Seasonal influenza vaccine uptake among people with disabilities: A nationwide population study of disparities by type of disability and socioeconomic status in France

Effect of Influenza Vaccination on Mortality and Risk of Hospitalization in Elderly Individuals with and without Disabilities: A Nationwide, Population-Based Cohort Study

“…It applies to people with neurological and neurodevelopmental conditions, such as disorders of the brain, spinal cord, peripheral nerves, and muscles; moderate to severe developmental delay; muscular dystrophy; and spinal cord injury [6]. For elderly individuals with a disability, their condition may affect their immune system, which in turn affects their capacity to fight off infections such as chronic and respiratory diseases, and thus puts them at increased risk of severe illness and need for hospitalization [6,[19][20][21]. Additionally, they are at risk of influenza-associated mortality and morbidity due to limited mobility, they may have trouble understanding or practicing preventive measures, they may be unable to communicate symptoms of illness, and they may not be closely monitored for symptoms of illness [6,20,21].…”

“…For elderly individuals with a disability, their condition may affect their immune system, which in turn affects their capacity to fight off infections such as chronic and respiratory diseases, and thus puts them at increased risk of severe illness and need for hospitalization [6,[19][20][21]. Additionally, they are at risk of influenza-associated mortality and morbidity due to limited mobility, they may have trouble understanding or practicing preventive measures, they may be unable to communicate symptoms of illness, and they may not be closely monitored for symptoms of illness [6,20,21]. Influenza vaccine administration is recommended for people at high risk of influenza-related complications; however, the effects of influenza vaccine administration in elderly individuals with disabilities have remained unknown.…”

1918 Influenza Outcomes among Institutionalized Norwegian Populations: Implications for Disability-Inclusive Pandemic Preparedness

“…Research on vaccine access and uptake among people with disabilities has produced mixed results. Several studies have found similar or higher vaccination rates compared to the general population or specific demographic counterparts (Bocquier et al 2017;Parish & Saville 2006;Iezzoni et al 2000); others show lower or suboptimal rates (Lorenz et al 2013;Henderson et al 2007). The severity of disability often plays a role; for example, Yen et al (2012) found that individuals with moderate or severe disability were more likely to have had a vaccine than those with mild disabilities, while opposite results (mild and moderate more likely than severe) were found by Diab and Johnston (2004).…”

Fostering healthy aging: The interdependency of infections, immunity and frailty

“…At the individual level, socioeconomic status and living conditions determine vaccine uptake the most. In fact, independently by multimorbidity and disability burden, the existence of socioeconomic disparities (e.g., immigrant status, living in deprived areas, living alone) has been reported as an important limiting factor for reaching adequate vaccine coverages ( Bocquier et al, 2017 ; Crawford et al, 2011 ; Harrison et al, 2018 ; Jain et al, 2017 ; Vukovic et al, 2020 ). Finally, the concomitant existence of cognitive impairment further reduces the likelihood to get access to vaccines ( Landi et al, 2005 ).…”