The patient perspective on vaccine uptake in adults with psoriasis and eczema.

The patient perspective on vaccine uptake in adults with psoriasis and eczema.
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DOI:
10.1007/s00403-023-02546-0
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发表时间:
2023-08
影响因子:
3
通讯作者:
--
中科院分区:
医学3区
文献类型:
--
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患有慢性疾病是与普通人群中成年人疫苗接种相关的最一致的因素之一,但尚未探讨慢性皮肤病患者的疫苗接种信念和行为。本研究的目的是探讨与银屑病和湿疹成人疫苗摄取和接种障碍相关的因素。对自我报告银屑病或湿疹诊断的成年人进行了虚拟的、基于视频的半结构化访谈。访谈探讨了医疗决策、疫苗接种的风险/益处、障碍和疫苗知识等主题。采用主位分析法对数据进行分析。在34名研究参与者中,25名参与者(74%)为女性,9名(26%)为男性,平均年龄为50.8岁(SD:16.4,范围:24-71岁)。一半的参与者(n = 17)患有银屑病,一半(n = 17)患有湿疹。与会者认识到疫苗对个人和社会的好处。确定的常见疫苗接种障碍是获得预约,对副作用的担忧和错误信息。医生、朋友/家人和媒体,包括互联网资源,是患者识别的健康信息资源。这些结果总结了湿疹和银屑病成人疫苗摄取的独特患者观点,代表了多管齐下提高慢性皮肤病成人疫苗接种率的重要第一步。
Having a chronic disease is one of the most consistent factors associated with vaccine uptake for adults in the general population, but vaccination beliefs and behaviors specific to those with chronic skin diseases have not been explored. The objective of this study was to explore factors associated with vaccine uptake and barriers to vaccination in adults with psoriasis and eczema. Virtual, video-based semi-structured interviews were performed with adults who self-reported a diagnosis of psoriasis or eczema. Interviews explored themes around healthcare decision making, perceived risks/benefits to vaccination, barriers, and vaccine knowledge. Thematic analysis was used to analyze the data. Of 34 study participants, 25 participants (74%) were females and 9 (26%) were males, with a mean age of 50.8 years (SD: 16.4, range: 24–71 yrs). Half of participants (n = 17) had psoriasis, and half (n = 17) had eczema. Participants recognized both personal and societal benefits to vaccines. Common vaccination barriers identified were access to appointments, concerns about side effects, and misinformation. Physicians, friends/family, and media, including internet resources, were health information resources identified by patients. These results summarize the unique patient perspective around vaccine uptake in adults with eczema and psoriasis and represent an important first step in a multi-pronged approach to improve vaccination rates in adults with chronic skin diseases.
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