Determinants of vaccine adherence among non-dialysis chronic kidney disease patients in Qatar.

Autor:	Habib MB; Internal Medicine Department, Hamad Medical Corporation, Doha, Qatar., Ali K; Community Medicine Department, Hamad Medical Corporation, Doha, Qatar Email:kali15@hamad.qa ORCID iD: 0000-0002-8073-4375., Rahhal A; Pharmacy Department, Hamad Medical Corporation, Doha, Qatar., Obeidat I; Internal Medicine Department, Hamad Medical Corporation, Doha, Qatar., Altermanini M; Internal Medicine Department, Hamad Medical Corporation, Doha, Qatar., Sawaf B; Internal Medicine Department, Hamad Medical Corporation, Doha, Qatar., Latif TA; Nephrology Division, Department of Medicine, Hamad Medical Corporation, Doha, Qatar., Hamad A; Nephrology Division, Department of Medicine, Hamad Medical Corporation, Doha, Qatar., Bougmiza I; Community Medicine Department, Primary Health Care Corporation, Doha, Qatar., Aly SI; Nephrology Division, Department of Medicine, Hamad Medical Corporation, Doha, Qatar., Mahmoud KM; Nephrology Division, Department of Medicine, Hamad Medical Corporation, Doha, Qatar.
Jazyk:	angličtina
Zdroj:	Qatar medical journal [Qatar Med J] 2024 Jan 06; Vol. 2023 (4), pp. 33. Date of Electronic Publication: 2024 Jan 06 (Print Publication: 2023).
DOI:	10.5339/qmj.2023.33
Abstrakt:	Introduction: Chronic kidney disease (CKD) is a global health problem. Reduced innate and adaptive immunological responses predispose CKD patients to infections. Despite the clinical and epidemiological importance of CKD and the great value of vaccination as a prophylactic measure, the utilization of recommended vaccines in Qatar has not yet been evaluated. Methods: We conducted a cross-sectional study to estimate the level of influenza, pneumococcal, and hepatitis B vaccination and the predictors of adherence to these recommended vaccines among non-dialysis CKD patients receiving renal ambulatory care in Qatar from 1 September 2020 to 30 April 2021. Complete vaccination was defined as receiving the three vaccines, and partial vaccination was defined as receiving one or two vaccines. The full and partial vaccination predictors were assessed using multivariate logistic regression and reported as odds ratio (OR) with p<0.05 indicating statistical significance. Results: 416 non-dialysis CKD patients were included in our analysis. 73% were males; the mean age was 56 ± 15 years. More than 50% of the patients were from the Middle East, followed by 36% from Asia. Most patients had concurrent hypertension, concurrent diabetes mellitus, and were stage V CKD. Only 12% of the patients were fully vaccinated, while 73% received partial vaccination. The predictors of vaccination included age, gender, Asian origin, employment, living conditions, concurrent medical conditions, CKD stage, allergy to medications, and use of injectable medications. Only stage V CKD positively predicted adherence to full and partial vaccinations in non-dialysis CKD patients. Conclusion: There is very low adherence to the recommended vaccines in CKD patients, with a prevalence of complete vaccination of 12% only. Increased public awareness about the importance of vaccination in CKD may improve the adherence rates among these patients in Qatar. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this article. (© 2023 Habib, Ali, Rahhal, Obeidat, Altermanini, Sawaf, Latif, Hamad, Bougmiza, Aly, Mahmoud, Licensee HBKU Press.)
Databáze:	MEDLINE
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