Barriers to Vaccination Among People with Parkinson's Disease and Implications for COVID-19.
J Parkinsons Dis
; 11(3): 1057-1065, 2021.
Article
in English
| MEDLINE | ID: covidwho-1211799
ABSTRACT
BACKGROUND:
Patients with Parkinson's disease (PD) are at higher risk of vaccine-preventable respiratory infections. However, advanced, homebound individuals may have less access to vaccinations. In light of COVID-19, understanding barriers to vaccination in PD may inform strategies to increase vaccine uptake.OBJECTIVE:
To identify influenza and pneumococcal vaccination rates, including barriers and facilitators to vaccination, among homebound and ambulatory individuals with PD and related disorders.METHODS:
Cross-sectional US-based study among individuals with PD, agedâ>â65 years, stratified as homebound or ambulatory. Participants completed semi-structured interviews on vaccination rates and barriers, and healthcare utilization.RESULTS:
Among 143 participants, 9.8% had missed all influenza vaccinations in the past 5 years, and 32.2% lacked any pneumococcal vaccination, with no between-group differences. Homebound participants (nâ=â41) reported difficulty traveling to clinic (pâ<â0.01) as a vaccination barrier, and despite similar outpatient visit frequencies, had more frequent emergency department visits (31.7% vs. 9.8%, pâ<â0.01) and hospitalizations (14.6% vs. 2.9%, pâ=â0.03). Vaccine hesitancy was reported in 35% of participants, vaccine refusal in 19%, and 13.3% reported unvaccinated household members, with no between-group differences. Nearly 13% thought providers recommended against vaccines for PD patients, and 31.5% were unsure of vaccine recommendations in PD.CONCLUSION:
Among a sample of homebound and ambulatory people with PD, many lack age-appropriate immunizations despite ample healthcare utilization. Many participants were unsure whether healthcare providers recommend vaccinations for people with PD. In light of COVID-19, neurologist reinforcement that vaccinations are indicated, safe, and recommended may be beneficial.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Parkinson Disease
/
Patient Acceptance of Health Care
/
Health Knowledge, Attitudes, Practice
/
Vaccination
/
Facilities and Services Utilization
/
Health Services Accessibility
Type of study:
Observational study
/
Prognostic study
/
Qualitative research
/
Randomized controlled trials
Topics:
Vaccines
Limits:
Aged
/
Female
/
Humans
/
Male
Country/Region as subject:
North America
Language:
English
Journal:
J Parkinsons Dis
Year:
2021
Document Type:
Article
Affiliation country:
JPD-202497
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