ArticlePediatric rheumatology online journal2025
Influenza vaccine uptake in juvenile idiopathic arthritis during the COVID-19 pandemic: a multi-centre cross-sectional study by PRES vaccination working party.
Article in Pediatric rheumatology online journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundChildren with rheumatic diseases are at risk for contracting severe influenza and COVID-19 and are thus targeted for these vaccination.
objectivesTo assess the influenza (flu) vaccination rate in children with Juvenile Idiopathic Arthritis (JIA), investigate families' attitudes towards the influenza vaccine, and the effect of the COVID-19 pandemic on flu vaccine uptake.
methodsThis multi-centre, cross-sectional study was conducted across 9 countries. JIA caregivers completed an anonymous questionnaire about their children's influenza vaccination, including the 2019-2020 and 2020-2021 seasons, including knowledge, and perceptions regarding influenza vaccination.
resultsBased on responses from 655 JIA caregivers, 152 children (23.2%) received influenza vaccinations in the 2020-2021 season, representing a significant rise from 18.6% in the previous season (p < 0.01). The likelihood of vaccination was higher among employed/self-employed caregivers compared to unemployed (28.2% and 29.9% vs. 13.9%), and those with tertiary education versus elementary (28% vs. 9.7%), both p < 0.01. Concerns of children's vulnerability to SARS-CoV-2 and severe COVID-19 disease due to JIA were prevalent (51.3% and 85.3% respectively), with 51.3% supporting COVID-19 vaccination. Caregivers who previously vaccinated their children for influenza showed a greater inclination towards SARS-CoV-2 vaccination (73.4% and 79.5%, p < 0.01).
conclusionsFamilies of children with JIA reported an increasing flu vaccine uptake and a high intention for COVID-19 vaccine administration. Previous vaccination behavior was shown as a significant predictor of future behaviour. Strengthening health education may address fears and lead to better vaccine coverage against both influenza and SARS-CoV-2 in children with JIA and other inflammatory rheumatic diseases.
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