Low influenza vaccination rate among patients with systemic sclerosis
| Autor: | Odile Launay, Philippe Guilpain, Alice Bérezné, Serge Poiraudeau, Caroline Mestre, Cécile Marchand, Loïc Guillevin, Luc Mouthon |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Multivariate analysis Population Rheumatology Quality of life Risk Factors Influenza Human Humans Medicine Pharmacology (medical) education Adverse effect Depression (differential diagnoses) Aged education.field_of_study Scleroderma Systemic business.industry Vaccination Age Factors Middle Aged Patient Acceptance of Health Care Influenza Vaccines Immunology Anxiety Female France Viral disease medicine.symptom business Attitude to Health |
| Zdroj: | Rheumatology. 49:600-606 |
| ISSN: | 1462-0332 1462-0324 |
| DOI: | 10.1093/rheumatology/kep440 |
| Popis: | OBJECTIVE: To evaluate the influenza vaccination rate and factors influencing it in patients with SSc. METHODS: A total of 177 SSc patients fulfilling the ACR and/or LeRoy and Medsger criteria were evaluated during annual meetings of the French patient association in 2006 (n = 71) and 2007 (n = 70) or during hospitalization in the Internal Medicine Department of Cochin Hospital in 2007 (n = 36). Information on influenza vaccination was collected by a standardized form. RESULTS: Mean (s.d.) age and disease duration were 58.7 (12.6) and 10.5 (9.5) years, respectively. Overall, 69 (39%) patients received an influenza vaccination during the previous year. Among the 108 patients who were not vaccinated, 78 (72.2%) presented at least one indication for vaccination. The most frequent reasons for non-vaccination were absence of physician recommendation and fear of side effects. Patients who were and were not vaccinated did not differ in anxiety, depression, global disability or quality of life. Vaccination rate was significantly higher (59%) for patients who remembered receiving a letter from the French National Health Insurance Agency encouraging vaccination than among those who did not (26%, P = 0.0001). Multivariate analysis revealed the year of the last vaccination and age as two independent parameters associated with vaccination. CONCLUSIONS: Influenza vaccination coverage is low in SSc patients. Lack of information and fear of adverse effects are the most common reasons for non-vaccination. Efforts are needed to increase the influenza vaccination coverage in this population. |
| Databáze: | OpenAIRE |
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