4.5 Article

The coverage of influenza and pneumococcal vaccinations among people living with HIV in Denmark: A single-center cross-sectional survey

Journal

HUMAN VACCINES & IMMUNOTHERAPEUTICS
Volume 17, Issue 8, Pages 2700-2705

Publisher

TAYLOR & FRANCIS INC
DOI: 10.1080/21645515.2021.1894895

Keywords

HIV; influenza; pneumococcal disease; vaccine coverage; immunization

Funding

  1. Region of Southern Denmark
  2. University of Southern Denmark
  3. Odense University Hospital
  4. Augustinus Foundation

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In Denmark, low influenza and pneumococcal vaccination uptake rates were found among people living with HIV. Previous influenza vaccination had the highest impact on vaccination uptake, while lack of immunization guidance decreased the likelihood of vaccination. Interventions are needed to improve vaccination coverage, including increasing awareness of guidelines and providing education to physicians.
Annual influenza vaccination is recommended for all people living with HIV (PLWH), and so is pneumococcal vaccination at least once. This is due to higher incidence rates for both infections among PLWH, compared to HIV negative, even in the later highly active antiretroviral therapy era. To clarify the uptake of and attitude toward both vaccines among PLWH in Denmark, a survey on self-reported vaccine uptake was performed during 2017. Analyses identifying factors associated with vaccine uptake in the latest season for 203 participants were performed. Both influenza and pneumococcal vaccination uptake are low among PLWH in Denmark, 31.0% and 4.4%, respectively. Previous vaccination against influenza had the highest impact on influenza vaccine uptake, and lack of immunization guidance lowers the likelihood. Interventions to improve vaccination coverage are needed, such as increased awareness about guidelines and physician education.

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