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- Title
Immunising older Australians: Pre-COVID-19 associations of opportunistic immunisation in general practice registrar consultations.
- Authors
Tranter, Isaac; Magin, Parker; Tapley, Amanda; Holliday, Elizabeth; Davey, Andrew R.; Fielding, Alison; Spike, Neil; FitzGerald, Kristen; Ball, Jean; van Driel, Mieke L.
- Abstract
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.
- Subjects
AUSTRALIANS; INDIGENOUS Australians; IMMUNIZATION; VACCINATION status; OLDER people
- Publication
Australian Journal of General Practice, 2022, Vol 51, Issue 10, p793
- ISSN
2208-794X
- Publication type
Article
- DOI
10.31128/ajgp-09-21-6165