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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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 |
doi_str_mv | 10.1371/journal.pone.0249785 |
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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<0.001) and associated complications (OR: 3.8 (95%CI: 2.3-6.3), p<0.001) as well as with previously received influenza vaccination (2019/2020: OR 17.1 (95%CI: 9.5-30.7), p<0.001; season 2016-2018: OR 8.9 (95%CI: 5.5-14.5), p<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 <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 & 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. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Eder et al 2021 Eder et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-c01b0eab431df9bdcda41705c46e61b762b973c68e81ecd18277183470f06d733</citedby><cites>FETCH-LOGICAL-c692t-c01b0eab431df9bdcda41705c46e61b762b973c68e81ecd18277183470f06d733</cites><orcidid>0000-0002-6341-1275 ; 0000-0003-3240-7385 ; 0000-0002-3538-3844</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8043408/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8043408/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33848305$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Remuzzi, Giuseppe</contributor><creatorcontrib>Eder, Michael</creatorcontrib><creatorcontrib>Omic, Haris</creatorcontrib><creatorcontrib>Gorges, Jana</creatorcontrib><creatorcontrib>Badt, Florian</creatorcontrib><creatorcontrib>Kikic, Zeljko</creatorcontrib><creatorcontrib>Saemann, Marcus D</creatorcontrib><creatorcontrib>Tong, Allison</creatorcontrib><creatorcontrib>Bauer, David</creatorcontrib><creatorcontrib>Semmler, Georg</creatorcontrib><creatorcontrib>Reiberger, Thomas</creatorcontrib><creatorcontrib>Lagler, Heimo</creatorcontrib><creatorcontrib>Scheiner, Bernhard</creatorcontrib><title>Influenza vaccination uptake and factors influencing vaccination decision among patients with chronic kidney or liver disease</title><title>PloS one</title><addtitle>PLoS One</addtitle><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<0.001) and associated complications (OR: 3.8 (95%CI: 2.3-6.3), p<0.001) as well as with previously received influenza vaccination (2019/2020: OR 17.1 (95%CI: 9.5-30.7), p<0.001; season 2016-2018: OR 8.9 (95%CI: 5.5-14.5), p<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 <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 & 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vaccination uptake and factors influencing vaccination decision among patients with chronic kidney or liver disease</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-c01b0eab431df9bdcda41705c46e61b762b973c68e81ecd18277183470f06d733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Biology and Life Sciences</topic><topic>Canyons</topic><topic>Chronic illnesses</topic><topic>Chronic kidney failure</topic><topic>Clinical decision making</topic><topic>Complications and side effects</topic><topic>Decision making</topic><topic>Demographic aspects</topic><topic>Dialysis</topic><topic>Editing</topic><topic>Gastroenterology</topic><topic>Health risks</topic><topic>Hematopoietic stem cells</topic><topic>Hemodynamics</topic><topic>Hepatology</topic><topic>Hospitals</topic><topic>Immunization</topic><topic>Infections</topic><topic>Influenza</topic><topic>Influenza vaccines</topic><topic>Kidneys</topic><topic>Liver</topic><topic>Liver diseases</topic><topic>Liver transplants</topic><topic>Medical personnel</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Nephrology</topic><topic>Outpatient care facilities</topic><topic>Patients</topic><topic>People and places</topic><topic>Peritoneal dialysis</topic><topic>Physiological aspects</topic><topic>Political aspects</topic><topic>Population studies</topic><topic>Prevention</topic><topic>Public health</topic><topic>Questionnaires</topic><topic>Risk analysis</topic><topic>Risk assessment</topic><topic>Risk factors</topic><topic>Seasons</topic><topic>Side effects</topic><topic>Social aspects</topic><topic>Social Sciences</topic><topic>Stem 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Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Eder, Michael</au><au>Omic, Haris</au><au>Gorges, Jana</au><au>Badt, Florian</au><au>Kikic, Zeljko</au><au>Saemann, Marcus D</au><au>Tong, Allison</au><au>Bauer, David</au><au>Semmler, Georg</au><au>Reiberger, Thomas</au><au>Lagler, Heimo</au><au>Scheiner, Bernhard</au><au>Remuzzi, Giuseppe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influenza vaccination uptake and factors influencing vaccination decision among patients with chronic kidney or liver disease</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2021-04-13</date><risdate>2021</risdate><volume>16</volume><issue>4</issue><spage>e0249785</spage><epage>e0249785</epage><pages>e0249785-e0249785</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>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<0.001) and associated complications (OR: 3.8 (95%CI: 2.3-6.3), p<0.001) as well as with previously received influenza vaccination (2019/2020: OR 17.1 (95%CI: 9.5-30.7), p<0.001; season 2016-2018: OR 8.9 (95%CI: 5.5-14.5), p<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 <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> |
fulltext | fulltext |
identifier | ISSN: 1932-6203 |
ispartof | PloS one, 2021-04, Vol.16 (4), p.e0249785-e0249785 |
issn | 1932-6203 1932-6203 |
language | eng |
recordid | cdi_plos_journals_2512323131 |
source | DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
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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