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Factors associated with pandemic influenza A/H1N1 vaccine coverage in a French cohort of HIV-infected patients.

Identifieur interne : 000174 ( France/Analysis ); précédent : 000173; suivant : 000175

Factors associated with pandemic influenza A/H1N1 vaccine coverage in a French cohort of HIV-infected patients.

Auteurs : L. Cotte [France] ; N. Voirin [France] ; C. Richard ; C. Brochier ; I. Schlienger ; P. Lack ; B. Lina [France] ; P. Vanhems [France] ; F. Zoulim [France]

Source :

RBID : Hal:hal-00790194

Abstract

BACKGROUND: A mass influenza A/H1N1 vaccination campaign took place in France during the 2009 winter. Overall, 7.9% of the general population was vaccinated. However, vaccine coverage data are missing for at-risk groups. METHODS: A vaccination centre was implemented for HIV-infected patients followed-up in a French University Hospital. Demographical, clinical and biological characteristics were collected. Adjusted odds ratios (aOR) were calculated to identify factors associated with being vaccinated against A/H1N1 influenza. RESULTS: A/H1N1 vaccine coverage was 44.4% (635/1430) in HIV-infected patients. In univariate analysis, uptake of vaccination was significantly associated with male gender, men who have sex with men, age ≥ 50 years, ≥ 1 seasonal influenza risk factor, longer HIV disease, longer duration of antiretroviral therapy, greater number of lines of antiretroviral treatments, lower nadir CD4, recent HIV-RNA<50 copies/ml, previous pneumococcal vaccination, > 2 visits to the unit during the study period and follow-up by a physician who assessed ≥ 100 patients/year (senior physician). CDC stage, recent CD4 count, diabetes, BMI>30 and pregnancy were not associated with vaccination. After multivariate analysis, vaccination remained significantly associated with age ≥ 50 years (aOR 1.56, CI 1.16-2.09), time since HIV diagnosis (aOR per 1 year 1.02, CI 1.00-1.04), previous pneumococcal vaccination (aOR 2.56, CI 1.96-3.34), >2 visits to the unit (aOR 5.09, CI 3.87-6.68) and follow-up by a senior physician (aOR 1.73, CI 1.20-2.48). CONCLUSION: A/H1N1 vaccination was more successful in HIV-infected patients than in the French general population. Organization of the vaccination in a convenient location and implication of the physicians seem to be determining factors for A/H1N1 acceptability in this population.


Url:
DOI: 10.1016/j.vaccine.2011.06.013


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<front>
<div type="abstract" xml:lang="en">
<p>BACKGROUND: A mass influenza A/H1N1 vaccination campaign took place in France during the 2009 winter. Overall, 7.9% of the general population was vaccinated. However, vaccine coverage data are missing for at-risk groups. METHODS: A vaccination centre was implemented for HIV-infected patients followed-up in a French University Hospital. Demographical, clinical and biological characteristics were collected. Adjusted odds ratios (aOR) were calculated to identify factors associated with being vaccinated against A/H1N1 influenza. RESULTS: A/H1N1 vaccine coverage was 44.4% (635/1430) in HIV-infected patients. In univariate analysis, uptake of vaccination was significantly associated with male gender, men who have sex with men, age ≥ 50 years, ≥ 1 seasonal influenza risk factor, longer HIV disease, longer duration of antiretroviral therapy, greater number of lines of antiretroviral treatments, lower nadir CD4, recent HIV-RNA<50 copies/ml, previous pneumococcal vaccination, > 2 visits to the unit during the study period and follow-up by a physician who assessed ≥ 100 patients/year (senior physician). CDC stage, recent CD4 count, diabetes, BMI>30 and pregnancy were not associated with vaccination. After multivariate analysis, vaccination remained significantly associated with age ≥ 50 years (aOR 1.56, CI 1.16-2.09), time since HIV diagnosis (aOR per 1 year 1.02, CI 1.00-1.04), previous pneumococcal vaccination (aOR 2.56, CI 1.96-3.34), >2 visits to the unit (aOR 5.09, CI 3.87-6.68) and follow-up by a senior physician (aOR 1.73, CI 1.20-2.48). CONCLUSION: A/H1N1 vaccination was more successful in HIV-infected patients than in the French general population. Organization of the vaccination in a convenient location and implication of the physicians seem to be determining factors for A/H1N1 acceptability in this population.</p>
</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>France</li>
</country>
<region>
<li>Auvergne-Rhône-Alpes</li>
<li>Rhône-Alpes</li>
</region>
<settlement>
<li>Lyon</li>
</settlement>
<orgName>
<li>Université Claude Bernard Lyon 1</li>
<li>Université de Lyon</li>
</orgName>
</list>
<tree>
<noCountry>
<name sortKey="Brochier, C" sort="Brochier, C" uniqKey="Brochier C" first="C." last="Brochier">C. Brochier</name>
<name sortKey="Lack, P" sort="Lack, P" uniqKey="Lack P" first="P." last="Lack">P. Lack</name>
<name sortKey="Richard, C" sort="Richard, C" uniqKey="Richard C" first="C." last="Richard">C. Richard</name>
<name sortKey="Schlienger, I" sort="Schlienger, I" uniqKey="Schlienger I" first="I." last="Schlienger">I. Schlienger</name>
</noCountry>
<country name="France">
<region name="Auvergne-Rhône-Alpes">
<name sortKey="Cotte, L" sort="Cotte, L" uniqKey="Cotte L" first="L." last="Cotte">L. Cotte</name>
</region>
<name sortKey="Lina, B" sort="Lina, B" uniqKey="Lina B" first="B." last="Lina">B. Lina</name>
<name sortKey="Vanhems, P" sort="Vanhems, P" uniqKey="Vanhems P" first="P." last="Vanhems">P. Vanhems</name>
<name sortKey="Voirin, N" sort="Voirin, N" uniqKey="Voirin N" first="N." last="Voirin">N. Voirin</name>
<name sortKey="Zoulim, F" sort="Zoulim, F" uniqKey="Zoulim F" first="F." last="Zoulim">F. Zoulim</name>
</country>
</tree>
</affiliations>
</record>

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