Predictors of influenza vaccination uptake among adults with a history of heart attack

Jiménez‐García, Rodrigo; Hernández-Barrera, Valentín; López‐de‐Andrés, Ana; Jiménez‐Trujillo, Isabel; Esteban, Jesús; Gil, Á.; Carrasco‐Garrido, Pilar

doi:10.4161/hv.6.7.11884

Cited by 7 publications

(8 citation statements)

References 22 publications

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“…More consistently, having given up smoking was reported to increase the uptake of vaccination (HCP 2/117 [ 367 , 369 ]; Chronic 4/45 [ 321 , 370 – 372 ]; Elderly 3/62 [ 346 , 361 , 373 ]; Public 6/191 [ 192 , 318 , 346 , 347 , 373 , 374 ];). The relationship between these rather proximate health variables and vaccine uptake “may be explained by confounding factors, such as health status, attitudes regarding immunization and physician’s perspective of smokers’ health, so this association should be interpreted with care” [ 353 ].…”

Section: Resultsmentioning

confidence: 99%

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

et al. 2017

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BackgroundInfluenza vaccine hesitancy is a significant threat to global efforts to reduce the burden of seasonal and pandemic influenza. Potential barriers of influenza vaccination need to be identified to inform interventions to raise awareness, influenza vaccine acceptance and uptake.ObjectiveThis review aims to (1) identify relevant studies and extract individual barriers of seasonal and pandemic influenza vaccination for risk groups and the general public; and (2) map knowledge gaps in understanding influenza vaccine hesitancy to derive directions for further research and inform interventions in this area.MethodsThirteen databases covering the areas of Medicine, Bioscience, Psychology, Sociology and Public Health were searched for peer-reviewed articles published between the years 2005 and 2016. Following the PRISMA approach, 470 articles were selected and analyzed for significant barriers to influenza vaccine uptake or intention. The barriers for different risk groups and flu types were clustered according to a conceptual framework based on the Theory of Planned Behavior and discussed using the 4C model of reasons for non-vaccination.ResultsMost studies were conducted in the American and European region. Health care personnel (HCP) and the general public were the most studied populations, while parental decisions for children at high risk were under-represented. This study also identifies understudied concepts. A lack of confidence, inconvenience, calculation and complacency were identified to different extents as barriers to influenza vaccine uptake in risk groups.ConclusionMany different psychological, contextual, sociodemographic and physical barriers that are specific to certain risk groups were identified. While most sociodemographic and physical variables may be significantly related to influenza vaccine hesitancy, they cannot be used to explain its emergence or intensity. Psychological determinants were meaningfully related to uptake and should therefore be measured in a valid and comparable way. A compendium of measurements for future use is suggested as supporting information.

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Section: Resultsmentioning

confidence: 99%

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

et al. 2017

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“…Patients with ischaemic heart disease are identified as a risk group for serious influenza infection, with many countries recommending vaccination for people with CVD. However, vaccination is underused in this population, 15 16 particularly in those under 65. 17 With increasing incidence of AMI after 50 years, 1 our findings add to the evidence base supporting influenza vaccination for middle-aged adults.…”

Section: Discussionmentioning

confidence: 98%

Acute myocardial infarction and influenza: a meta-analysis of case–control studies

Barnes

Heywood

Mahimbo

et al. 2015

Heart

258

190

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ObjectiveAcute myocardial infarction (AMI) is the leading cause of death and disability globally. There is increasing evidence from observational studies that influenza infection is associated with AMI. In patients with known coronary disease, influenza vaccination is associated with a lower risk of cardiovascular events. However, the effect of influenza vaccination on incident AMI across the entire population is less well established.MethodThe purpose of our systematic review of case–control studies is twofold: (1) to estimate the association between influenza infection and AMI and (2) to estimate the association between influenza vaccination and AMI. Cases included those conducted with first-time AMI or any AMI cases. Studies were appraised for quality and meta-analyses using random effects models for the influenza exposures of infection, and vaccination were conducted.Results16 studies (8 on influenza vaccination, 10 on influenza infection and AMI) met the eligibility criteria, and were included in the review and meta-analysis. Recent influenza infection, influenza-like illness or respiratory tract infection was significantly more likely in AMI cases, with a pooled OR 2.01 (95% CI 1.47 to 2.76). Influenza vaccination was significantly associated with AMI, with a pooled OR of 0.71 (95% CI 0.56 to 0.91), equating to an estimated vaccine effectiveness of 29% (95% CI 9% to 44%) against AMI.ConclusionsOur meta-analysis of case–control studies found a significant association between recent respiratory infection and AMI. The estimated vaccine effectiveness against AMI was comparable with the efficacy of currently accepted therapies for secondary prevention of AMI from clinical trial data. A large-scale randomised controlled trial is needed to provide robust evidence of the protective effect of influenza vaccination on AMI, including as primary prevention.

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“…In a Spanish analysis of vaccine uptake in Spain between 1995 and 2006, a 12% greater probability of having received the vaccine was found in men aged 65 years and older with an associated chronic condition, when compared to women with the same medical conditions [25]. In that survey, male sex was found to be a predictor of receiving influenza vaccination among subjects with diabetes mellitus [22] and among adults with a history of myocardial infarction [23].…”

Section: International Comparisonmentioning

confidence: 96%

“…In comparison, in the United States of America an interview survey of 2003 revealed that among patients with diabetes the influenza coverage ranged between 26.5 and 62.4% in the federal states (median: 49.0%) and the pneumococcal coverage between 19.5 and 58.2% (median: 37.1%) [21]. In a Spanish study, influenza vaccination coverage among subjects with diabetes mellitus amounted to 57% [22] and among adults with a history of heart attack to 67.9% compared to 35% in non-sufferers [23]. In European countries the influenza vaccination rates among chronically ill persons ranged from 11.1 to 56.0% in 2006/07 and 2007/08, respectively [18].…”

Section: International Comparisonmentioning

confidence: 98%

Coverage of recommended vaccinations in subjects with diabetes mellitus and ischemic heart disease: results for women and men

Dörner

Rásky

Stein

et al. 2011

Wien Med Wochenschr

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Vaccination is an important public health strategy to prevent adverse health outcomes in the general population and in subjects with chronic diseases. It was the aim of this study to compare data on coverage of recommended vaccinations in men and women with diabetes mellitus and after myocardial infarction (MI) and to analyse trends in three different interview surveys: 1991, 1999 and 2006-07. The data show a rise in influenza vaccination coverage rate in men and women in the general population and in high-risk groups. However, coverage rates in all analysed groups were still strikingly low. Although in soft reported earlier surveys women were vaccinated more often than men, there was a reverse trend observed in the most recent survey. In the survey of 2006-07, men with diabetes or after MI had a higher chance of being vaccinated against influenza when compared to men without these diseases (age adjusted OR: 1.61; 95% CI: 1.29-1.99 and 1.61; 95% CI: 1.21-2.15, respectively). This was, however, not the case in women (OR: 1.10; 95% CI: 0.89-1.35 and 0.87; 95% CI: 0.58-1.33, respectively). Neither men nor women with diabetes mellitus or MI had a significantly higher chance of having pneumococcal vaccination when compared to subjects without these diseases. The observed sex-specific differences demand more research regarding the underlying causes. Strategies to reach higher vaccination coverage in men and women are needed.

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Predictors of influenza vaccination uptake among adults with a history of heart attack

Cited by 7 publications

References 22 publications

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

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

Acute myocardial infarction and influenza: a meta-analysis of case–control studies

Coverage of recommended vaccinations in subjects with diabetes mellitus and ischemic heart disease: results for women and men

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