Influenza and pneumococcal vaccination coverage in Latin American patients with systemic lupus erythematosus: a cross-sectional and comparative study
Open Access
- 8 July 2021
- journal article
- research article
- Published by Springer Science and Business Media LLC in Advances in Rheumatology
- Vol. 61 (1), 1-10
- https://doi.org/10.1186/s42358-021-00197-1
Abstract
Infections are a major cause of morbidity and mortality in systemic lupus (SLE). Vaccination would be an effective method to reduce infection rate. Coverage for influenza and pneumococcus appears to be low in Latin America. The objective of this study was to evaluate vaccination coverage for influenza and pneumococcus in Latin America, causes of non-vaccination and to compare it with European patients. A survey was conducted through social networks targeting Latin American lupus patients. A self-report was used to assess the demographics, risk factors for pneumonia, vaccination status, and causes of non-vaccination. The same method was used for European patients. We used binary logistic regression to identify factors associated with pneumococcal and influenza vaccination. There were 1130 participants from Latin America. Among them, 97% were women with an average of 37.9 years (SD: 11.3) and 46.5% had more than 7 years of disease duration. Two or more risk factors for pneumonia were found in 64.9%. Coverage for influenza and pneumococcal was 42.7 and 25% respectively, being lower than in Europe. Tetanus coverage was the most important predictor for receiving influenza and pneumococcal vaccination. Lack of prescription was the most common cause of non-application (64.6%). Vaccination coverage for influenza and pneumonia is low in Latin America, especially compared to Europe. It is necessary to make specialists aware of their role in vaccine control and to implement measures to improve coordination between them and general practitioners.Keywords
This publication has 38 references indexed in Scilit:
- Reliability of self-reported health risk factors and chronic conditions questions collected using the telephone in South Australia, AustraliaBMC Medical Research Methodology, 2012
- Response Burden and Questionnaire Length: Is Shorter Better? A Review and Meta-analysisValue in Health, 2011
- Comparação de estimativas para o auto-relato de condições crônicas entre inquérito domiciliar e telefônico - Campinas (SP), BrasilRevista Brasileira de Epidemiologia, 2011
- Immunogenicity and safety of the 2009 non-adjuvanted influenza A/H1N1 vaccine in a large cohort of autoimmune rheumatic diseasesAnnals Of The Rheumatic Diseases, 2011
- Provision of preventive health care in systemic lupus erythematosus: data from a large observational cohort studyArthritis Research & Therapy, 2010
- Predictors of major infections in systemic lupus erythematosusArthritis Research & Therapy, 2009
- Validation of influenza and pneumococcal vaccine status in adults based on self-reportEpidemiology and Infection, 2006
- What is the Concordance Between the Medical Record and Patient Self-Report as Data Sources for Ambulatory Care?Medical Care, 2006
- Adult Immunization in University-Based Primary Care and Specialty PracticesJournal of the American Geriatrics Society, 2004
- Validation of self-reported chronic conditions and health services in a managed care populationAmerican Journal of Preventive Medicine, 2000