Impact of influenza vaccination on major cause-specific mortality

被引:96
作者
Wang, Chong-Shan
Wang, Shan-Tair
Lai, Ching-Te
Lin, Li-Jen
Chou, Pesus [1 ]
机构
[1] Natl Yang Ming Univ, Inst Publ Hlth, Taipei 112, Taiwan
[2] Natl Yang Ming Univ, Community Med Res Ctr, Taipei 112, Taiwan
[3] A Lein Community Hlth Ctr, Kaohsiung, Taiwan
[4] Natl Cheng Kung Univ, Coll Med, Dept Med, Inst Publ Hlth, Tainan 70101, Taiwan
[5] Natl Cheng Kung Univ Hosp, Coll Med, Dept Internal Med, Tainan, Taiwan
[6] Kaohsiung Cty Bur Hlth, Kaohsiung, Taiwan
关键词
influenza vaccination; vaccine efficacy; major cause-specific mortality;
D O I
10.1016/j.vaccine.2006.10.015
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The efficacy of influenza vaccination is not well understood for major cause-specific mortality except pneumonia. For 10 months we followed the mortality data of 35,637 vaccinated elderly (> 65 years old) in a county with 102,698 elderly in southern Taiwan. A multivariate Cox model showed that vaccination was significantly associated with lower mortality for all causes, [hazards ratio (HR) = 0.56], stroke (HR = 0.35), renal disease (HR = 0.40), diabetes mellitus (HR = 0.45), pneumonia (HR = 0.47), COPD (HR = 0.55), malignancy (HR = 0.74), and heart diseases (HR = 0.78), p < 0.05. Influenza vaccination was strongly associated with reducing major cause-specific mortality. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1196 / 1203
页数:8
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