Predictors of Influenza Vaccination in HIV‐Infected Patients in the United States, 1990–2002

Márta Juhász · Norma Harris · Eyasu H. Teshale

32 citations0/0 files storedThe Journal of Infectious Diseases

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Vaccine Coverage and Hesitancy HIV/AIDS Research and Interventions Influenza Virus Research Studies

Abstract

BACKGROUND: Although annual influenza vaccination of human immunodeficiency virus (HIV)-infected patients has been recommended in the United States since the early 1990s, vaccine coverage in this population is reported to be low. The objectives of the present study were to assess trends in influenza vaccination coverage in HIV-infected patients and to determine predictors of influenza vaccination. METHODS: We analyzed data from the medical records of 51,021 HIV-infected patients from 10 US cities observed in a longitudinal cohort study between 1990 and 2002. Using multivariate logistic regression, we determined predictors of influenza vaccination for both the pre-highly active antiretroviral therapy (HAART) and HAART eras. RESULTS: Vaccination coverage increased from 28.5% in the 1990 to 41.6% in the 2002 influenza season. Vaccine coverage increased with increasing age and frequency of medical visits. In the HAART era, persons prescribed antiretroviral therapy were more likely and those with higher viral loads and lower CD4 T cell counts were less likely to have received influenza vaccine. CONCLUSIONS: Although influenza vaccination coverage in this population has increased in recent years, it is well below the Healthy People 2010 target of 60%. Efforts should be undertaken to increase influenza vaccination in HIV-infected persons.

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References

2000Influenza, pneumococcal, and tetanus toxioid vaccination of adults--United States, 1993-7.2005Improving influenza, pneumococcal polysaccharide, and hepatitis B vaccination coverage among adults aged <65 years at high risk: a report on recommendations of the Task Force on Community Preventive Services.2004Factors associated with influenza vaccination among elderly Spanish women 1994Pneumococcal and influenza vaccination levels among HIV-infected adolescents and adults receiving medical care in the United States

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