ABSTRACT
Objective To investigate the consecutive influenza vaccination situation among the patients with type 2 diabetes and the influencing factors. Methods Based on the influenza vaccination information obtained from the vaccination case registrations of the adult vaccination clinic in all the street community health service centers in Jiangdong District and the information of patients with type 2 diabetes derived from the chronic disease monitoring management information system of Zhejiang Province. A total of 269 urban household registration patients suffered from diabetes mellitus before August 2013 and had the influenza vaccination in 2013/2014, 2014/2015, 2015/2016 and 2016/2017 were ensured and analyzed by the ordinal regression analysis to explore the influencing factors of the consecutive influenza vaccination among the patients with type 2 diabetes. Results The influenza vaccination rates among the patients with type 2 diabetes in 2013/2014 (0.74％), 2014/2015 (0.82％), 2015/2016 (1.04％) and 2016/2017 (1.13％) were increasing year by year (χ2trend=11.663, P=0.001) with the annual rate of 0.95％. The once, twice, three and four times of the influenza vaccination accounted for 60.60％ (163 patients), 19.33％ (52 patients), 13.01％ (35 patients) and 7.06％ (19 patients), respectively. The ordinal regression analysis showed that patients below the age of 66 (OR=0.542, 95％CI: 0.310-0.948) and patients with a primary and middle school degree (ORprimary=0.436, 95％CI: 0.253-0.752; ORmiddle=0.438, 95％CI: 0.265-0.724) were all more likely to cease the vaccination. Patients who get the first time vaccination after be diagnosed in three years (OR=2.509, 95％CI: 1.412-4.459) were more likely to get immunized continuously. Conclusion The influenza vaccination rates among patients with type 2 diabetes were low. The patients aged 76 years old and above, with a higher degree and newly diagnosed were more likely to accept the consecutive influenza vaccination.