Influenza vaccination uptake and factors influencing vaccination decision among patients with chronic kidney or liver disease

Seasonal influenza is a major global health problem causing substantial morbidity and health care costs. Yet, in many countries, the rates of influenza vaccination remain low. Chronic kidney or liver diseases (CKLD) predispose patients to severe influenza infections, but data on vaccination acceptan...

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Veröffentlicht in:PloS one 2021-04, Vol.16 (4), p.e0249785-e0249785
Hauptverfasser: Eder, Michael, Omic, Haris, Gorges, Jana, Badt, Florian, Kikic, Zeljko, Saemann, Marcus D, Tong, Allison, Bauer, David, Semmler, Georg, Reiberger, Thomas, Lagler, Heimo, Scheiner, Bernhard
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container_title PloS one
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creator Eder, Michael
Omic, Haris
Gorges, Jana
Badt, Florian
Kikic, Zeljko
Saemann, Marcus D
Tong, Allison
Bauer, David
Semmler, Georg
Reiberger, Thomas
Lagler, Heimo
Scheiner, Bernhard
description Seasonal influenza is a major global health problem causing substantial morbidity and health care costs. Yet, in many countries, the rates of influenza vaccination remain low. Chronic kidney or liver diseases (CKLD) predispose patients to severe influenza infections, but data on vaccination acceptance and status is limited in this risk population. We investigated the influenza vaccination awareness considering sociodemographic factors in CKLD patients. This cross-sectional, questionnaire-based study recruited CKLD patients managed at three Viennese tertiary care centers between July and October 2020. CKLD was defined as chronic kidney- (all stages) or compensated/decompensated liver disease, including kidney/liver transplant recipients. Questionnaires assessed sociodemographic and transplant- associated parameters, patients vaccination status and the individuals self-perceived risks of infection and associated complications. In total 516 patients (38.1% female, mean age 56.4 years) were included. 43.9% of patients declared their willingness to be vaccinated in the winter season 2020/2021, compared to 25.4% in 2019/2020 and 27.3% in 2016-2018. Vaccination uptake was associated with the self-perceived risks of infection (OR: 2.8 (95%CI: 1.8-4.5), p
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Yet, in many countries, the rates of influenza vaccination remain low. Chronic kidney or liver diseases (CKLD) predispose patients to severe influenza infections, but data on vaccination acceptance and status is limited in this risk population. We investigated the influenza vaccination awareness considering sociodemographic factors in CKLD patients. This cross-sectional, questionnaire-based study recruited CKLD patients managed at three Viennese tertiary care centers between July and October 2020. CKLD was defined as chronic kidney- (all stages) or compensated/decompensated liver disease, including kidney/liver transplant recipients. Questionnaires assessed sociodemographic and transplant- associated parameters, patients vaccination status and the individuals self-perceived risks of infection and associated complications. In total 516 patients (38.1% female, mean age 56.4 years) were included. 43.9% of patients declared their willingness to be vaccinated in the winter season 2020/2021, compared to 25.4% in 2019/2020 and 27.3% in 2016-2018. Vaccination uptake was associated with the self-perceived risks of infection (OR: 2.8 (95%CI: 1.8-4.5), p&lt;0.001) and associated complications (OR: 3.8 (95%CI: 2.3-6.3), p&lt;0.001) as well as with previously received influenza vaccination (2019/2020: OR 17.1 (95%CI: 9.5-30.7), p&lt;0.001; season 2016-2018: OR 8.9 (95%CI: 5.5-14.5), p&lt;0.001). Most frequent reasons for not planning vaccination were fear of a) graft injury (33.3%), b) complications after vaccination (32.4%) and c) vaccine inefficiency (15.0%). While influenza vaccination willingness in patients with CKLD is increasing in the 2020/2021 season, vaccination rates may still remain &lt;50%. Novel co-operations with primary health care, active vaccination surveillance and financial reimbursement may substantially improve vaccination rates in high-risk CKLD patients.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0249785</identifier><identifier>PMID: 33848305</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Biology and Life Sciences ; Canyons ; Chronic illnesses ; Chronic kidney failure ; Clinical decision making ; Complications and side effects ; Decision making ; Demographic aspects ; Dialysis ; Editing ; Gastroenterology ; Health risks ; Hematopoietic stem cells ; Hemodynamics ; Hepatology ; Hospitals ; Immunization ; Infections ; Influenza ; Influenza vaccines ; Kidneys ; Liver ; Liver diseases ; Liver transplants ; Medical personnel ; Medicine ; Medicine and Health Sciences ; Nephrology ; Outpatient care facilities ; Patients ; People and places ; Peritoneal dialysis ; Physiological aspects ; Political aspects ; Population studies ; Prevention ; Public health ; Questionnaires ; Risk analysis ; Risk assessment ; Risk factors ; Seasons ; Side effects ; Social aspects ; Social Sciences ; Stem cells ; Streptococcus infections ; Transplants &amp; implants ; Urology ; Vaccination</subject><ispartof>PloS one, 2021-04, Vol.16 (4), p.e0249785-e0249785</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Eder et al. 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Yet, in many countries, the rates of influenza vaccination remain low. Chronic kidney or liver diseases (CKLD) predispose patients to severe influenza infections, but data on vaccination acceptance and status is limited in this risk population. We investigated the influenza vaccination awareness considering sociodemographic factors in CKLD patients. This cross-sectional, questionnaire-based study recruited CKLD patients managed at three Viennese tertiary care centers between July and October 2020. CKLD was defined as chronic kidney- (all stages) or compensated/decompensated liver disease, including kidney/liver transplant recipients. Questionnaires assessed sociodemographic and transplant- associated parameters, patients vaccination status and the individuals self-perceived risks of infection and associated complications. In total 516 patients (38.1% female, mean age 56.4 years) were included. 43.9% of patients declared their willingness to be vaccinated in the winter season 2020/2021, compared to 25.4% in 2019/2020 and 27.3% in 2016-2018. Vaccination uptake was associated with the self-perceived risks of infection (OR: 2.8 (95%CI: 1.8-4.5), p&lt;0.001) and associated complications (OR: 3.8 (95%CI: 2.3-6.3), p&lt;0.001) as well as with previously received influenza vaccination (2019/2020: OR 17.1 (95%CI: 9.5-30.7), p&lt;0.001; season 2016-2018: OR 8.9 (95%CI: 5.5-14.5), p&lt;0.001). Most frequent reasons for not planning vaccination were fear of a) graft injury (33.3%), b) complications after vaccination (32.4%) and c) vaccine inefficiency (15.0%). While influenza vaccination willingness in patients with CKLD is increasing in the 2020/2021 season, vaccination rates may still remain &lt;50%. Novel co-operations with primary health care, active vaccination surveillance and financial reimbursement may substantially improve vaccination rates in high-risk CKLD patients.</description><subject>Biology and Life Sciences</subject><subject>Canyons</subject><subject>Chronic illnesses</subject><subject>Chronic kidney failure</subject><subject>Clinical decision making</subject><subject>Complications and side effects</subject><subject>Decision making</subject><subject>Demographic aspects</subject><subject>Dialysis</subject><subject>Editing</subject><subject>Gastroenterology</subject><subject>Health risks</subject><subject>Hematopoietic stem cells</subject><subject>Hemodynamics</subject><subject>Hepatology</subject><subject>Hospitals</subject><subject>Immunization</subject><subject>Infections</subject><subject>Influenza</subject><subject>Influenza vaccines</subject><subject>Kidneys</subject><subject>Liver</subject><subject>Liver diseases</subject><subject>Liver transplants</subject><subject>Medical personnel</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Nephrology</subject><subject>Outpatient care facilities</subject><subject>Patients</subject><subject>People and places</subject><subject>Peritoneal dialysis</subject><subject>Physiological aspects</subject><subject>Political aspects</subject><subject>Population studies</subject><subject>Prevention</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Risk analysis</subject><subject>Risk assessment</subject><subject>Risk factors</subject><subject>Seasons</subject><subject>Side effects</subject><subject>Social aspects</subject><subject>Social Sciences</subject><subject>Stem cells</subject><subject>Streptococcus infections</subject><subject>Transplants &amp; 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Yet, in many countries, the rates of influenza vaccination remain low. Chronic kidney or liver diseases (CKLD) predispose patients to severe influenza infections, but data on vaccination acceptance and status is limited in this risk population. We investigated the influenza vaccination awareness considering sociodemographic factors in CKLD patients. This cross-sectional, questionnaire-based study recruited CKLD patients managed at three Viennese tertiary care centers between July and October 2020. CKLD was defined as chronic kidney- (all stages) or compensated/decompensated liver disease, including kidney/liver transplant recipients. Questionnaires assessed sociodemographic and transplant- associated parameters, patients vaccination status and the individuals self-perceived risks of infection and associated complications. In total 516 patients (38.1% female, mean age 56.4 years) were included. 43.9% of patients declared their willingness to be vaccinated in the winter season 2020/2021, compared to 25.4% in 2019/2020 and 27.3% in 2016-2018. Vaccination uptake was associated with the self-perceived risks of infection (OR: 2.8 (95%CI: 1.8-4.5), p&lt;0.001) and associated complications (OR: 3.8 (95%CI: 2.3-6.3), p&lt;0.001) as well as with previously received influenza vaccination (2019/2020: OR 17.1 (95%CI: 9.5-30.7), p&lt;0.001; season 2016-2018: OR 8.9 (95%CI: 5.5-14.5), p&lt;0.001). Most frequent reasons for not planning vaccination were fear of a) graft injury (33.3%), b) complications after vaccination (32.4%) and c) vaccine inefficiency (15.0%). While influenza vaccination willingness in patients with CKLD is increasing in the 2020/2021 season, vaccination rates may still remain &lt;50%. Novel co-operations with primary health care, active vaccination surveillance and financial reimbursement may substantially improve vaccination rates in high-risk CKLD patients.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33848305</pmid><doi>10.1371/journal.pone.0249785</doi><tpages>e0249785</tpages><orcidid>https://orcid.org/0000-0002-6341-1275</orcidid><orcidid>https://orcid.org/0000-0003-3240-7385</orcidid><orcidid>https://orcid.org/0000-0002-3538-3844</orcidid><oa>free_for_read</oa></addata></record>
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subjects Biology and Life Sciences
Canyons
Chronic illnesses
Chronic kidney failure
Clinical decision making
Complications and side effects
Decision making
Demographic aspects
Dialysis
Editing
Gastroenterology
Health risks
Hematopoietic stem cells
Hemodynamics
Hepatology
Hospitals
Immunization
Infections
Influenza
Influenza vaccines
Kidneys
Liver
Liver diseases
Liver transplants
Medical personnel
Medicine
Medicine and Health Sciences
Nephrology
Outpatient care facilities
Patients
People and places
Peritoneal dialysis
Physiological aspects
Political aspects
Population studies
Prevention
Public health
Questionnaires
Risk analysis
Risk assessment
Risk factors
Seasons
Side effects
Social aspects
Social Sciences
Stem cells
Streptococcus infections
Transplants & implants
Urology
Vaccination
title Influenza vaccination uptake and factors influencing vaccination decision among patients with chronic kidney or liver disease
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