Effectiveness of influenza vaccination in elderly diabetic patients: A retrospective cohort study

Wang, I‐Kuan; Lin, Cheng‐Li; Chang, Yen Jung; Lin, Pin Wen; Liang, Ching‐Chung; Liu, Yao‐Lung; Chang, Chiz‐Tzung; Yen, Tzung‐Hai; Huang, Chiu‐Ching; Sung, Fung‐Chang

doi:10.1016/j.vaccine.2012.11.017

Cited by 74 publications

(77 citation statements)

References 24 publications

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“…24 Despite the In addition, many health workers are not convinced of the safety and effectiveness of influenza vaccination. 9,25 Our study also found that adults aged 65 y and older were more likely to receive influenza vaccination from 2011-2012 than younger adults, aged 40-64 y, were (57% vs. 16%). That the Taiwanese government did not provide free influenza vaccination for people younger than 65 y of age may be one of the reasons for lower influenza vaccination coverage among younger diabetic patients.…”

Section: Discussionsupporting

confidence: 65%

“…Our results show that influenza vaccination rates for diabetes patients were low (31-35%), 9,10,19 far below the national goal of 68% set by the Taiwan CDC. 22 Patients aged 65 y and older had a higher rate of vaccination compared with patients aged younger than 65 y.…”

Section: Discussionmentioning

confidence: 55%

“…[5][6][7] Influenza vaccination can reduce the risk of hospitalization and death in the elderly and in high-risk individuals. [8][9][10] The willingness of individuals to be vaccinated against a given infectious agent has been investigated extensively in the psycho-sociological literature on risk perceptions and illness, as this willingness is known to be a major issue in the success of vaccination programs. 11 Several models have been developed to account for the adoption of health protective behavior by individuals.…”

Section: Introductionmentioning

confidence: 99%

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

Chou

Lee

et al. 2014

Human Vaccines & Immunotherapeutics

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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.

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Section: Discussionsupporting

confidence: 65%

Section: Discussionmentioning

confidence: 55%

Section: Introductionmentioning

confidence: 99%

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

Chou

Lee

et al. 2014

Human Vaccines & Immunotherapeutics

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“…T2D is one of the chronic diseases where influenza vaccination is recommended, and older adults with T2D are less prone to influenza-induced clinical complications once vaccinated (Wang et al 2013). The influenza vaccine response was measured in T2D elderly individuals and compared to healthy age-matched controls (McElhaney et al 2015).…”

Section: CMV Infectious Diseases and Vaccine Responsesmentioning

confidence: 99%

How does cytomegalovirus factor into diseases of aging and vaccine responses, and by what mechanisms?

2017

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Cytomegalovirus (CMV) is an important pathogen for both clinical and population settings. There is a growing body of research implicating CMV in multiple health outcomes across the life course. At the same time, there is mounting evidence that individuals living in poverty are more likely to be exposed to CMV and more likely to experience many of the chronic conditions for which CMV has been implicated. Further research on the causal role of CMV for health and wellbeing is needed. However, the strong evidence implicating CMV in type 2 diabetes, autoimmunity, cancer, cardiovascular disease, vaccination, and age-related alterations in immune function warrants clinical and public health action. This imperative is even higher among individuals living in socioeconomically disadvantaged settings and those exposed to high levels of chronic psychosocial stress.

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“…Bu nedenle, diyabetik hastalar özellikle influenza ve pnömokok olmak üzere enfeksiyonlara daha yatkındır ve bu hasta grubunda enfeksiyonlar daha ağır seyretmektedir (3). Diyabetli hastalarda influenzaenfeksiyonlarına bağlı ölüm, diyabetik olmayanlara göre iki-dört kat daha fazla bulunmuştur (4). Aynı zamanda diyabetik hastalarda influenza ve pnömokokenfeksiyonlarına bağlı hospitalizasyon ihtiyacı sağlıklı populasyona göre daha fazla görülmektedir.…”

Section: Introductionunclassified

Diyabetik Hastalarin Hepatit-B, Influenza ve Pnomokok Asi Farkindaliklari

2016

GMJ

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ÖZETAmaç: Bu çalışmada ana amaç olarak diyabetik hastalarda Hepatit-B, İnfluenza ve Pnömokok aşılarının yapılması gerekliliği hakkında hastaların farkındalığının saptanması belirlenmiştir. İkincil amaçlar olarak Hepatit-B, İnfluenza ve Pnömokok aşılarının yaptırmalarının gerekli olduğunun farkında olan hastaların bu bilgiyi nereden edindiklerinin saptanması ve bilgi edindikleri kaynağın (doktor, tv, komşu vb.) aşı yaptırmaları üzerine olan etkisinin belirlenmesi hedeflenmiştir. Yöntem: Diyabet-Obezite polikliniğine başvuran diyabetik hastalardan Diyabet Aşı Anketini doldurmaları istendi. Anketi doldurmayı kabul eden hastalar gerekli yerlerde Doktor yardımıyla birlikte anketi doldurdular. Tamamlanan anketlerin veri girişi yapıldı. İstatistik çalışmaları SPSS programı ile yapıldı. Bulgular: Çalışmaya 318 hasta katıldı. Ortalama yaş 54,77 idi (%61,9 kadın, %38,1 erkek). Hastaların %90,9'u Ankarada yaşamaktaydı. %37,7 oranda ilkokul mezunu, %28 lise mezunu, %28 üniversite mezunu iken %5 hastanın okuma-yazması yoktu. Hastaların %6,9'u Tip 1 diyabetik, diğerleri Tip 2 diyabetikti. Ortalama diyabet süresi 8,8 yıldı. %46,3 hasta influenza aşısı, %18,9 hasta pnömokok aşısı ve %34,5 hasta hepatit-B aşısı yaptırmaları gerektiğini biliyorlardı. Hastalar bu bilgiyi büyük oranda doktor önerisi yoluyla edinmişlerdi. (İnfluenza aşısı grubunun %72'si, pnömokok aşısı grubunun %75'i ve hepatit-B aşısı grubunun %71,6'sı.) Aşı konusunda bilgilendirme yapan doktorların büyük bir kısmını Aile hekimleri, dahiliye doktorları ve endokrinologlar oluşturmaktaydı. (Üç doktor grubunun ortak oranları İnfluenza aşısı grubunda %81,7, pnömokok aşısı grubunda %76,8 ve hepatit-B aşısı grubunda %72,6 idi.) Bilgi kaynağı olarak ikinci sırayı bütün gruplarda televizyon aldı. (İnfluenza aşısı grubunun %16,7'si, pnömokok aşısı grubunun %19,6'i ve hepatit-B aşısı grubunun %18,6'sı.) Hastaların tümünde influenza aşısı yaptıranların oranı 14,6, pnömokok aşısı yaptıranların oranı %3,8, hepatit B aşısı yaptıran oranları %15,5 olarak saptandı. Hepatit-B grubunda öğrenim durumun yükselmesiyle birlikte aşılanma oranının da arttığı gözlendi. Diğer gruplarda bu ilişki saptanmadı. Bilgi edinilen kaynağın aşılanma oranları üzerinde etkisi olmadığı gözlendi. Sonuç: Çalışmamızda diyabetik hastlarda aşılanma gerekliliği konusunda farkındalığın ve aşılanma oranlarının gelişmiş ülkelerdeki oranların altında olduğu gözlendi. Bu oranların artması için sağlık birimlerinin daha çok çalışması gereklidir. ABSTRACT Objective:The main purpose of this study is to determine the awareness of diabetic patients on the necessity of having hepatitis B, influenza and pneumococcal vaccinations. As secondary objectives, the resources of this information and the influence of the resource (doctor, tv, neigbour etc.) on having this vaccination were evaluated. Material and Method: Diabetic patients referred to the Diabetes-Obesity clinic were asked to fill the Diabetes Vaccine Questionnaire. Patients who agree to fill out the questionnaire completed the forms with the help of doctors. Comp...

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Effectiveness of influenza vaccination in elderly diabetic patients: A retrospective cohort study

Cited by 74 publications

References 24 publications

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

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

How does cytomegalovirus factor into diseases of aging and vaccine responses, and by what mechanisms?

Diyabetik Hastalarin Hepatit-B, Influenza ve Pnomokok Asi Farkindaliklari

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