The impact of covid-19 pandemic on recommended adult vaccination in elderly: A hospital-based study

Yıl 2024, Cilt: 16 Sayı: 2, 28 - 34, 31.08.2024

Cemile Karaçepiş , Hacer Hicran Mutlu , Ayşe Gülek , Hasan Hüseyin Mutlu

https://doi.org/10.35514/mtd.2024.108

Öz

Background: With the COVID-19 pandemic, significant changes have occurred all over the world and in Turkey. Recommended adult vaccination practices are one of them.
Objective: This study aims to compare the adult vaccination rates and awareness before and after the COVID-19 pandemic.
Methods: Sociodemographic characteristics (age, gender, marital status, education status, comorbidities), vaccines performed in adulthood, and reasons for getting vaccinated and avoiding vaccines before and during the pandemic were asked to the responders. The results were compared with the data of the study which was performed between 31.01.2017-01.06.2017 in the same outpatient clinic of the same hospital were used with permission of all the authors.
Results: It was observed that pneumococcal (9,9, % vs 56,5 %) (p<0,001), influenza (33,9 % vs 47,7 %) (p=0,004), tetanus (1,3 % vs 20,7 %) (p<0,001) and hepatitis B (0,7 % vs 4,8 %) (p=0,04) vaccination rate significantly increased during pandemic compared to the period before the pandemic.
Conclusion: The adult vaccination coverage was insufficient, on the other hand with the pandemic the adult particularly pneumococcal vaccination coverage has increased. It was considered that traditional and social media had an important role in this increase.

Anahtar Kelimeler

vaccination, immunization schedule, COVID-19 pandemics, mass media, social media

Covid-19 pandemisinin önerilen erişkin aşılamalarına etkisi: Hastane temelli çalışma

Öz

Amaç: COVİD-19 salgınıyla birlikte tüm dünyada ve Türkiye'de önemli değişiklikler meydana geldi. Önerilen yetişkin aşılama uygulamaları da bunlardan biridir. Bu çalışma, COVID-19 salgını öncesi ve sonrası yetişkinlerde aşılama oranlarını ve farkındalıklarını karşılaştırmayı amaçlamaktadır.
Yöntem: Yanıt verenlere sosyodemografik özellikler (yaş, cinsiyet, medeni durum, eğitim durumu, yandaş hastalıklar), yetişkinlikte yapılan aşılar, pandemi öncesi ve pandemi sırasında aşı yaptırma ve aşılardan kaçınma nedenleri soruldu. Sonuçlar tüm yazarların izni alınarak aynı hastanenin aynı polikliniğinde 31.01.2017-01.06.2017 tarihleri arasında gerçekleştirilen çalışmanın verileriyle karşılaştırıldı.
Bulgular: Pnömokok (%9,9 vs %56,5) (p<0,001), influenza (%33,9 vs %47,7) (p=0,004), tetanoz (%1,3 vs %) olduğu gözlendi. %20,7) (p<0,001) ve hepatit B (%0,7 vs %4,8) (p=0,04) aşılanma oranlarında pandemi öncesi döneme göre pandemi döneminde anlamlı artış görüldü.
Sonuç: Erişkin aşı kapsamı yetersiz olmakla birlikte, pandemiyle birlikte erişkinlerde özellikle pnömokok aşı kapsamı artmıştır. Bu artışta geleneksel ve sosyal medyanın önemli bir rolü olduğu değerlendirildi.

Anahtar Kelimeler

aşılama, aşı takvimi, COVID-19 pandemisi, geleneksel medya, sosyal medya

Kaynakça

• 1.Balcı UG, Şimşek Y, Öngel K. Level of knowledge and attitude of the patients older than 65 years about pneumococcal vaccine. J Heal Sci. 2015;3:113-116.
• 2.Krammer F. SARS-CoV-2 vaccines in development. Nature. 2020;586(7830):516-527.
• 3.Akdi Y, Emre Karamanoğlu Y, Ünlü KD, Baş C. Identifying the cycles in COVID-19 infection: the case of Turkey. J Appl Stat. 2022;1-13.
• 4.Puri N, Coomes EA, Haghbayan H, Gunaratne K. Social media and vaccine hesitancy: new updates for the era of COVID-19 and globalized infectious diseases. Hum Vaccin Immunother. 2020;16(11):2586-2593.
• 5.Mutlu HH, Coşkun FO, Sargın M. Aile hekimliği polikliniğine başvuran 65 yaş ve üstü kişilerde aşılanma sıklığı ve farkındalığı. Ankara Med J. 2018;18(1):1-13.
• 6.Yilmaz T, Yılmaz TE, Ceyhan Ş, Kasim I, Abdülkadir K, Odabaş ÖK, et al. Evde sağlık hizmetleri birimine kayıtlı geriatrik hastaların influenza ve pnömokok aşısı ile aşılanma durumları ve doktor önerisinin etkisi. Ankara Med J. 2018;18(3):391-401.
• 7.de Gomensoro E, Del Giudice G, Doherty TM. Challenges in adult vaccination. Ann Med. 2018;50(3):181-192.
• 8.Report MW. Surveillance of Vaccination Coverage Among Adult Populations — United States , 2018. 2021;70(3).
• 9.Yan S, Wang Y, Zhu W, Zhang L, Gu H, Liu D, et al. Barriers to influenza vaccination among different populations in Shanghai. Hum Vaccin Immunother. 2021;17(5):1403-1411.
• 10.Liu Y, Xu Y, Wang J, Che X, Gu W, Du J, et al. Vaccination pattern of the 23-valent pneumococcal polysaccharide vaccine (PPV23) in Hangzhou, China: A coverage and adverse events following immunization of different age groups. Hum Vaccin Immunother. 2021;17(1):157-161.
• 11.Sabapathy D, Strong D, Myers R, Li B, Quan H. Pneumococcal vaccination of the elderly during visits to acute care providers: Who are vaccinated? Prev Med (Baltim). 2014;62:155-160.
• 12.Dyda A, Karki S, Hayen A, MacIntyre CR, Menzies R, Banks E, et al. Influenza and pneumococcal vaccination in Australian adults: a systematic review of coverage and factors associated with uptake. BMC Infect Dis. 2016;16(1):1-15.
• 13.Papagiannis D, Rachiotis G, Mariolis A, Zafiriou E, Gourgoulianis KI. Vaccination coverage of the elderly in Greece: a cross-sectional nationwide study. Can J Infect Dis Med Microbiol. 2020;2020:5459793.
• 14.Veronese N, Vassallo G, Armata M, Cilona L, Casalicchio S, Masnata R, et al. Multidimensional Frailty and Vaccinations in Older People: A Cross-Sectional Study. Vaccines. 2022;10(4):555.
• 15.Kini A, Morgan R, Kuo H, Shea P, Shapiro J, Leng SX, et al. Differences and disparities in seasonal influenza vaccine, acceptance, adverse reactions, and coverage by age, sex, gender, and race. Vaccine. 2022;40(11):1643-1654.
• 16.Kawai K, Kawai AT. Racial/ethnic and socioeconomic disparities in adult vaccination coverage. Am J Prev Med. 2021;61(4):465-473.
• 17.Hellfritzsch M, Thomsen RW, Baggesen LM, Larsen FB, Sørensen HT, Christiansen CF. Lifestyle, socioeconomic characteristics, and medical history of elderly persons who receive seasonal influenza vaccination in a tax-supported healthcare system. Vaccine. 2017;35(18):2396-2403.
• 18.Trent MJ, Salmon DA, MacIntyre CR. Predictors of pneumococcal vaccination among Australian adults at high risk of pneumococcal disease. Vaccine. 2022;40(8):1152-1161.
• 19.Yalçın Gürsoy M, Tanrıverdi G, Özsezer G, Chousko Mechmet F. Vaccination coverage and related factors among the elderly: A cross‐sectional study from Turkey. Public Health Nurs. 2022;39(2):390-397.
• 20.Dardalas I, Pourzitaki C, Manomenidis G, Malliou F, Galanis P, Papazisis G, et al. Predictors of influenza vaccination among elderly: a cross-sectional survey in Greece. Aging Clin Exp Res. 2020;32(9):1821-1828.
• 21.Higuchi M, Narumoto K, Goto T, Inoue M. Correlation between family physician’s direct advice and pneumococcal vaccination intention and behavior among the elderly in Japan: a cross-sectional study. BMC Fam Pract. 2018;19(1):1-11.
• 22.Qendro T, de la Torre ML, Panopalis P, Hazel E, Ward BJ, Colmegna I, et al. Suboptimal immunization coverage among Canadian rheumatology patients in routine clinical care. J Rheumatol. 2020;47(5):770-778.
• 23.Uzuner A, Arabacı Ş, Yücel Aİ, Kocatürk AC, Kaynar E, Khan A. Knowledge, attitude and behaviors of adults about adulthood immunization. TJFMPC. 2018;12(3):215-225.
• 24.Zimand-sheiner D, Kol O, Frydman S. To Be ( Vaccinated ) or Not to Be : The Effect of Media Exposure , Institutional Trust , and Incentives on Attitudes toward COVID-19 Vaccination. 2021;18(24):12894.
• 25.Viswanath K, Bekalu M, Dhawan D, Pinnamaneni R, Lang J, Mcloud R. Individual and social determinants of COVID-19 vaccine uptake. 2021;1-10.
• 26.Kong G, Lim N-A, Chin YH, Ng YPM, Amin Z. Effect of COVID-19 Pandemic on Influenza Vaccination Intention: A Meta-Analysis and Systematic Review. Vaccines. 2022;10(4):606.
• 27.Gallant AJ, Nicholls LAB, Rasmussen S, Cogan N, Young D, Williams L. Changes in attitudes to vaccination as a result of the COVID-19 pandemic: A longitudinal study of older adults in the UK. PLoS One. 2021;16(12):e0261844.
• 28.Aşıları E, Bilgi H, Davranışları T, Bachtiger P, Adamson A, Peters NS, et al. Social media and vaccine hesitancy: new updates for the era of COVID-19 and globalized infectious diseases. Ankara Med J [Internet]. 2020;17(3):155-160.
• 29.Zingel R, Beinker P, Kostev K. The Impact of the COVID-19 Pandemic on Immunization Rates for Preventable Diseases in Primary Care and Pediatric Practices in Germany. Dtsch Arztebl Int. 2022;119(11):195.
• 30.Bachtiger P, Adamson A, Chow J-J, Sisodia R, Quint JK, Peters NS. The impact of the COVID-19 pandemic on the uptake of influenza vaccine: UK-wide observational study. JMIR public Heal Surveill. 2021;7(4):e26734.
• 31.Domnich A, Cambiaggi M, Vasco A, Maraniello L, Ansaldi F, Baldo V, et al. Attitudes and beliefs on influenza vaccination during the COVID-19 pandemic: Results from a representative Italian survey. Vaccines. 2020;8(4):711.
• 32.HASUDER Bulaşıcı Hastalıklar Grubu. COVID-19 PANDEMİSİNDE GÜNCEL DURUM VE ÖNERİLER [Internet]. Available from: https://hasuder.org.tr/wp-content/uploads/HASUDER-COVID-19-RAPORU.pdf
• 33.Liu R, Zhang Y, Nicholas S, Leng A, Maitland E, Wang J. COVID-19 vaccination willingness among Chinese adults under the free vaccination policy. Vaccines. 2021;9(3):292.