Abstract
Asthma is considered one of the most common noncommunicable diseases worldwide, with an incidence of 5.4% in the Polish, adult population. Symptoms of the disease can be triggered or worsened by a variety of factors including viral infection such as influenza, affirming the necessity for prophylactic vaccination. However, there is concern among the general population of the possibility of anaphylactic response to vaccination, which can deter patients with allergic asthma for fear of triggering exacerbation of their condition. The objective of the study was to determine the extent to which patients with asthma adhere to a schedule of recommended vaccinations in Poland. Two hundred fourteen patients were recruited from specialist outpatient clinics in Warsaw to complete voluntarily an anonymous questionnaire created for the purpose of this study. Within the past year, 82% stated having at least one respiratory infection, and 72% of patients were aware of the recommendation for annual vaccination against the flu. Forty-three percent of patients reported receiving the flu vaccine at least once, and only 20% followed through with annual vaccination. The most common sources of information about the importance of annual flu vaccination were from their doctors (47%) and the media (26%). Relatively few asthmatic patients in Warsaw get annual flu vaccinations despite the recommendations. These results were mainly sourced due to uncorrected fears and a lack of information about the importance of prophylaxis in asthma. It is essential to create effective strategies to inform patients with asthma of the importance of annual vaccinations.
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References
Blank PR, Schwenkglenks M, Szucs TD (2009) Vaccination coverage rates in eleven European countries during two consecutive influenza seasons. J Infect 56:446–458
Bödeker B, Remschmidt C, Schmich P, Wichmann O (2015) Why are older adults and individuals with underlying chronic diseases in Germany not vaccinated against flu? A population–based study. BMC Public Health 15:618
Centers for Disease Control and Prevention (CDC) (2013a) Prevention and control of seasonal influenza with vaccines. Recommendations of the advisory committee on immunization practices–United States, 2013–2014. MMWR Recomm Rep 62(RR–07):1–43
Centers for Disease Control and Prevention (CDC) (2013b) Vaccination coverage among persons with asthma – United States, 2010–2011 influenza season. MMWR Morb Mortal Wkly Rep 62(48):973–978
Centers for Disease Control and Prevention (CDC) (2016) Flu and people with asthma. https://www.cdc.gov/flu/asthma/index.htm. Accessed on 23 Nov 2018
CEU (2009) Council of the European Union Council Recommendation of 22 December 2009 on seasonal influenza vaccination (2009/1019/EU). Off J Eur Union 71–72. https://www.epha.org/IMG/pdf/Council_Reccomendation_on_seasonal_flu_vaccine.pdf. Accessed on 30 Oct 2018
Chung JH, Kim TH, Han CH (2017) Factors influencing influenza vaccination among south Korean adult asthma patients: a nationwide population–based cross–sectional study. J Asthma 17:1–6
Dombkowski KJ, Leung SW, Clark SJ (2008) Physician perspectives regarding annual influenza vaccination among children with asthma. Ambul Pediatr 8:294–299
Dower J, Donald M, Begum N, Vlack S, Ozolins I (2011) Patterns and determinants of influenza and pneumococcal immunization among adults with chronic disease living in Queensland, Australia. Vaccine 29(16):3031–3037
European Centre for Disease Prevention and Control (ECDC) (2015) Seasonal influenza vaccination in Europe. Overview of vaccination recommendations and coverage rates in the EU Member States for the 2012–13 influenza season. https://ecdc.europa.eu/en/publications/Publications/Seasonal–influenza–vaccination–Europe–2012–13.pdf. Accessed on 11 Feb 2018
Global Initiative for Asthma (GINA) (2015) Pocket guide for asthma management and prevention. https://www.ginasthma.org/documents/1/Pocket–Guide–for–Asthma–Management–and–Prevention. Accessed on 28 Oct 2018
Guthrie JL, Fisman D, Gardy JL (2017) Self–rated health and reasons for non–vaccination against seasonal influenza in Canadian adults with asthma. PLoS One 12(2):e0172117
Jiménez–GarcÃa R, Hernández–Barrera V, Carrasco–Garrido P, de Andrés AL, de Miguel Diez J, de Miguel AG (2010) Coverage and predictors of adherence to influenza vaccination among Spanish children and adults with asthma. Infection 38(1):52–57
Kelso JM (2014) Administering influenza vaccine to egg–allergic persons. Expert Rev Vaccines 13:1049–1057
Kroneman MW, van Essen GA (2007a) Stagnating influenza vaccine coverage rates among high–risk groups in Poland and Sweden in 2003/4 and 2004/5. Euro Surveill 12:E1–E2
Kroneman MW, van Essen GA (2007b) Variations in influenza vaccination coverage rate among the high–risk population in Sweden in 2003/4 and 2004/5: a population survey. BMC Public Health 7:113
Liebhart J, Malolepszy J, Wojtyniak B, Pisiewicz K, Plusa T, Gladysz U, Polish Multicentre Study of Epidemiology of Allergic Diseases (2007) Prevalence and risk factors for asthma in Poland: results from the PMSEAD study. J Investig Allergol Clin Immunol 17:367–374
Lu PJ, Euler GL, Callahan DB (2009) Influenza vaccination among adults with asthma findings from the 2007 BRFSS survey. Am J Prev Med 37(2):109–115
Mazurek JM, White GE, Moorman JE, Storey E (2014) Influenza vaccination among persons with work–related asthma. Am J Prev Med 47(2):203–211
National Advisory Committee on Immunization (NACI) (2013) Statement on seasonal influenza vaccine for 2013–2014. https://www.phac–aspc.gc.ca/publicat/ccdr–rmtc/13vol39/acs–dcc–4/index–eng.php. Accessed 17 on Nov 2018
Rothbarth PH, Kempen BM, Sprenger MJW (1995) Sense and nonsense of influenza vaccination in asthma and chronic obstructive pulmonary disease. Am J Respir Crit Care Med 151:1682–1686
Santos–Sancho JM, Lopez–de Andres A, Jimenez–Trujillo I, Hernandez–Barrera V, Carrasco–Garrido P, Astasio–Arbiza P, Jimenez–Garcia R (2013) Adherence and factors associated with influenza vaccination among subject with asthma in Spain. Infection 41(2):465–471
Soo–Kim H, Lee H, Sook–Kim H, Won S, Kyoung–Lee E, Bang K, Hong–Chun Y, Yoon J, Hee–Kim H, Tack–Kim J (2015) Effect of influenza virus infection in a murine model of asthma. Iran J Allergy Asthma Immunol 14:392–401
Vaccine European New Integrated Collaboration Effort (VENICE) (2014) National seasonal influenza vaccination survey for 2012–13. https://venice.cineca.org/VENICE_Seasonal_Influenza_2012–13_v10.pdf. Accessed on 28 Oct 2018
Vasileiou E, Sheikh A, Butler C, El Ferkh K, von Wissmann B, McMenamin J, Ritchie L, Schwarze J, Papadopoulos NG, Johnston SL, Tian L, Simpson CR (2017) Effectiveness of influenza vaccines in asthma: a systematic review and meta–analysis. Clin Infect Dis 65(8):1388–1395
Walford HH, Doherty TA (2014) Diagnosis and management of eosinophilic asthma: a US perspective. J Asthma Allergy 7:53–65
WHO (2013) Asthma. https://www.who.int/mediacentre/factsheets/fs307/en/. Accessed on 28 Oct 2018
Acknowledgments
We would like to thank Dr. A. Chciałowski, Dr. P. Dabrowiecki, and Dr. J. Oleksy for their help and efforts in collecting data from their patients for the purpose of the study.
Conflicts Interest
No conflicts of interest were declared with relation to this work.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study was approved by the Ethics Committee of the Medical University of Warsaw, Poland.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
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Bigaj, J., Czaicki, N., Zielonka, T.M. (2020). Factors Affecting Influenza Vaccination Rate in Adults with Asthma. In: Pokorski, M. (eds) Health and Medicine. Advances in Experimental Medicine and Biology(), vol 1279. Springer, Cham. https://doi.org/10.1007/5584_2020_519
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DOI: https://doi.org/10.1007/5584_2020_519
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