Geografische Cluster der Unterimmunisierung gegen Influenza bei über 60-Jährigen am Beispiel Westfalen-Lippe

Abstract Background Underimmunization against influenza has been increasing in recent years. A spatial clustering of underimmunization is suspected. These clusters can pose risks to health care and make achieving immunization quality standards difficult. The objectives of this paper are to (a) identify and describe PLZ-level spatial clusters with high levels of underimmunization against influenza, (b) compare the clusters with other preventive services, and (c) model possible factors influencing underimmunization. Material and methods From the routine data of the Association of Statutory Health Insurance physici…