Evidence map›Paper›PMID 30111224›Full record

ArticleHuman vaccines & immunotherapeutics2019

Factors associated with poor adherence to vaccination against hepatitis viruses, streptococcus pneumoniae and seasonal influenza in HIV-infected adults.

Olga Tsachouridou, Adamantini Georgiou, Symeon Naoum, Dimitra Vasdeki, Maria Papagianni, Georgia Kotoreni, Evropi Forozidou, Paraskevi Tsoukra, Christiana Gogou, Dimitrios Chatzidimitriou and 3 more

Abstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Influenza Vaccination Uptake and Associated Factors Among Adults With and Without Human Immunodeficiency Virus in a Large, Integrated Healthcare System.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Olga Tsachouridoua 1st Department of Internal Medicine , AHEPA University Hospital, Aristotle University Medical School , Thessaloniki , Greece.ORCID 0000-0001-6503-0284
Adamantini Georgioua 1st Department of Internal Medicine , AHEPA University Hospital, Aristotle University Medical School , Thessaloniki , Greece.ORCID 0000-0002-7626-5078
Symeon Naouma 1st Department of Internal Medicine , AHEPA University Hospital, Aristotle University Medical School , Thessaloniki , Greece.
Dimitra Vasdekia 1st Department of Internal Medicine , AHEPA University Hospital, Aristotle University Medical School , Thessaloniki , Greece.ORCID 0000-0003-0481-344X
Maria Papagiannia 1st Department of Internal Medicine , AHEPA University Hospital, Aristotle University Medical School , Thessaloniki , Greece.
Georgia Kotorenia 1st Department of Internal Medicine , AHEPA University Hospital, Aristotle University Medical School , Thessaloniki , Greece.ORCID 0000-0002-7328-2315
Evropi Forozidoua 1st Department of Internal Medicine , AHEPA University Hospital, Aristotle University Medical School , Thessaloniki , Greece.ORCID 0000-0002-9579-2324
Paraskevi Tsoukraa 1st Department of Internal Medicine , AHEPA University Hospital, Aristotle University Medical School , Thessaloniki , Greece.ORCID 0000-0002-1641-4350
Christiana Gogoua 1st Department of Internal Medicine , AHEPA University Hospital, Aristotle University Medical School , Thessaloniki , Greece.
Dimitrios Chatzidimitrioub National AIDS Reference Centre of Northern Greece , Aristotle University Medical School , Thessaloniki , Greece.ORCID 0000-0001-9656-5898
Lemonia Skourab National AIDS Reference Centre of Northern Greece , Aristotle University Medical School , Thessaloniki , Greece.
Pantelis Zebekakisa 1st Department of Internal Medicine , AHEPA University Hospital, Aristotle University Medical School , Thessaloniki , Greece.
Symeon Metallidisa 1st Department of Internal Medicine , AHEPA University Hospital, Aristotle University Medical School , Thessaloniki , Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionVaccination against various pathogens is recommended for HIV positive adults. There are not sufficient data either on vaccination coverage of HIV positive adults or the risk factors associated with poor adherence to routine vaccination. PATIENTS-

methodsDuring the period 2004-2014 vaccination coverage of a group of HIV infected adults against hepatitis A virus (HAV), hepatitis B virus (HBV), seasonal influenza virus and pneumococcal disease was recorded. Vaccination coverage was separated into two chronological periods, before and after 2010, as 2010 marks the start of the economic crisis in Greece.

results1210 patients were included in our study. Vaccine coverage throughout the study for hepatitis B, hepatitis A, seasonal influenza and pneumococcal infection was 73.6%, 70.4%, 39% and 79%, respectively. The complete lack of insurance coverage was an independent factor of non-compliance in all proposed vaccines (vaccination against pneumococcal disease: OR: 0.82 95%CI: 0.49-1.35, vaccination against HBV: OR: 0.82, 95% CI: 0.45-1.49, vaccination against HAV OR: 0.54, 95%CI: 0.34-0.87, vaccination against influenza: OR: 1.27, 95% CI: 0.76-2.10). In addition, low educational level was associated with poor compliance to vaccination against pneumococcal disease, hepatitis A, hepatitis B, and influenza. Finally, the recommendation for vaccination after the onset of the economic crisis (2010) led to poor compliance to vaccination against HBV, HAV and pneumococcal disease, but not against influenza.

conclusionsIn our study, vaccination coverage for vaccine-preventable diseases was found to be insufficient for HIV positive adults in Northern Greece. Also, low educational level, lack of insurance coverage and economic distress have contributed to poor vaccine compliance, leading to poor protection of the HIV positive population and decreased immune coverage in the community.

Indexed as

Patient ComplianceAdolescentAdultAgedFemaleGreeceHepatitis BHIV InfectionsHumansInfluenza, HumanInsurance CoverageMaleMiddle AgedPneumococcal InfectionsVaccinationVaccination Coverageadherenceeconomic crisisHIVvaccination

Identifiers

PMID30111224
PMCPMC6422462

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.