Vaccinations and Chronic Diseases: Knowledge, Attitudes, and Self-Reported Adherence among Patients in Italy

Napolitano, Francesco; Polla, Giorgia Della; Capano, Maria Simona; Augimeri, Michela; Angelillo, Italo Francesco

doi:10.3390/vaccines8040560

Cited by 26 publications

(27 citation statements)

References 37 publications

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“…They were less willing to take a vaccine than other respondent groups [ 48 ]. A population-based study conducted in Germany found that people with chronic diseases were not vaccinated against flu due to mistrust of the vaccination and low perception of the disease’s risk [ 49 ]. This has serious implication as adverse consequences of COVID-19 is prevailing among individual with chronic conditions.…”

Section: Discussionmentioning

confidence: 99%

Willingness to vaccinate against COVID-19 among Bangladeshi adults: Understanding the strategies to optimize vaccination coverage

Abedin¹,

Islam

Rahman³

et al. 2021

PLoS ONE

204

208

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Background Although the approved COVID-19 vaccine has been shown to be safe and effective, mass vaccination in Bangladeshi people remains a challenge. As a vaccination effort, the study provided an empirical evidence on willingness to vaccinate by sociodemographic, clinical and regional differences in Bangladeshi adults. Methods This cross-sectional analysis from a household survey of 3646 adults aged 18 years or older was conducted in 8 districts of Bangladesh, from December 12, 2020, to January 7, 2021. Multinomial regression examined the impact of socio-demographic, clinical and healthcare-releated factors on hesitancy and reluctance of vaccination for COVID-19. Results Of the 3646 respondents (2212 men [60.7%]; mean [sd] age, 37.4 [13.9] years), 74.6% reported their willingness to vaccinate against COVID-19 when a safe and effective vaccine is available without a fee, while 8.5% were reluctant to vaccinate. With a minimum fee, 46.5% of the respondents showed intent to vaccinate. Among the respondents, 16.8% reported adequate adherence to health safety regulations, and 35.5% reported high confidence in the country’s healthcare system. The COVID-19 vaccine refusal was significantly high in elderly, rural, semi-urban, and slum communities, farmers, day-laborers, homemakers, low-educated group, and those who had low confidence in the country’s healthcare system. Also, the prevalence of vaccine hesitancy was high in the elderly population, low-educated group, day-laborers, people with chronic diseases, and people with low confidence in the country’s healthcare system. Conclusion A high prevalence of vaccine refusal and hesitancy was observed in rural people and slum dwellers in Bangladesh. The rural community and slum dwellers had a low literacy level, low adherence to health safety regulations and low confidence in healthcare system. The ongoing app-based registration for vaccination increased hesitancy and reluctancy in low-educated group. For rural, semi-urban, and slum people, outreach centers for vaccination can be established to ensure the vaccine’s nearby availability and limit associated travel costs. In rural areas, community health workers, valued community-leaders, and non-governmental organizations can be utilized to motivate and educate people for vaccination against COVID-19. Further, emphasis should be given to the elderly and diseased people with tailored health messages and assurance from healthcare professionals. The media may play a responsible role with the vaccine education program and eliminate the social stigma about the vaccination. Finally, vaccination should be continued without a fee and thus Bangladesh’s COVID vaccination program can become a model for other low and middle-income countries.

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Section: Discussionmentioning

confidence: 99%

Willingness to vaccinate against COVID-19 among Bangladeshi adults: Understanding the strategies to optimize vaccination coverage

Abedin¹,

Islam

Rahman³

et al. 2021

PLoS ONE

204

208

View full text Add to dashboard Cite

show abstract

“…Similarly, vaccine uptake rates reported in previous studies among patients with chronic conditions have varied. In a study conducted among patients with chronic diseases visiting an Italian out-patient clinic, Napolitano et al found that nearly half of participants were vaccinated against influenza in 2018–2019 [ 22 ]. However, Ye et al and Mohr et al, [ 23 , 24 ] reported that only 7.8% of diabetic patients in china and less than 30% of patients with chronic pulmonary diseases in Germany received influenza vaccine respectively.…”

Section: Discussionmentioning

confidence: 99%

Influenza vaccination knowledge, attitudes, and practices among Tunisian elderly with chronic diseases

et al. 2021

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Background Generally, seasonal influenza does not cause severe infection in healthy adults, but for the elderly, an infection can pose a serious health concern. Although several measures can help prevent influenza, vaccination is considered the most effective. This study aimed to assess influenza vaccine uptake among elderly with chronic diseases in Tunisia during the 2018–2019 influenza season, and to identify knowledge, attitudes and barriers associated with influenza vaccine uptake. Methods During influenza season of 2018–2019, we conducted a national cross-sectional study among elderly with chronic disease who were attending primary and secondary health care facilities in Tunisia. We collected data regarding practices, general knowledge and attitudes related to influenza and influenza vaccine, using a standardized questionnaire. A multivariate analysis by logistic regression was performed to assess the factors influencing willingness to receive influenza vaccine. Results Among the 1191 surveyed elderly, 19.4% (95%CI 14.1–21.9) were vaccinated during the 2018–2019 influenza season and 64.7% (61.9–67.3) expressed willingness to be vaccinated in the next season regardless of vaccination status in the 2018–2019 season. Previous vaccination in the 2018–2019 influenza season was the most significantly associated factor with willingness to receive influenza vaccine (adjusted OR = 16.5 [3.7–72.4]). Significant associations were also observed between knowledge of influenza severity for the elderly as well as for those with chronic diseases and willingness to be vaccinated (p < 0.01). Likewise, participants who were convinced by flu vaccine effectiveness and those who were not concerned about vaccine side effects were more likely to be vaccinated (p < 0.001). The main reason that may lead to vaccine acceptance was a doctor’s recommendation (41.1%), while the two main reasons that may lead to vaccine refusal were concerns about side effects (71.5%) and a belief that vaccine was ineffective in averting influenza illness (33.9%). Doctors were the most trusted source for information about influenza vaccine (91.5%). Conclusion Our study revealed low influenza vaccination coverage among Tunisian elderly with chronic diseases believed to be at higher risk for severe acute respiratory infections and death if infected with influenza. Treating physicians’ role in promoting influenza vaccination in this high-risk group seems to be crucial.

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“…Students who had any chronic condition were more skeptical toward vaccines. This aspect is not explored much in previous studies, but in one recent study, while the majority of people with chronic disorders had a positive attitude toward vaccination, vaccination among those people was lower [21]. Interestingly, this study discovered students consuming healthy food were more inclined to maintain regular hand hygiene and practice safe sex behavior.…”

Section: Variablesmentioning

confidence: 57%

Association Between Socio-Demographic Factors, Healthy Lifestyle Factors, and Infection Prevention Behavior Among University Students: A Cross-Sectional Study

Gill¹

2021

hpc

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Authors' contributionWkład autorów: A. Study design/planning zaplanowanie badań B. Data collection/entry zebranie danych C. Data analysis/statistics dane -analiza i statystyki D. Data interpretation interpretacja danych E. Preparation of manuscript przygotowanie artykułu F. Literature analysis/search wyszukiwanie i analiza literatury G. Funds collection zebranie funduszy SummaryBackground. This study investigated the association between infection prevention behavior and socio-demographic and other lifestyle factors among the Lithuanian public and private university students. Material and methods. The cross-sectional survey took place from 15 January to 28 February 2021, and a total of 234 students responded to the survey. Survey questions included socio-demographic factors, compliance to hand hygiene, attitude towards vaccination, safe sexual behavior and risky sexual behavior, self-rated health, eating habits, physical activity, and compliance with COVID-19 preventative measures. Independent sample t-test, oneway ANOVA, correlation bivariate, and multiple regression tests were used to analyze the association between different factors. Results. Students with better health showed higher compliance to hand hygiene, but reported lower safe sex practices (p<0.05). Likewise, students with chronic disorders were more skeptical of vaccines (p<0.05). Students reporting healthy eating habits displayed a higher compliance to hand hygiene (p<0.05) and safe sex (p<0.05), while students who were more physically active showed lower confidence in vaccines (p<0.05). Conclusions. This study indicates that significant correlations exist between numerous variables related to socio-demographic and lifestyle factors with infection prevention behavior. Moreover, there is a need to increase the compliance of infection prevention behavior among youth. Hence, more health promotion programs should be implemented focusing on infection prevention behavior in young individuals.

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Vaccinations and Chronic Diseases: Knowledge, Attitudes, and Self-Reported Adherence among Patients in Italy

Cited by 26 publications

References 37 publications

Willingness to vaccinate against COVID-19 among Bangladeshi adults: Understanding the strategies to optimize vaccination coverage

Willingness to vaccinate against COVID-19 among Bangladeshi adults: Understanding the strategies to optimize vaccination coverage

Influenza vaccination knowledge, attitudes, and practices among Tunisian elderly with chronic diseases

Association Between Socio-Demographic Factors, Healthy Lifestyle Factors, and Infection Prevention Behavior Among University Students: A Cross-Sectional Study

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