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FACILITATORS and BARRIERS of VACCINE UPTAKE in PATIENTS with CHRONIC INFLAMMATORY RHEUMATIC DISEASE: A SCOPING REVIEW
Annals of the Rheumatic Diseases ; 81:1807, 2022.
Artigo em Inglês | EMBASE | ID: covidwho-2008982
ABSTRACT

Background:

Patients with chronic infammatory rheumatic diseases (CIRD) remain underrepresented in receiving vaccinations despite being disproportionately affected by infectious complications.

Objectives:

To systematically review the literature regarding vaccination willingness and vaccination hesitancy in CIRD patients with focus on the perspective of patients and physicians.

Methods:

A scoping review was conducted in PUBMED, EMBASE and the Cochrane Library through 2021. Study selection was performed by two independent reviewers, data were extracted using a standardized form and risk of bias was assessed using instruments from the McMaster University. Identifed barriers and hurdles were synthesized by categorizing them into the WHO's Measuring Behavioural and Social Drivers of Vaccination (BeSD) conceptual model.

Results:

The search yielded 1,644 hits, of which 30 were included (cross-sectional studies (n=27) based on interviews and 3 intervention studies). The majority of studies reported barriers to infuenza and pneumococcal vaccination (n=11), or infuenza vaccination only (n=9) from the patients perspective. Two studies assessed the attitudes towards COVID-19 vaccinations. Only one study assessed the view of rheumatologists. Patients mainly mentioned behavioral and social factors that negatively influence their willingness to be vaccinated while physicians see defcits in the organization and lack of time as a major barrier. Coverage of domains matched to the BeSD model suggests a lack of awareness of infection risk by both patients and physicians (Figure 1).

Conclusion:

The view of vaccination in CIRD patients diverges between patients and rheumatologists. Our results show that in-depth counseling on vaccines is important for patients, whereas physicians need support in implementing specifc immunization recommendations. The themes identifed provide a starting point for future interventions to improve vaccine rates in CIRD patients.
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Texto completo: Disponível Coleções: Bases de dados de organismos internacionais Base de dados: EMBASE Tipo de estudo: Revisões Tópicos: Vacinas Idioma: Inglês Revista: Annals of the Rheumatic Diseases Ano de publicação: 2022 Tipo de documento: Artigo

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Texto completo: Disponível Coleções: Bases de dados de organismos internacionais Base de dados: EMBASE Tipo de estudo: Revisões Tópicos: Vacinas Idioma: Inglês Revista: Annals of the Rheumatic Diseases Ano de publicação: 2022 Tipo de documento: Artigo