Jason M. Nagata|Isabel Hernández-Ramos|A. Sivasankara Kurup|Daniel Albrecht|Claudia Vivas-Torrealba|Carlos Franco?Paredes
Social determinants of health and seasonal influenza vaccination in adults ?65 years: a systematic review of qualitative and quantitative data
University of California, San Francisco|Universidad de Guanajuato|World Health Organization|World Health Organization|World Health Organization|Hospital Infantil de México Federico Gómez
vaccination influenza considered important public health intervention prevent unnecessary hospitalizations premature deaths related influenza elderly though significant inequities among global influenza vaccine resources capacities policies objective study assess social determinants health preventing adults 65 years old accessing accepting seasonal influenza vaccinationa systematic search performed january 2011 using medline isi web science psycinfo cinahl 19802011 reference lists articles also examined selection criteria included qualitative quantitative studies written english examined social determinants barriers seasonal influenza vaccination among adults 65 years two authors performed quality assessment data extraction thematic analysis main approach joint synthesis using identification juxtaposition themes associated vaccinationoverall 58 studies analyzed structural social determinants age gender marital status education ethnicity socioeconomic status social cultural values well intermediary determinants including housingplace residence behavioral beliefs social influences previous vaccine experiences perceived susceptibility sources information perceived health status influenced seasonal influenza vaccination healthcare system related factors including accessibility affordability knowledge attitudes vaccination physicians advice also important determinants vaccinationour results demonstrate ability adults 65 years receive seasonal influenza vaccine influenced structural intermediate healthcarerelated social determinants impact health system provider individual levels