Evidence map›Paper›PMID 42201094›Full record

ArticleInfectious disease reports2026

Facility-Level Access Drives Disparities in Influenza and Pneumococcal Vaccination in Long-Term Care Facilities in Southern Poland.

Zofia Gniadek, Estera Jachowicz-Matczak, Cezary Kapturkiewicz, Izabella Bylica, Dorota Romaniszyn, Jadwiga Wójkowska-Mach

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Article in Infectious disease reports, 2026. 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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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Zofia GniadekDepartment of Infection Control and Mycology, Faculty of Medicine, Jagiellonian University Medical College, 31-121 Kraków, Poland.
Estera Jachowicz-MatczakDepartment of Infection Control and Mycology, Faculty of Medicine, Jagiellonian University Medical College, 31-121 Kraków, Poland.ORCID 0000-0002-1067-9964
Cezary KapturkiewiczDepartment of Infection Control and Mycology, Faculty of Medicine, Jagiellonian University Medical College, 31-121 Kraków, Poland.
Izabella BylicaDepartment of Infection Control and Mycology, Faculty of Medicine, Jagiellonian University Medical College, 31-121 Kraków, Poland.
Dorota RomaniszynDepartment of Infection Control and Mycology, Faculty of Medicine, Jagiellonian University Medical College, 31-121 Kraków, Poland.
Jadwiga Wójkowska-MachDepartment of Infection Control and Mycology, Faculty of Medicine, Jagiellonian University Medical College, 31-121 Kraków, Poland.ORCID 0000-0003-0756-1639

Funding

National Science Centre Poland 2021/41/B/NZ6/00749
6 · The paper itself

Abstract

backgroundVaccinations prevent severe respiratory infections in older adults, yet uptake in Polish long-term care facilities (LTCFs) remains poorly characterized. We assessed influenza and pneumococcal vaccination coverage and factors associated with uptake, including the influence of local government financing.

methodsIn this prospective observational study (January-June 2022), residents aged ≥65 years from eight LTCFs in southern Poland (four public, four private) were evaluated. Clinical data and geriatric assessments (Barthel Index, ADL, FRAIL-NH) were obtained from medical records and questionnaires. Comparative analyses were limited to residents living in facilities where vaccination activities were implemented and for whom complete data were available.

resultsOverall, 429 residents were assessed: 136 (31.7%) received influenza vaccination and 77 (17.9%) received pneumococcal vaccination. Three of the eight LTCFs administered neither influenza nor pneumococcal vaccines, highlighting a facility-level access gap. For individual-level comparisons, 260 residents with complete data from LTCFs offering vaccination were analyzed (245 for pneumococcal outcomes). Influenza vaccination was not associated with most comorbidities or functional measures, but was more common among residents with dementia. Pneumococcal vaccine recipients were younger, had better functional status, and exhibited a lower burden of comorbidities than unvaccinated residents, suggesting preferential vaccination of fitter individuals. Municipality-level data showed low uptake of publicly funded pneumococcal programs (6.1% in Kraków; 3.6% in Wilkowice).

conclusionsVaccination coverage among LTCF residents was low and strongly influenced by structural access at the facility level. Simplifying costs, reducing out-of-pocket costs and addressing potential age-related biases are essential to improving equitable immunization in Polish LTCFs.

Indexed as

influenza vaccinationlong-term care facilitiesolder adultspneumococcal vaccination

Identifiers

PMID42201094
PMCPMC13214897

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