The relationship between deprivation (at a population level) and lower uptake of influenza vaccination has been previously described. Due to limitations with area level measures of deprivation in remote and rural settings we wished to examine the relationship between an individual measure of low family income and uptake of the flu vaccine in school aged children.Methods:Permission was gained to link Local Authority records of children in receipt of free school uniforms with NHS records of children who had received flu vaccination at school or through their GP surgery.Results:We used receipt of free school uniforms as a measure of socio-economic deprivation, and data were collected on an individual (per child) basis. Consent for vaccination was 75% of those children in receipt of a clothing allowance, compared to 83% in those who were not in receipt of a clothing allowance. However, not all children who give consent for vaccination receive a vaccine, and to the rate of vaccination was lower, but similarly unequal (Figure 2), with 70% (1118 children) of those in receipt of clothing vouchers receiving a vaccine, compared to 78% (7205 children) who were not in receipt of a clothing voucher.Reasons for non-vaccination are also presented.Conclusion:This study confirms the findings of previous studies, using a more sensitive measure for low-income and socio-economic deprivation. This approach could also be used to identify other inequalities related to deprivation, that are not obvious using area level data.
Abstract Background:The relationship between deprivation (at a population level) and lower uptake of influenza vaccination has been previously described. Due to limitations with area level measures of deprivation in remote and rural settings we wished to examine the relationship between an individual measure of low family income and uptake of the flu vaccine in school aged children.Methods:Permission was gained to link Local Authority records of children in receipt of free school uniforms with NHS records of children who had received flu vaccination at school or through their GP surgery.Results:We used receipt of free school uniforms as a measure of socio-economic deprivation, and data were collected on an individual (per child) basis. Consent for vaccination was 75% of those children in receipt of a clothing allowance, compared to 83% in those who were not in receipt of a clothing allowance. However, not all children who give consent for vaccination receive a vaccine, and to the rate of vaccination was lower, but similarly unequal (Figure 2), with 70% (1118 children) of those in receipt of clothing vouchers receiving a vaccine, compared to 78% (7205 children) who were not in receipt of a clothing voucher.Reasons for non-vaccination are also presented.Conclusion:This study confirms the findings of previous studies, using a more sensitive measure for low-income and socio-economic deprivation. This approach could also be used to identify other inequalities related to deprivation, that are not obvious using area level data.
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