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. 2020 Oct 21;20:1584. doi: 10.1186/s12889-020-09613-5

Table 3.

Factors Associated With Pneumococcal VCR (CPRD; 2011–2015)

Univariate logistic regression Full Cox regression
Variables HR (95% CI) P-value HR (95% CI) P-value
Age
 18–49 Reference group Reference group
 50–64 1.14 (1.10, 1.19) P < 0.0001 0.96 (0.93, 1.00) P = 0.051
Gender
 Male Reference group Reference group
 Female 0.96 (0.93, 1.00) P = 0.033 0.91 (0.88, 0.95) P < 0.0001
Region
 North East Reference group
 North West 1.64 (1.37, 1.97) P < 0.0001 1.52 (1.27, 1.82) P < 0.0001
 Yorkshire and the Humber 1.96 (1.59, 2.42) P < 0.0001 1.98 (1.60, 2.44) P < 0.0001
 East Midlands 1.60 (1.20, 2.13) P = 0.001 1.49 (1.12, 1.99) P = 0.006
 West Midlands 1.75 (1.46, 2.10) P < 0.0001 1.66 (1.39, 2.00) P < 0.0001
 East of England 1.60 (1.32, 1.93) P < 0.0001 1.57 (1.30, 1.90) P < 0.0001
 South West 1.46 (1.21, 1.75) P < 0.0001 1.45 (1.21, 1.75) P < 0.0001
 South Central 1.51 (1.25, 1.81) P < 0.0001 1.48 (1.23, 1.77) P < 0.0001
 London 1.37 (1.14, 1.65) P = 0.0001 1.30 (1.08, 1.56) P = 0.005
 South East Coast 1.36 (1.13, 1.64) P = 0.001 1.34 (1.12, 1.61) P = 0.002
 Northern Ireland 1.57 (1.30, 1.90) P < 0.0001 1.38 (1.14, 1.68) P = 0.001
 Scotland 1.98 (1.65, 2.37) P < 0.0001 1.92 (1.61, 2.30) P < 0.0001
 Wales 0.96 (0.80, 1.16) P = 0.677 1.02 (0.85, 1.22) P = 0.870
Individuals with only one underlying medical condition
 Immunosuppression Reference group Reference group
 Cerebrospinal fluid leaks 0.52 (0.31, 0.86) P = 0.01 0.77 (0.47, 1.29) P = 0.322
 Chronic heart disease 0.91 (0.85, 0.97) P = 0.006 0.71 (0.66, 0.76) P < 0.0001
 Chronic kidney disease 0.63 (0.54, 0.74) P < 0.0001 0.55 (0.46, 0.64) P < 0.0001
 Chronic liver disease 0.53 (0.46, 0.62) P < 0.0001 0.55 (0.47, 0.64) P < 0.0001
 Chronic respiratory disease 1.05 (0.98, 1.11) P = 0.181 0.86 (0.80, 0.91) P < 0.0001
 Diabetes mellitus 1.09 (1.03, 1.16) P = 0.004 0.82 (0.77, 0.88) P < 0.0001
Influenza vaccine use in the first year of follow-up
 No Reference group Reference group
 Yes 8.68 (8.11, 9.29) P < 0.0001 8.78 (8.19, 9.40) P < 0.0001

CI Confidence interval, CPRD Clinical Practice Research Datalink, HR Hazard ratio, VCR Vaccination coverage rate