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4% (95% confidence interval (CI), 36.0-52.9%). Of these, 127 subjects regularly visited clinics and/or hospitals for any diseases and their pneumococcal vaccine rate was 44.1% (95%CI, 35.3-53.2%). In multivariate analysis, chronic respiratory diseases (odds ratio 5.7; 95%CI, 2.2-14.9, P less then 0.001) and receipt of PPSV23 notification (odds ratio 8.5; 95%CI, 2.5-29.0, P less then 0.001) were positively associated with pneumococcal vaccination. In conclusion, chronic respiratory diseases and receipt of PPSV23 notification were positively associated with p
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