ArticlePloS one2021
Influenza vaccination uptake and factors influencing vaccination decision among patients with chronic kidney or liver disease.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Determinants of COVID-19 and Influenza Vaccination Among People with Diabetes Mellitus in Primary Health Care.Vaccines · 2026Article
- Knowledge and vaccination practices among chronic disease patients: Concordance with immunization records -A cross-sectional study.Bioinformation · 2026Article
- Vaccination Uptake and Patient Perceptions Among Haemodialysis Patients: Insights From a Cross-Sectional Study.Journal of renal care · 2025Article
- Sociodemographic, health and behavioral factors associated with influenza vaccination uptake among patients with diabetes in Singapore: A cohort registry-based study.Preventive medicine reports · 2025Article
- Exploring influenza vaccination determinants through digital participatory surveillance.BMC public health · 2025Article
- Excess multi-cause mortality linked to influenza virus infection in China, 2012-2021: a population-based study.Frontiers in public health · 2024Article
- Article
- 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 · 2023Article
- Vaccine-Preventable Infections Among Solid Organ Transplant Recipients in Switzerland.JAMA network open · 2023Article
- Prevention of influenza complications in patients with liver disease: a retrospective cohort study.Frontiers in public health · 2023Article
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSeasonal influenza is a major global health problem causing substantial morbidity and health care costs. Yet, in many countries, the rates of influenza vaccination remain low. Chronic kidney or liver diseases (CKLD) predispose patients to severe influenza infections, but data on vaccination acceptance and status is limited in this risk population. We investigated the influenza vaccination awareness considering sociodemographic factors in CKLD patients. PATIENTS AND
methodsThis cross-sectional, questionnaire-based study recruited CKLD patients managed at three Viennese tertiary care centers between July and October 2020. CKLD was defined as chronic kidney- (all stages) or compensated/decompensated liver disease, including kidney/liver transplant recipients. Questionnaires assessed sociodemographic and transplant- associated parameters, patients vaccination status and the individuals self-perceived risks of infection and associated complications.
resultsIn total 516 patients (38.1% female, mean age 56.4 years) were included. 43.9% of patients declared their willingness to be vaccinated in the winter season 2020/2021, compared to 25.4% in 2019/2020 and 27.3% in 2016-2018. Vaccination uptake was associated with the self-perceived risks of infection (OR: 2.8 (95%CI: 1.8-4.5), p<0.001) and associated complications (OR: 3.8 (95%CI: 2.3-6.3), p<0.001) as well as with previously received influenza vaccination (2019/2020: OR 17.1 (95%CI: 9.5-30.7), p<0.001; season 2016-2018: OR 8.9 (95%CI: 5.5-14.5), p<0.001). Most frequent reasons for not planning vaccination were fear of a) graft injury (33.3%), b) complications after vaccination (32.4%) and c) vaccine inefficiency (15.0%).
conclusionWhile influenza vaccination willingness in patients with CKLD is increasing in the 2020/2021 season, vaccination rates may still remain <50%. Novel co-operations with primary health care, active vaccination surveillance and financial reimbursement may substantially improve vaccination rates in high-risk CKLD patients.
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