tetano
Editor, Senior Moderator
HIV Med. 2016 Dec 30. doi: 10.1111/hiv.12483. [Epub ahead of print]
[h=1]Predictors for and coverage of influenza vaccination among HIV-positive patients: a cross-sectional survey.[/h] Harrison N[SUP]1[/SUP], Poeppl W[SUP]1,[/SUP][SUP]2[/SUP], Herkner H[SUP]3[/SUP], Tillhof KD[SUP]1[/SUP], Grabmeier-Pfistershammer K[SUP]4[/SUP], Rieger A[SUP]4[/SUP], Forstner C[SUP]1,[/SUP][SUP]5[/SUP], Burgmann H[SUP]1[/SUP], Lagler H[SUP]1[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]OBJECTIVES:[/h] Influenza vaccination is recommended for HIV-infected patients, but limited data about vaccination rates are available. The aim of this study was to evaluate the coverage of and predictors for influenza vaccination among HIV-positive patients.
[h=4]METHODS:[/h] All HIV-positive patients who visited the HIV out-patient department of the University Hospital of Vienna, Austria, between June and August 2015 were asked to participate in this survey by completing a questionnaire.
[h=4]RESULTS:[/h] A total of 455 HIV-positive patients completed a questionnaire, with 359 male and 96 female participants with a mean age of 46 years. The influenza vaccination rate for the previous season (2014/2015) was 11.9% [n = 54/455; 95% confidence interval (CI) 9.2-15.2%]. Older age was significantly associated with a positive influenza vaccination status. Obtaining information through a medical consultation or receiving a direct recommendation for vaccination by a physician had a significant impact on vaccination behaviour. The probability of being vaccinated against influenza was about 13 times higher among patients who received a recommendation for vaccination by their family physician or by their HIV specialist (P < 0.001). Important reasons for declining vaccination were fear of side effects (39%), not considering influenza as a severe disease (36%) and reasons related to HIV: 17% were worried that the vaccine could worsen the course of HIV infection and 16% believed vaccination would fail because of their compromised immune system.
[h=4]CONCLUSIONS:[/h] A low influenza vaccination rate of 11.9% was detected in this HIV-positive cohort. The most effective impact for a positive vaccination status was direct recommendation of the influenza vaccine by the attending physician.
? 2016 British HIV Association.
[h=4]KEYWORDS:[/h] HIV ; influenza; predictors; vaccination; vaccination coverage
PMID: 28035738 DOI: 10.1111/hiv.12483
[PubMed - as supplied by publisher]
[h=1]Predictors for and coverage of influenza vaccination among HIV-positive patients: a cross-sectional survey.[/h] Harrison N[SUP]1[/SUP], Poeppl W[SUP]1,[/SUP][SUP]2[/SUP], Herkner H[SUP]3[/SUP], Tillhof KD[SUP]1[/SUP], Grabmeier-Pfistershammer K[SUP]4[/SUP], Rieger A[SUP]4[/SUP], Forstner C[SUP]1,[/SUP][SUP]5[/SUP], Burgmann H[SUP]1[/SUP], Lagler H[SUP]1[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]OBJECTIVES:[/h] Influenza vaccination is recommended for HIV-infected patients, but limited data about vaccination rates are available. The aim of this study was to evaluate the coverage of and predictors for influenza vaccination among HIV-positive patients.
[h=4]METHODS:[/h] All HIV-positive patients who visited the HIV out-patient department of the University Hospital of Vienna, Austria, between June and August 2015 were asked to participate in this survey by completing a questionnaire.
[h=4]RESULTS:[/h] A total of 455 HIV-positive patients completed a questionnaire, with 359 male and 96 female participants with a mean age of 46 years. The influenza vaccination rate for the previous season (2014/2015) was 11.9% [n = 54/455; 95% confidence interval (CI) 9.2-15.2%]. Older age was significantly associated with a positive influenza vaccination status. Obtaining information through a medical consultation or receiving a direct recommendation for vaccination by a physician had a significant impact on vaccination behaviour. The probability of being vaccinated against influenza was about 13 times higher among patients who received a recommendation for vaccination by their family physician or by their HIV specialist (P < 0.001). Important reasons for declining vaccination were fear of side effects (39%), not considering influenza as a severe disease (36%) and reasons related to HIV: 17% were worried that the vaccine could worsen the course of HIV infection and 16% believed vaccination would fail because of their compromised immune system.
[h=4]CONCLUSIONS:[/h] A low influenza vaccination rate of 11.9% was detected in this HIV-positive cohort. The most effective impact for a positive vaccination status was direct recommendation of the influenza vaccine by the attending physician.
? 2016 British HIV Association.
[h=4]KEYWORDS:[/h] HIV ; influenza; predictors; vaccination; vaccination coverage
PMID: 28035738 DOI: 10.1111/hiv.12483
[PubMed - as supplied by publisher]