دورية أكاديمية
COVID-19 vaccine hesitancy in inflammatory arthritis patients: serial surveys from a large longitudinal national Australian cohort.
| العنوان: | COVID-19 vaccine hesitancy in inflammatory arthritis patients: serial surveys from a large longitudinal national Australian cohort. |
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| المؤلفون: | McMaster C; Department of Rheumatology, Austin Health, Heidelberg, VIC, Australia.; Department of Clinical Pharmacology and Therapeutics, Austin Health, Heidelberg, VIC, Australia.; The Centre for Digital Transformation of Health, University of Melbourne, Parkville, VIC, Australia., Liew DFL; Department of Rheumatology, Austin Health, Heidelberg, VIC, Australia.; Department of Clinical Pharmacology and Therapeutics, Austin Health, Heidelberg, VIC, Australia.; Department of Medicine, University of Melbourne, Parkville, VIC, Australia., Lester S; Rheumatology Unit, The Queen Elizabeth Hospital, Woodville South, SA, Australia.; Adelaide Medical School, The University of Adelaide, Adelaide, SA, Australia., Rischin A; Department of Rheumatology, The Alfred Hospital, Melbourne, VIC, Australia., Black RJ; Rheumatology Unit, The Queen Elizabeth Hospital, Woodville South, SA, Australia.; Adelaide Medical School, The University of Adelaide, Adelaide, SA, Australia., Chand V; Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.; Monash-Cabrini Department of Musculoskeletal Health and Clinical Epidemiology, Cabrini Health, Malvern, VIC, Australia., Fletcher A; Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.; Monash-Cabrini Department of Musculoskeletal Health and Clinical Epidemiology, Cabrini Health, Malvern, VIC, Australia., Lassere MN; School of Population Health, UNSW Medicine, Sydney, NSW, Australia.; Department of Rheumatology, St George Hospital, Sydney, NSW, Australia., March L; Florance and Cope Professorial Department of Rheumatology, Royal North Shore Hospital, Sydney, NSW, Australia.; Institute of Bone and Joint Research, University of Sydney, Sydney, NSW, Australia., Robinson PC; Faculty of Medicine, University of Queensland School of Clinical Medicine, Herston, QLD, Australia.; Royal Brisbane & Women's Hospital, Metro North Hospital & Health Service, Herston, QLD, Australia., Buchbinder R; Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.; Monash-Cabrini Department of Musculoskeletal Health and Clinical Epidemiology, Cabrini Health, Malvern, VIC, Australia., Hill CL; Rheumatology Unit, The Queen Elizabeth Hospital, Woodville South, SA, Australia.; Adelaide Medical School, The University of Adelaide, Adelaide, SA, Australia. |
| المصدر: | Rheumatology (Oxford, England) [Rheumatology (Oxford)] 2023 Apr 03; Vol. 62 (4), pp. 1460-1466. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 100883501 Publication Model: Print Cited Medium: Internet ISSN: 1462-0332 (Electronic) Linking ISSN: 14620324 NLM ISO Abbreviation: Rheumatology (Oxford) Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Oxford, UK : Avenel, N.J. : Oxford University Press ; Distributed by Mercury International, c1999- |
| مواضيع طبية MeSH: | COVID-19*/epidemiology , COVID-19*/prevention & control , Arthritis*/drug therapy, Humans ; COVID-19 Vaccines/therapeutic use ; Pandemics ; Prospective Studies ; Australia/epidemiology ; Vaccination |
| مستخلص: | Objectives: To determine COVID-19 vaccine hesitancy rates in inflammatory arthritis patients and identify factors associated with changing vaccine hesitancy over time. Methods: This investigation was a prospective cohort study of inflammatory arthritis patients from community and public hospital outpatient rheumatology clinics enrolled in the Australian Rheumatology Association Database (ARAD). Two surveys were conducted, one immediately prior to (pre-pandemic) and another approximately 1 year after the start of the pandemic (follow-up). Coronavirus disease 2019 (COVID-19) vaccine hesitancy was measured at follow-up, and general vaccine hesitancy was inferred pre-pandemic; these were used to identify factors associated with fixed and changing vaccine beliefs, including sources of information and broader beliefs about medication. Results: Of the 594 participants who completed both surveys, 74 (12%) were COVID-19 vaccine hesitant. This was associated with pre-pandemic beliefs about medications being harmful (P < 0.001) and overused (P = 0.002), with stronger beliefs resulting in vaccine hesitancy persistent over two time points (P = 0.008, P = 0.005). For those not vaccine hesitant pre-pandemic, the development of COVID-19 vaccine hesitancy was associated with a lower likelihood of seeking out vaccine information from health-care professionals (P < 0.001). COVID-19 vaccine hesitancy was not associated with new influenza vaccine hesitancy (P = 0.138). Conclusion: In this study of vaccine beliefs before and during the COVID-19 pandemic, factors associated with COVID-19 vaccine hesitancy in inflammatory arthritis patients varied, depending on vaccine attitudes immediately prior to the start of the pandemic. Fixed beliefs reflected broader views about medications, while fluid beliefs were highly influenced by whether they sought out information from health-care professionals, including rheumatologists. (© The Author(s) 2022. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For permissions, please email: journals.permissions@oup.com.) |
| التعليقات: | Comment in: Rheumatology (Oxford). 2023 Nov 2;62(11):e322. (PMID: 36193990) |
| فهرسة مساهمة: | Keywords: COVID-19; patient education; rheumatic disease; vaccine hesitancy |
| المشرفين على المادة: | 0 (COVID-19 Vaccines) |
| تواريخ الأحداث: | Date Created: 20220907 Date Completed: 20230405 Latest Revision: 20231114 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC9494403 |
| DOI: | 10.1093/rheumatology/keac503 |
| PMID: | 36069664 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1462-0332 |
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| DOI: | 10.1093/rheumatology/keac503 |