Influenza vaccination in secondary prevention: an opportunity missed

Vera Bittner1, Bonnie K Sanderson

  • 1Division of Cardiovascular Disease, Preventive Cardiology, University of Alabama at Birmingham, Birmingham, AL 35294, USA. vbittner@uab.edu

Insights

Influenza vaccination rates are suboptimal in cardiac rehabilitation patients. Younger, nonwhite individuals without diabetes or COPD are less likely to be vaccinated, necessitating targeted interventions.

Area of Science:

  • Cardiology
  • Preventive Medicine
  • Public Health

Background:

  • Influenza vaccination (FluVacc) is a Class I recommendation for secondary prevention in patients with coronary heart disease (CHD).
  • Limited data exists on FluVacc prevalence and its correlates in CHD patients undergoing cardiac rehabilitation.

Purpose of the Study:

  • To determine the prevalence and identify independent correlates of influenza vaccination among patients with coronary heart disease in a cardiac rehabilitation program.

Main Methods:

  • Analysis of data from 1,051 CHD patients in an academic medical center's cardiac rehabilitation program (1996-2006).
  • Comparison of FluVacc proportions across demographic, clinical, and comorbidity subgroups.
  • Multivariate logistic regression to identify independent predictors of FluVacc receipt.

Main Results:

  • Overall, 52% of patients reported up-to-date FluVacc.
  • Independent correlates of FluVacc included older age (OR 2.7), white race (OR 1.5), diabetes (OR 2.2), and chronic obstructive pulmonary disease (OR 1.8).
  • Lower vaccination rates were observed in younger, nonwhite patients without diabetes or COPD.

Conclusions:

  • Influenza vaccination rates are suboptimal in CHD patients within cardiac rehabilitation settings.
  • Targeted interventions are crucial to improve vaccination uptake in underrepresented patient groups.
  • Enhancing FluVacc rates can contribute to better secondary prevention outcomes for CHD patients.
Abstract

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