Evidence map›Paper›PMID 42826175›Full record

ArticleHuman vaccines & immunotherapeutics2026

Adult vaccination coverage and missed preventive care opportunities among Filipino adults with diabetes: A cross-sectional study.

Ranee Joy B Jacobo, Michael L Villa, Maria Jocelyn C Isidro, Sahra May O Paragas

Abstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 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

4 authors.

Ranee Joy B JacoboCenter for Diabetes, Thyroid, and Endocrine Disorders, St. Luke's Medical Center Global City, Metro Manila, Philippines.ORCID 0009-0006-5607-9821
Michael L VillaCenter for Diabetes, Thyroid, and Endocrine Disorders, St. Luke's Medical Center Global City, Metro Manila, Philippines.ORCID 0000-0003-0181-3719
Maria Jocelyn C IsidroCenter for Diabetes, Thyroid, and Endocrine Disorders, St. Luke's Medical Center Global City, Metro Manila, Philippines.ORCID 0000-0003-0258-6634
Sahra May O ParagasCenter for Diabetes, Thyroid, and Endocrine Disorders, St. Luke's Medical Center Global City, Metro Manila, Philippines.ORCID 0009-0001-4351-3637

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adults with diabetes mellitus are at increased risk of vaccine-preventable infections and complications. Despite recommendations for adult immunization, uptake remains suboptimal in many low- and middle-income countries, including the Philippines, where data remain limited. This cross-sectional study assessed adult immunization coverage and associated clinical and sociodemographic factors among Filipino adults with diabetes recruited from inpatient, outpatient, and community outreach settings at a tertiary hospital. Uptake of influenza, pneumococcal, herpes zoster, hepatitis B, tetanus-diphtheria-pertussis (Td/Tdap), and COVID-19 vaccines was evaluated using prespecified operational definitions. Crude associations and parsimonious multivariable logistic regression models were examined; COVID-19 vaccination was not modeled because only six participants were unvaccinated. Among 284 participants (mean age 61.5 ± 12.7 y, 55.6% females), uptake was 44.4% for influenza, 49.6% for pneumococcal, 18.1% for herpes zoster, 15.5% for hepatitis B, 23.2% for Td/Tdap, and 97.9% for the primary COVID-19 series. Males had lower adjusted odds of influenza and pneumococcal vaccination, while increasing age was associated with pneumococcal uptake. Middle and high household income and diabetes duration of 5-10 y were associated with influenza vaccination. Among adults aged ≥50 y, male sex and high income were associated with herpes zoster vaccination. High income was also associated with hepatitis B and Td/Tdap uptake. Provider recommendation was associated with all outcomes, while lack of provider recommendation, failure to prioritize vaccination, and financial constraints were common reasons for non-vaccination. Uptake was uneven and low for most recommended adult vaccines. Integrating vaccine assessment and counseling into diabetes care while addressing financial and access barriers may improve uptake.

Indexed as

Diabetes MellitusVaccination CoverageAdultAgedCOVID-19COVID-19 VaccinesCross-Sectional StudiesFemaleHumansMaleMiddle AgedPhilippinesUnvaccinated PersonsVaccinationCOVID-19 Vaccinesadult immunizationDiabetes mellitushealthcare provider recommendationpreventive healthcarevaccine uptake

Identifiers

PMID42826175
PMCPMC13644627

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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.