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Facilitators and barriers of vaccine uptake in patients with autoimune inflammatory rheumatic disease: a scoping review.
Neusser, Silke; Neumann, Anja; Zur Nieden, Pauline; Speckemeier, Christian; Schlierenkamp, Sarah; Walendzik, Anke; Karbach, Ute; Andreica, Ioana; Vaupel, Kristina; Baraliakos, Xenofon; Kiltz, Uta.
  • Neusser S; Essener Forschungsinstitut für Medizinmanagement, Essen, Germany.
  • Neumann A; Essener Forschungsinstitut für Medizinmanagement, Essen, Germany.
  • Zur Nieden P; Essener Forschungsinstitut für Medizinmanagement, Essen, Germany.
  • Speckemeier C; Essener Forschungsinstitut für Medizinmanagement, Essen, Germany.
  • Schlierenkamp S; Essener Forschungsinstitut für Medizinmanagement, Essen, Germany.
  • Walendzik A; Essener Forschungsinstitut für Medizinmanagement, Essen, Germany.
  • Karbach U; Institute for Medical Sociology Health Services Research and Rehabilitation Science, University of Cologne, Cologne, Germany.
  • Andreica I; Faculty of Medicine, Ruhr Universität Bochum, Bochum, Germany.
  • Vaupel K; Rheumatology, Rheumazentrum Ruhrgebiet, Herne, Germany.
  • Baraliakos X; Faculty of Medicine, Ruhr Universität Bochum, Bochum, Germany.
  • Kiltz U; Rheumatology, Rheumazentrum Ruhrgebiet, Herne, Germany.
RMD Open ; 8(2)2022 12.
Article in English | MEDLINE | ID: covidwho-2273997
ABSTRACT

OBJECTIVES:

Patients with autoimmune inflammatory rheumatic diseases (AIRD) often have lower vaccination coverage rates compared with the general population, despite being disproportionately affected by infectious complications. We aim to systematically review the literature regarding vaccination willingness and hesitancy in AIRD.

METHODS:

A scoping review was conducted in PubMed, EMBASE and the Cochrane Library in June 2021. Study selection was performed by two independent reviewers and data were extracted using a standardised form. Risk of bias was assessed using instruments from McMaster University. Identified barriers were categorised into the WHO's measuring behavioural and social drivers (BeSD) of vaccination conceptual model.

RESULTS:

The search yielded 1644 hits of which 30 publications were included (cross-sectional studies based on interviews (n=27) and intervention studies (n=3)). The majority of studies reported barriers to influenza and pneumococcal vaccination only (n=9) or in combination with another vaccination (n=8) from the patients' perspective. Only one study assessed the view of rheumatologists. Coverage of domains matched to the BeSD model suggests a lack of awareness of infection risk by both patients and physicians. Patients mainly mentioned behavioural and social factors that negatively influenced their willingness to be vaccinated while physicians mentioned organisational deficits as major barriers.

CONCLUSIONS:

The view on vaccination in patients with AIRD diverges between patients and rheumatologists. Our results show that in-depth counselling on vaccines is important for patients, whereas physicians need support in implementing specific immunisation recommendations. The themes identified provide a starting point for future interventions to improve vaccine rates in patients with AIRD.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Influenza Vaccines / Rheumatic Diseases / Influenza, Human Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials / Reviews Topics: Vaccines Limits: Humans Language: English Year: 2022 Document Type: Article Affiliation country: Rmdopen-2022-002562

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Influenza Vaccines / Rheumatic Diseases / Influenza, Human Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials / Reviews Topics: Vaccines Limits: Humans Language: English Year: 2022 Document Type: Article Affiliation country: Rmdopen-2022-002562