Background. ESCULAPIO is a multicenter project, funded by the Italian Centre for Disease Prevention and Control, aimed atimplementing communication strategies to improve vaccination knowledge and attitudes among different target populations.Objective. The objective of the Sicilian research unit was, in the first phase, to identify, through systematic literature revision,which vaccination determinants play a role in the uptake of recommended vaccines included in the Italian Vaccination Plan.Design. A systematic literature review was carried out on studies describing the determinants underlying pneumococcal andmeningococcal vaccination uptake. The analysis was limited to papers published in English from 2000 to date.Results. A total of 188 (meningococcal) and 731 (pneumococcal) papers were found. After selection by publication data, country(Europe), article type (original article), target population (healthy subjects), 7 (meningococcal) and 4 ( pneumococcal) manuscriptswere finally included in the analysis. For meningococcal vaccination a better socioeconomic status is related to vaccinationacceptance, whereas distance from immunization service is a negative determinant. For pneumococcal vaccination thedeterminants related to vaccination uptake are older parental age and a strong vaccine recommendation. Conversely, when thevaccine needs to be paid for, a refusal is more likelyConclusions. Our results show that payment for vaccination is a major barrier and communication about meningococcal andpneumococcal vaccination should be targeted towards specific population groups, especially through the counseling activitiesby health professionals.
|Numero di pagine||6|
|Rivista||Epidemiologia e prevenzione|
|Stato di pubblicazione||Published - 2015|