Immunization rates of pneumococcal, influenza and tetanus vaccines and knowledge and attitudes of adult patients who receive inpatient treatment at hospital: Point prevalence study

Figures & data

Table 1. Demographic and clinical characteristics of patients.

Patient characteristics (n = 251)
Age Ort.±SD		5.5 ± 18.5
		n	%
Gender	Female	129	51.4
	Male	122	48.6
Education status	Low	186	75.0
	High	62	25.0
Occupation	Housewife	98	39.7
	Other	149	60.3
İncome level	Low	171	70.1
	High	71	29.3
Chronic disease	COPD	19	7.6
	Chronic renal failure	31	12,4
	Diyabetes mellitus	65	25.9
	Malignancy	49	19.5
	HIV/AIDS	4	1.6
	Coronary artery disease	58	23.1
Drugs	Corticosteroids	20	8.0
	Immunosuppressive treatment	16	6.4
Habits	Active smoker	65	26.1
	Alcohol	36	14.5
Risk group	With risk factor	177	70.5
	Without risk factor	74	29.5

* COPD: chronic obstructive pulmonary disease.

** Risk factors: immunosuppressed conditions and patient over 65 years old.

Table 2. Immunization rate of patients and knowledge and attitude towards vaccination.

Patient characteristics (n = 251)	n	%
Knowledge of pneumococcal vaccine	108	43.5
Pneumococcal vaccine knowledge source
- Media	33	30.0
- Family doctor	30	27.5
- Friends and relatives	56	51.4
Declaration of the necessity of pneumococcal vaccination	108	46.4
Knowledge of influenza vaccine	224	90.3
Influenza vaccine knowledge source
- Media	90	40.4
- Family doctor	67	30.0
- Friends and relatives	101	45.3
Declaration of the necessity of Influenza vaccination	128	53.6
Knowledge of tetanus vaccine	205	83.0
Tetanus vaccine knowledge source
- Media	44	21.5
- Family doctor	54	26.5
- Friends and relatives	127	62.3
Declaration of the necessity of tetanus vaccination	193	83.2
Vaccinated with pneumococcal vaccine	9	3.6
Vaccinated with influenza vaccine	21	8.6
Vaccinated with tetanus vaccine	64	26.6
The reason for the tetanus vaccination
- Prophylaxis after injury	54	73.0
- Pregnancy	8	11.3
- Family doctor's recommendation	2	2.8

Table 3. Knowledge and attitudes about vaccination and vaccination rate according to gender, occupation, income level and educational status.

	Gender (%)			Occupation (%)			Educational status (%)			Income level (%)
Vaccine knowledge and attitude	Female	Male	p	Housewife	Other	p	Low	High	P	Low	High	p
Knowledge of pneumococcal vaccine	41.9	45.4	0.58	39.8	46.3	0.31	42.3	45.2	0.70	41.4	46.7	0.43
Knowledge source
- Media	25.9	33.9	0.36	23.1	33.8	0.24	12.2	16.1	0.42	12.1	15.6	0.45
- Family doctor	31.5	23.6	0.36	35.9	22.9	0.14	11.6	12.9	0.79	12.1	11.7	0.93
- Friends and relatives	53.7	49.1	0.63	51.3	51.4	0.99	21.7	12.2	0.68	21.3	24.7	0.55
Declaration of the necessity of pneumococcal vaccination	45.9	46.8	0.88	45.7	46.8	0.88	43.4	41.9	0.84	43.1	42.8	0.97
Vaccinated with pneumococcal vaccine	2.3	4.9	0.27	3.1	6.1	0.69	3.2	4.8	0.54	1.7	7.8	0.02
Knowledge of influenza vaccine	89.1	91.6	0.51	86.7	93.3	0.08	87.8	93.5	0.21	86.8	94.8	0.06
Knowledge source
- Media	46.9	33.6	0.04	41.7	39.6	0.76	34.9	38.7	0.59	31.6	45.4	0.03
- Family doctor	31.0	29.1	0.76	34.5	27.3	0.26	26.5	27.4	0.88	18.4	28.6	0.07
- Friends and relatives	44.2	46.4	0.75	41.7	47.5	0.39	38.1	46.8	0.23	39.1	42.8	0.52
Declaration of the necessity of Influenza vaccination	52.8	54.4	0.81	57.9	50.7	0.27	50.3	53.2	0.69	51.7	49.3	0.73
Vaccinated with influenza vaccine	8.7	8.5	0.96	8.2	8.8	0.87	9.0	6.4	0.53	6.9	11.7	0.21
Knowledge of tetanus vaccine	83.7	82.2	0.75	81.6	84.5	0.56	78.8	90.3	0.04	77.6	90.9	0.01
Knowledge source
- Media	21.0	22.0	0.85	15.2	25.4	0.08	16.4	21.0	0.41	13.8	26.1	0.20
- Family doctor	35.2	17.2	0.003	32.9	22.4	0.10	19.0	29.0	0.10	18.4	28.6	0.07
- Friends and relatives	58.1	66.7	0.21	63.3	61.6	0.80	59.8	53.2	0.36	47.7	57.1	0.17
Declaration of the necessity of tetanus vaccination	84.2	82.1	0.68	81.3	84.4	0.54	74.1	85.5	0.06	72.4	87.0	0.01
Vaccinated with tetanus vaccine	21.8	31.6	0.08	21.3	30.1	0.13	21.2	38.7	0.006	22.4	32.5	0.09

* All indicators with asterisks show the significant level.

Table 4. Comparison of cases according to risk situation.

	With risk factor (n = 177)	Without risk factor (n = 74)
Patient characteristics	%	%	p value
Female	53.1	47.3	0.40
Male	46.9	52.7
Low level of education	81.3	54.5	<0.001
Low level of income	76.3	46.7	<0.001
Housewife	46.2	24.3	0.001
Other occupation	53.8	75.7	<0.001
Active smoker	18.3	44.6	<0.001
Vaccinated with pneumococcal vaccine	4.5	1.4	0.23
Vaccinated with influenza vaccine	8.7	8.2	1.00
Vaccinated with tetanus vaccine	18.5	45.2	<0.001
Knowledge of pneumococcal vaccine	44.8	40.5	0.53
Pneumococcal vaccine knowledge source
- Media	28.8	33.3	0.64
- Family doctor	31.6	16.7	0.12
- Friends and relatives	46.8	63.3	0.12
Declaration of the necessity of pneumococcal vaccination	46.0	47.2	0.86
Knowledge of influenza vaccine	90.2	90.5	0.94
Influenza vaccine knowledge source
- Media	41.9	36.8	0.47
- Family doctor	32.3	25.0	0.28
- Friends and relatives	41.3	54.4	0.07
Declaration of the necessity of Influenza vaccination	54.5	51.4	0.66
Knowledge of tetanus vaccine	81.5	86.5	0.34
Tetanus vaccine knowledge source
- Media	22.7	18.8	0.52
- Family doctor	21.4	37.5	0.02
- Friends and relatives	63.6	59.4	0.57
Declaration of the necessity of tetanus vaccination	83.3	81.9	0.73

* All indicators with asterisks show the significant level.

** Risk factors: immunosuppressed conditions and patient over 65 years old.

Table 5. Relationship between educational status and tetanus vaccination.

Education status		n	B	p	OR	CI 95%
Reference: illiterates		49	10,301
Primary school		110	0,832	0,04	2,298	1,04	5,076
Secondary school		27	1,737	0,029	5,682	1,189	27,154
High school		41	1,436	0,019	4,205	1,268	13,94
University		21	1,463	0,070	4,318	0,89	20,958