Influenza vaccination coverage and factors affecting adherence to influenza vaccination among patients with diabetes in Taiwan

Abstract

The purpose of this study was to investigate influenza vaccination coverage and the factors influencing acceptance of influenza vaccination among patients with diabetes in Taiwan using the Health Belief Model (HBM). From January 1 to February 28, 2012, 700 patients with diabetes who visited National Cheng Kung University Hospital were invited to participate in the study. A total of 691 (99%) patients with diabetes were enrolled in the study. The mean age of the subjects was 64.7 years (SD = 10.7). The percentages of patients with diabetes who received seasonal influenza vaccination were 31%, 33%, and 35% in 2009-2010, 2010-2011, and 2011-2012, respectively. Multiple regression analyses revealed that patients with diabetes who were female, were older, had comorbidities, had a more positive perception of the benefits of the influenza vaccine and had lower perceived barriers to influenza vaccination were more likely to receive the influenza vaccine in 2011-2012 (adjusted R(2) = 0.47; Chi-square = 276.50; P<0.001). Patients with diabetes perceived the risk of swine influenza to be similar to that of seasonal influenza. Consequently, in the absence of an increase in the perceived risk of influenza, a low level of actual vaccination against seasonal influenza is forecasted. Strategies to improve the uptake of influenza vaccination include interventions that highlight the risk posed by pandemic influenza while simultaneously offering tactics to ameliorate this risk.

Importance of Awareness and Treatment for Diabetes in Influenza Vaccination Coverage of Diabetic Patients under 65 Years: A Population-Based Study

“…Although multivariate analysis in our study confirmed that awareness and treatment rates of diabetes was significantly associated with influenza vaccination in diabetic patients under 65 years, univariate analysis results were similar to those of previous studies. Influenza vaccination rate was higher in women aged both under 65 years and older than 65 years, as shown in previous studies [ 25 35 ]. In general, females have a tendency to prefer healthy lifestyle.…”

Barriers of Influenza Vaccination Intention and Behavior – A Systematic Review of Influenza Vaccine Hesitancy, 2005 – 2016

“…Most sociodemographic factors present a mixed picture of results. As such, higher age was reported as a barrier to vaccine uptake (HCP 5/117 [ 53 , 54 , 89 , 285 , 331 ]; Chronic 3/45 [ 291 , 431 , 445 ], Children 3/18 [ 97 , 402 , 446 ]; Public 8/191 [ 72 , 108 , 224 , 309 , 396 , 447 – 449 ]) but also as a promotor (HCP 30/117 [ 45 , 46 , 51 , 55 , 75 , 91 , 131 , 133 , 274 , 280 , 289 , 323 , 374 , 450 – 465 ]; Pregnant 3/35 [ 57 , 297 , 324 ]; Chronic 21/45 [ 95 , 238 , 290 , 294 , 321 , 325 , 349 – 354 , 370 – 372 , 386 – 388 , 399 , 466 – 468 ]; Children 2/18 [ 119 ,…”

Influenza vaccination coverage among splenectomized patients: an Italian study on the role of active recall in the vaccination compliance

“…More evidence is found regarding the compliance of the chronic patients; the literature shows that chronic patients tend to be skeptical about the importance of vaccination and that they underestimate the consequences of the disease, with subsequently low vaccination coverage . [13][14][15]20 All studies agree that a careful and scrupulous information and education of the patient is necessary to increase adherence to vaccination; [13][14][15]20 the hospital setting, that is the setting of our immunization program, seems to be an ideal scenario for the vaccine promotion. The studies that have dealt with the issue of strategies to increase vaccine compliance assure that patients who receive preventive care are more likely to get their influenza shot than those who do not receive; furthermore, the health professionals involved in the care of patients affected by chronic conditions should encourage patients and family members to get immunized to prevent infectious diseases or minimize the risk.…”