Lyon Andrea, Quinlivan Alannah, Lester Susan, Barrett Claire, Whittle Samuel L, Rowett Debra, Black Rachel, Sinnathurai Premarani, March Lyn, Buchbinder Rachelle, Hill Catherine L
The Queen Elizabeth Hospital, Woodville South, and The University of Adelaide, Adelaide, South Australia, Australia.
The Queen Elizabeth Hospital, Woodville South, South Australia, Australia.
ACR Open Rheumatol. 2023 Feb;5(2):84-92. doi: 10.1002/acr2.11525. Epub 2023 Jan 18.
To determine vaccination rates, perceptions, and information sources in people with inflammatory arthritis.
Participants enrolled in the Australian Rheumatology Association Database were invited to participate in an online questionnaire, conducted in January 2020, prior to the COVID-19 pandemic. Included questions were about vaccination history, modified World Health Organization Vaccination Hesitancy Scale, views of the information sources consulted, the Beliefs About Medicines Questionnaire, education, and the Single-Item Health Literacy Screener.
Response rate was 994 of 1498 (66%). The median age of participants was 62 years, with 67% female. Self-reported adherence was 83% for the influenza vaccine. Participants generally expressed positive vaccination views, particularly regarding safety, efficacy, and access. However, only 43% knew which vaccines were recommended for them. Vaccine hesitancy was primarily attributable to uncertainty and a perceived lack of information about which vaccines were recommended. Participants consulted multiple vaccination information sources (median 3, interquartile range 2-7). General practitioners (89%) and rheumatologists (76%) were the most frequently used information sources and were most likely to yield positive views. Negative views of vaccination were most often from internet chatrooms, social media, and mainstream media. Factors of younger age, male gender, and having more concerns about the harms and overuse of medicines in general were associated with lower adherence and greater uncertainty about vaccinations, whereas education and self-reported literacy were not.
Participants with inflammatory arthritis generally held positive views about vaccination, although there was considerable uncertainty as to which vaccinations were recommended for them. This study highlights the need for improved consumer information about vaccination recommendations for people with inflammatory arthritis.
确定炎性关节炎患者的疫苗接种率、认知情况及信息来源。
邀请纳入澳大利亚风湿病协会数据库的参与者于2020年1月（在新冠疫情之前）参与一项在线问卷调查。问卷问题包括疫苗接种史、改良的世界卫生组织疫苗犹豫量表、所咨询信息来源的看法、药物信念问卷、教育程度及单项健康素养筛查。
1498名参与者中有994人回复（66%）。参与者的中位年龄为62岁，女性占67%。自我报告的流感疫苗接种依从率为83%。参与者总体上对疫苗接种持积极看法，尤其是在安全性、有效性和可及性方面。然而，只有43%的人知道哪些疫苗是推荐给他们的。疫苗犹豫主要归因于不确定性以及感觉缺乏关于推荐接种哪些疫苗的信息。参与者咨询了多个疫苗接种信息来源（中位数为3，四分位间距为2 - 7）。全科医生（89%）和风湿病学家（76%）是最常使用的信息来源，且最有可能产生积极看法。对疫苗接种的负面看法大多来自网络聊天室、社交媒体和主流媒体。年龄较小、男性以及总体上对药物危害和过度使用更为担忧的因素与较低的依从性及对疫苗接种更大的不确定性相关，而教育程度和自我报告的素养则无关。
炎性关节炎患者总体上对疫苗接种持积极看法，尽管对于推荐给他们接种哪些疫苗存在相当大的不确定性。本研究强调需要为炎性关节炎患者提供关于疫苗接种建议的更完善的消费者信息。
