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Brief Report

Influenza Vaccination among Patients with Diabetes or Ischemic Heart Disease in Thailand: Coverage, Knowledge and Associated Factors †

by
Surarong Chinwong
1,2,
Suthinee Taesotikul
1,3,
Duangruthai Koenkaew
1,
Thanannat Thanomjit
1,
Arintaya Phrommintikul
4 and
Dujrudee Chinwong
1,2,*
1
Department of Pharmaceutical Care, Faculty of Pharmacy, Chiang Mai University, Chiang Mai 50200, Thailand
2
Center of Excellence for Innovation in Analytical Science and Technology for Biodiversity-Based Economic and Society (I-ANALY-S-T_B.BES-CMU), Chiang Mai University, Chiang Mai 50200, Thailand
3
Pharmaceutical Care Training Center (PCTC), Faculty of Pharmacy, Chiang Mai University, Chiang Mai 50200, Thailand
4
Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
*
Author to whom correspondence should be addressed.
A part of this study was presented as a poster presentation at the 89th EAS Congress 2021, Virtual Conference, 30 May–2 June 2021.
Vaccines 2023, 11(4), 794; https://doi.org/10.3390/vaccines11040794
Submission received: 17 February 2023 / Revised: 26 March 2023 / Accepted: 30 March 2023 / Published: 4 April 2023
(This article belongs to the Special Issue Epidemiology, Vaccination and Public Health)

Abstract

An influenza vaccination is recommended for patients with diabetes mellitus (DM) or ischemic heart disease (IHD) to prevent cardiovascular events, but the vaccination coverage remains low. This cross-sectional study sought to investigate vaccination coverage, knowledge level on influenza and factors associated with influenza vaccination in patients with DM or IHD treated at a tertiary hospital in northern Thailand. Patients were interviewed from August to October 2017. Of 150 patients interviewed (51.3% women, mean age of 66.7 ± 8.3 years, 35.3% DM, 35.3% IHD, 29.3% DM and IHD), 45.3% (68/150) were vaccinated against influenza. The mean knowledge score was 9.68 ± 1.35 (total: 11) and did not differ between those receiving the immunization and those who did not (p = 0.056). Two factors remained significantly associated with their vaccination after multivariable logistic regression analysis: knowing their right to receive free vaccinations (adjusted OR 2.32, 95% CI: 1.06–5.10, p-value: 0.035), and needing to be vaccinated (adjusted OR 3.50, 95% CI: 1.51–8.12, p-value: 0.003). Overall, the vaccine coverage was low; less than one-half of patients received the influenza vaccine, but their knowledge level was high. Possessing the right and having a need were two factors associated with vaccination. Such factors should be carefully considered to encourage patients with DM and IDH to receive the influenza vaccination.
Keywords: influenza vaccination; Thailand; knowledge; coverage; elderly; noncommunicable disease; diabetes; hypertension influenza vaccination; Thailand; knowledge; coverage; elderly; noncommunicable disease; diabetes; hypertension

Share and Cite

MDPI and ACS Style

Chinwong, S.; Taesotikul, S.; Koenkaew, D.; Thanomjit, T.; Phrommintikul, A.; Chinwong, D. Influenza Vaccination among Patients with Diabetes or Ischemic Heart Disease in Thailand: Coverage, Knowledge and Associated Factors. Vaccines 2023, 11, 794. https://doi.org/10.3390/vaccines11040794

AMA Style

Chinwong S, Taesotikul S, Koenkaew D, Thanomjit T, Phrommintikul A, Chinwong D. Influenza Vaccination among Patients with Diabetes or Ischemic Heart Disease in Thailand: Coverage, Knowledge and Associated Factors. Vaccines. 2023; 11(4):794. https://doi.org/10.3390/vaccines11040794

Chicago/Turabian Style

Chinwong, Surarong, Suthinee Taesotikul, Duangruthai Koenkaew, Thanannat Thanomjit, Arintaya Phrommintikul, and Dujrudee Chinwong. 2023. "Influenza Vaccination among Patients with Diabetes or Ischemic Heart Disease in Thailand: Coverage, Knowledge and Associated Factors" Vaccines 11, no. 4: 794. https://doi.org/10.3390/vaccines11040794

APA Style

Chinwong, S., Taesotikul, S., Koenkaew, D., Thanomjit, T., Phrommintikul, A., & Chinwong, D. (2023). Influenza Vaccination among Patients with Diabetes or Ischemic Heart Disease in Thailand: Coverage, Knowledge and Associated Factors. Vaccines, 11(4), 794. https://doi.org/10.3390/vaccines11040794

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