Determinants of Tetanus Vaccination among Adult Immigrants: Findings from the Portuguese National Health Survey 2014
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Population
2.2. Measures
2.3. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Characteristics | n | Weighted % |
---|---|---|
Overall | 1277 | 100.0 |
Gender | ||
Male | 535 | 45.9 |
Female | 742 | 54.1 |
Age, years (mean ± SD) | 44 ± 14 | |
Marital status | ||
Married/live with partner | 781 | 67.0 |
Widowed/Divorced | 198 | 9.9 |
Never married | 298 | 23.1 |
Education level | ||
No education/basic | 491 | 39.0 |
Secondary | 393 | 32.9 |
Higher | 393 | 28.1 |
Employment status | ||
Employed | 780 | 61.4 |
Unemployed | 220 | 18.5 |
Other a | 277 | 20.1 |
Household income per adult | ||
Quintile 1 | 221 | 20.5 |
Quintile 2 | 209 | 16.2 |
Quintile 3 | 260 | 22.5 |
Quintile 4 | 244 | 16.2 |
Quintile 5 | 343 | 24.6 |
Degree of urbanization | ||
Densely populated area | 458 | 57.1 |
Intermediate density area | 479 | 24.1 |
Thinly populated area | 340 | 18.8 |
Region of residence | ||
Norte | 122 | 21.9 |
Centro | 229 | 19.1 |
Lisboa | 234 | 44.1 |
Alentejo | 99 | 3.3 |
Algarve | 374 | 8.3 |
RA dos Açores | 69 | 1.0 |
RA da Madeira | 150 | 2.3 |
Self-perceived health status | ||
Very good/Good | 823 | 62.2 |
Fair/Poor/Very poor | 454 | 37.8 |
Region of birth | ||
EU member states | 371 | 24.4 |
Non-EU member states | 906 | 75.6 |
Length of residence, years (median) | 26 | |
Citizenship | ||
Portuguese citizen | 887 | 74.7 |
Not Portuguese citizen | 390 | 25.3 |
Public healthcare | ||
Only National Health Service | 1049 | 81.6 |
National Health Service and health subsystems | 228 | 18.4 |
Private health insurance | ||
No | 946 | 75.4 |
Yes | 331 | 24.6 |
Last contact with family/general physician | ||
≥12 months | 436 | 29.6 |
<12 months | 841 | 70.4 |
Variables | Tetanus Vaccination Coverage % (95% CI) | aOR (95% CI) | p Value |
---|---|---|---|
Gender | |||
Male | 82.7 (77.4; 87.0) | Ref. | |
Female | 76.9 (71.2; 81.7) | 0.73 (0.47; 1.15) | 0.179 |
Age (years) | - | 0.97 (0.95; 0.99) | 0.011 |
Marital status | |||
Married/live with partner | 78.0 (73.0; 82.3) | Ref. | |
Widowed/Divorced | 74.5 (64.4; 82.6) | 1.17 (0.62; 2.21) | 0.628 |
Never married | 86.1 (80.0; 90.6) | 1.60 (0.88; 2.89) | 0.123 |
Education level | |||
No education/basic | 77.6 (71.1; 83.0) | Ref. | |
Secondary | 81.3 (74.9; 86.3) | 1.03 (0.58; 1.84) | 0.915 |
Higher | 80.2 (72.9; 85.9) | 0.94 (0.49; 1.79) | 0.838 |
Employment status | |||
Employed | 82.6 (77.9; 86.5) | Ref. | |
Unemployed | 76.8 (67.5; 84.1) | 0.77 (0.42; 1.42) | 0.401 |
Other a | 72.7 (62.8; 80.7) | 0.89 (0.50; 1.58) | 0.680 |
Household income per adult | |||
Quintile 1 | 77.5 (68.0; 84.8) | Ref. | |
Quintile 2 | 78.9 (67.9; 86.8) | 0.83 (0.39; 1.78) | 0.633 |
Quintile 3 | 87.8 (81.2; 92.3) | 1.35 (0.66; 2.79) | 0.415 |
Quintile 4 | 78.8 (68.1; 86.7) | 0.64 (0.29; 1.41) | 0.268 |
Quintile 5 | 74.6 (67.2; 80.8) | 0.42 (0.19; 0.96) | 0.039 |
Degree of urbanization | |||
Densely populated area | 75.2 (69.3; 80.3) | Ref. | |
Intermediate density area | 82.7 (76.7; 87.4) | 1.03 (0.49; 2.18) | 0.934 |
Thinly populated area | 88.6 (83.4; 92.4) | 1.32 (0.62; 2.81) | 0.466 |
Region of residence | |||
Norte | 90.4 (81.8; 95.2) | Ref. | |
Centro | 92.0 (86.8; 95.2) | 1.22 (0.42; 3.56) | 0.722 |
Lisboa | 70.8 (63.7; 77.1) | 0.28 (0.12; 0.64) | 0.003 |
Alentejo | 77.6 (69.0; 84.3) | 0.40 (0.14; 1.16) | 0.091 |
Algarve | 69.4 (63.3; 74.8) | 0.31 (0.11; 0.82) | 0.019 |
RA dos Açores | 85.2 (72.9; 92.5) | 0.47 (0.15; 1.49) | 0.200 |
RA da Madeira | 76.5 (69.0; 82.7) | 0.30 (0.11; 0.77) | 0.013 |
Self-perceived health status | |||
Very good/Good | 82.3 (77.9; 86.0) | 1.48 (0.90; 2.43) | 0.122 |
Fair/Poor/Very poor | 75.0 (68.0; 80.9) | Ref. | |
Region of birth | |||
EU member states | 84.9 (78.2; 89.8) | Ref. | |
Non-EU member states | 77.8 (73.5; 81.6) | 0.91 (0.49; 1.69) | 0.775 |
Length of residence (years) | - | 1.01 (0.99; 1.03) | 0.504 |
Citizenship | |||
Portuguese citizen | 83.1 (78.8; 86.7) | 2.30 (1.25; 4.24) | 0.008 |
Not Portuguese citizen | 69.1 (61.8; 75.6) | Ref. | |
Public healthcare | |||
Only National Health Service | 79.9 (76.0; 83.3) | Ref. | |
National Health Service and health subsystems | 77.9 (67.8; 85.5) | 1.47 (0.79; 2.76) | 0.227 |
Private health insurance | |||
No | 78.1 (73.5; 82.1) | Ref. | |
Yes | 84.0 (77.1; 89.2) | 1.99 (1.06; 3.71) | 0.032 |
Last contact with family/general physician | |||
≥12 months | 76.7 (70.1; 82.3) | Ref. | |
<12 months | 80.7 (76.3; 84.5) | 1.59 (1.01; 2.51) | 0.046 |
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Share and Cite
Moura, S.; Martins, M.d.R.O. Determinants of Tetanus Vaccination among Adult Immigrants: Findings from the Portuguese National Health Survey 2014. Int. J. Environ. Res. Public Health 2019, 16, 1619. https://doi.org/10.3390/ijerph16091619
Moura S, Martins MdRO. Determinants of Tetanus Vaccination among Adult Immigrants: Findings from the Portuguese National Health Survey 2014. International Journal of Environmental Research and Public Health. 2019; 16(9):1619. https://doi.org/10.3390/ijerph16091619
Chicago/Turabian StyleMoura, Sofia, and Maria do Rosário O. Martins. 2019. "Determinants of Tetanus Vaccination among Adult Immigrants: Findings from the Portuguese National Health Survey 2014" International Journal of Environmental Research and Public Health 16, no. 9: 1619. https://doi.org/10.3390/ijerph16091619