- Title
- Immunising older Australians: Pre-COVID-19 associations of opportunistic immunisation in general practice registrar consultations
- Creator
- Tranter, Isaac; Magin, Parker; Tapley, Amanda; Holliday, Elizabeth; Davey, Andrew R.; Fielding, Alison; Spike, Neil; FitzGerald, Kristen; Ball, Jean; van Driel, Mieke L.
- Relation
- Australian Journal of General Practice Vol. 51, Issue 10, p. 793-797
- Publisher Link
- http://dx.doi.org/10.31128/AJGP-09-21-6165
- Publisher
- Royal Australian College of General Practitioners
- Resource Type
- journal article
- Date
- 2022
- Description
- Background and objective: Vaccine uptake in older Australians is suboptimal. This exploratory study aims to establish the associations of opportunistic older person immunisation in general practice registrars’ practice. Methods: This study was a cross-sectional analysis of data from the Registrar Clinical Encounters in Training (ReCEnT) study. Univariate and multivariable regressions explored associations between vaccine recommendations and patient, registrar, practice and consultation factors. Results: A total of 2839 registrars provided data on 74,436 consultations. Associations of lower odds of immunisation included Aboriginal and Torres Strait Islander peoples (odds ratio [OR] 0.69; 95% confidence interval [CI]: 0.50, 0.96), rural/remote practice location (OR 0.75; 95% CI: 0.58, 0.98, compared with major cities) and in areas of greater relative socioeconomic disadvantage (OR per decile 1.03; 95% CI: 1.01, 1.05). Patients new to the practice (OR 2.46; 95% CI: 2.06, 2.94), or to the registrar (2.02; 95% CI: 1.87, 2.18) had higher odds of receiving an immunisation. Discussion: Our findings suggest that general practice registrars may be proactively facilitating immunisation in new patients, but that inequities in vaccination persist.
- Subject
- vaccine uptake; older person immunisation; vaccination; cross-sectional data analysis
- Identifier
- http://hdl.handle.net/1959.13/1482922
- Identifier
- uon:51047
- Identifier
- ISSN:2208-794X
- Language
- eng
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