Vaccinations and Chronic Diseases: Knowledge, Attitudes, and Self-Reported Adherence among Patients in Italy

Francesco Napolitano · Giorgia Della Polla · Maria Simona Capano · Michela Augimeri · Italo Francesco Angelillo

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Vaccine Coverage and Hesitancy Medication Adherence and Compliance Intramuscular injections and effects

Abstract

The aims of this cross-sectional survey were to evaluate the knowledge, attitudes, and self-reported adherence to recommended vaccinations among a random sample of patients with chronic conditions presenting for a medical visit in out-patient clinics in Italy. Patients who were healthcare workers (HCWs), those with diabetes, those who had received information by Internet, physicians, and friends/relatives, and those who needed more information were more likely to know that the influenza vaccine is recommended for patients with chronic diseases. More than half (58.2%) and 8.9% self-reported to have received at least one recommended vaccination and more than one, respectively. Patients who believed that vaccine-preventable diseases (VPDs) were dangerous for them, those who had received information by physicians, and those who needed information were more likely to have received at least one recommended vaccination. This behavior was less likely in married patients, those who were worried about the side effects of the vaccines, and those who suffered from renal failure. The results highlight the need to implement effective vaccination programs in order to decrease the complication of VPDs in at-risk population.

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References

2017Barriers of Influenza Vaccination Intention and Behavior – A Systematic Review of Influenza Vaccine Hesitancy, 2005 – 2016 2018Investigating Italian parents' vaccine hesitancy: A cross-sectional survey 2016Vaccination of special populations: Protecting the vulnerable 2019Parent perspectives on childhood vaccination: How to deal with vaccine hesitancy and refusal?2015Estimated Human and Economic Burden of Four Major Adult Vaccine-Preventable Diseases in the United States, 2013 2018Vaccination knowledge and acceptability among pregnant women in Italy 2017Factors associated with the uptake of seasonal influenza vaccination in older and younger adults: a large, population-based survey in Beijing, China 2017Determinants of influenza vaccination among high-risk Black and White adults

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