Determinants of Tetanus, Pneumococcal and Influenza Vaccination in the Elderly

A Representative Cross-Sectional Study on Knowledge, Attitude and Practice (KAP)

Carolina J. Klett-Tammen; Gérard Krause; Linda Seefeld; Jördis J. Ott


BMC Public Health. 2016;16(121) 

In This Article


We analysed associations of KAP with the uptake of specific vaccinations in the elderly in Germany, using logistic regressions and score building within a representative sample. Our findings suggest that there are different patterns for the different vaccine types, leading to the necessity of specific public health actions for each vaccine. While for the pneumococcal vaccine the knowledge about the recommendation needs to be addressed, for the influenza vaccine mainly the attitudes towards the vaccination are of interest and for the tetanus vaccination general vaccination-related practices, as possessing a vaccination record, should be tackled. In general, many elderly have not received advice regarding recommended vaccinations by their physician. This results in a need for integrating health care workers in the research of determinants of vaccine uptake in the elderly in Germany and in the design of related promotion activities, taking into consideration implications of varying vaccine performance, i.e., efficacy of each of the vaccines in general and in the elderly.[33–38]

Ethics Approval and Consent to Participate

All procedures performed in this study involving human participants were in accordance with the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The original collection of the data was performed on behalf of the Federal Centre for health education (BZgA), in accordance to the ESOMAR-Code. As data used for these analyses did not include individual personal data or personal identifiers, ethical approval was not required.

Availability of Data and Materials

Data and questionnaires used were available from the Federal Centre for Health Education (BZgA) (Head 1985–2015, Professor Pott. Dataset and questionnaires were sent on behalf of Professor Pott). In timely alignment with this study, the data set has been made available as a public use file in November 2015 on GESIS - Leibniz-Institut für Sozialwissenschaften: Datenbestandskatalog.