Abu-Rish Eman Y, Barakat Noor A
Department of Biopharmaceutics and Clinical Pharmacy, School of Pharmacy, University of Jordan, Amman, Jordan.
Hum Vaccin Immunother. 2021 Apr 3;17(4):1181-1189. doi: 10.1080/21645515.2020.1802973. Epub 2020 Sep 15.
Limited data exist regarding pneumococcal vaccination coverage among the elderly in Middle Eastern countries including Jordan. The pharmacists' role in improving vaccine acceptance has become increasingly evident. Yet, large-scale studies of the assessment of the pharmacists' role on pneumococcal vaccines acceptance among the elderly are scarce. Hence, we assessed for the first time the current state of knowledge and pneumococcal vaccination coverage among the elderly and the role of pharmacist-led educational intervention on the attitude, awareness, vaccine acceptance, and prompts for physician consultation regarding pneumococcal vaccines in Jordan. This interventional study enrolled 916 randomly selected adults aged ≥ 65 years in Amman, Jordan. We showed that only 3.9% of the participants have ever heard about pneumococcal disease with 0.5% vaccination coverage. Immediately after educational intervention, 21.7% of the participants perceived pneumococcal disease as a threat, 52.1% of them believed in the importance of the vaccine, and 93.9% of them were willing to consult a physician in this regard. At a two-month follow-up, 30.5% had a positive attitude toward the vaccine and 36% consulted their physician regarding the vaccine. Vaccination coverage was significantly increased to 1.9% ( value = 0.008). The main obstacles against vaccination were a negative attitude and that physicians had not recommended the vaccine. Vaccine uptake was significantly associated with physician consultation ( value = 0.011). Insurance, employment, attitude, and reading the booklet significantly predicted physician consultation. In conclusion, very low pneumococcal vaccination coverage was observed among the elderly in Jordan. Enrollment of pharmacists in immunization education and recommendation is suggested to improve pneumococcal vaccine coverage among the elderly in Jordan.
在包括约旦在内的中东国家，关于老年人肺炎球菌疫苗接种覆盖率的数据有限。药剂师在提高疫苗接受度方面的作用日益明显。然而，针对药剂师在老年人肺炎球菌疫苗接受度方面作用的大规模评估研究却很匮乏。因此，我们首次评估了约旦老年人对肺炎球菌疫苗的知识现状、接种覆盖率，以及药剂师主导的教育干预对老年人在肺炎球菌疫苗方面的态度、认知、疫苗接受度和咨询医生意愿的影响。这项干预性研究在约旦安曼随机选取了916名年龄≥65岁的成年人。我们发现只有3.9%的参与者听说过肺炎球菌疾病，接种覆盖率为0.5%。教育干预后，立即有21.7%的参与者认为肺炎球菌疾病是一种威胁，52.1%的人相信疫苗的重要性，93.9%的人愿意就此咨询医生。在两个月的随访中，30.5%的人对疫苗持积极态度，36%的人就疫苗问题咨询了医生。接种覆盖率显著提高到1.9%（P值=0.008）。疫苗接种的主要障碍是消极态度以及医生未推荐疫苗。疫苗接种率与咨询医生显著相关（P值=0.011）。保险、就业、态度和阅读手册显著预测了咨询医生的情况。总之，约旦老年人的肺炎球菌疫苗接种覆盖率非常低。建议让药剂师参与免疫教育和推荐工作，以提高约旦老年人的肺炎球菌疫苗接种覆盖率。
