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[Studies on Factors Influencing Influenza Vaccination Rates in Patients with Chronic Obstructive Pulmonary Disease]
B C Fischer1,2, K-T Schulz3, M Wiemann3
1Universitätsklinik für Pneumologie, Universitätsklinikum der Otto-von-Guericke-Universität Magdeburg.
Pneumologie (Stuttgart, Germany)
|September 14, 2020
Summary
Influenza vaccination rates are low in COPD patients. Unvaccinated individuals express more concern about side effects and uncertainty regarding vaccine benefits. Targeted interventions for younger COPD patients with no vaccination history are recommended.
Area of Science:
- Pulmonology
- Public Health
- Vaccinology
Background:
- Low influenza vaccination rates persist among chronically ill populations.
- Chronic obstructive pulmonary disease (COPD) patients are a high-risk group for influenza complications.
- Understanding factors influencing vaccination decisions in COPD patients is crucial for improving uptake.
Purpose of the Study:
- To investigate influenza vaccination status among COPD patients.
- To identify socio-epidemiological factors, health beliefs, and psychological aspects associated with vaccination in COPD patients.
- To inform strategies for increasing influenza vaccination rates in this vulnerable population.
Main Methods:
- A questionnaire-based study was conducted with 120 COPD patients in Magdeburg.
- Vaccination status for 2015/2016 or 2016/2017 was assessed.
- Comparisons were made between vaccinated and unvaccinated groups regarding socio-demographics, Health Belief Model constructs, self-efficacy, anxiety/depression, and disease processing.
Main Results:
- 62.5% of COPD patients were vaccinated; uptake was higher in those aged 60+ (76%) compared to younger patients (42%).
- Unvaccinated patients reported greater concern about side effects (p=.004) and perceived a worse benefit-risk balance (p=.001).
- Unvaccinated individuals showed more uncertainty about vaccine protection and influenza severity (p≤.001), while vaccinated patients were more self-motivated and had positive vaccination histories (p=.001).
Conclusions:
- Interventions should target COPD patients under 60 with no prior vaccination history, emphasizing their risk status.
- Addressing widespread uncertainties about influenza severity and vaccine efficacy is essential.
- Clear communication that influenza vaccination does not exacerbate COPD and increased recommendations from pulmonologists are needed.
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