Factors associated with pandemic influenza A/H1N1 vaccine coverage in a French cohort of HIV-infected patients.
Identifieur interne : 000221 ( Hal/Checkpoint ); précédent : 000220; suivant : 000222Factors 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 :
- Vaccine [ 0264-410X ] ; 2011-08-05.
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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<idno type="DOI">10.1016/j.vaccine.2011.06.013</idno>
<series><title level="j">Vaccine</title>
<idno type="ISSN">0264-410X</idno>
<imprint><date type="datePub">2011-08-05</date>
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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>
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<hal api="V3"> <titleStmt> <title xml:lang="en">Factors associated with pandemic influenza A/H1N1 vaccine coverage in a French cohort of HIV-infected patients.</title>
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<idno type="halauthorid">342588</idno>
<affiliation ref="#struct-139829"></affiliation>
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<editor role="depositor"> <persName> <forename>Marie-Pierre</forename>
<surname>Scanella</surname>
</persName>
<email type="md5">d49248fd8db1145196d1aa7a864ed5ce</email>
<email type="domain">inserm.fr</email>
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<date type="whenModified">2020-02-10 16:36:47</date>
<date type="whenReleased">2013-02-19 15:54:17</date>
<date type="whenProduced">2011-08-05</date>
</edition>
<respStmt> <resp>contributor</resp>
<name key="141554"> <persName> <forename>Marie-Pierre</forename>
<surname>Scanella</surname>
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<email type="md5">d49248fd8db1145196d1aa7a864ed5ce</email>
<email type="domain">inserm.fr</email>
</name>
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<idno type="halBibtex">cotte:hal-00790194</idno>
<idno type="halRefHtml">Vaccine, Elsevier, 2011, 29 (34), pp.5638-44. ⟨10.1016/j.vaccine.2011.06.013⟩</idno>
<idno type="halRef">Vaccine, Elsevier, 2011, 29 (34), pp.5638-44. ⟨10.1016/j.vaccine.2011.06.013⟩</idno>
</publicationStmt>
<seriesStmt> <idno type="stamp" n="CNRS">CNRS - Centre national de la recherche scientifique</idno>
<idno type="stamp" n="INRIA">INRIA - Institut National de Recherche en Informatique et en Automatique</idno>
<idno type="stamp" n="HCL">Hospices Civils de Lyon</idno>
<idno type="stamp" n="BIOENVIS">Fédération de Recherche BioEnviS, BioEnvironnement et Santé (Université de Lyon)</idno>
<idno type="stamp" n="UNIV-LYON1">Université Claude Bernard - Lyon I</idno>
<idno type="stamp" n="CRCL" corresp="UNIV-LYON1">Centre de recherche en cancérologie de Lyon (UMR INSERM 1052 ; CNRS 5286 ; Centre Léon Bérard)</idno>
<idno type="stamp" n="INRIA-AUT">Inria autres</idno>
<idno type="stamp" n="LBBE" corresp="UNIV-LYON1">Laboratoire de biométrie et biologie évolutive </idno>
<idno type="stamp" n="UDL">UDL</idno>
<idno type="stamp" n="UNIV-LYON">Université de Lyon</idno>
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<notesStmt> <note type="audience" n="2">International</note>
<note type="popular" n="0">No</note>
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<sourceDesc> <biblStruct> <analytic> <title xml:lang="en">Factors associated with pandemic influenza A/H1N1 vaccine coverage in a French cohort of HIV-infected patients.</title>
<author role="crp"> <persName> <forename type="first">L.</forename>
<surname>Cotte</surname>
</persName>
<email type="md5">04628b643591392efcdd2d4d918f4f47</email>
<email type="domain">chu-lyon.fr</email>
<idno type="halauthorid">819008</idno>
<affiliation ref="#struct-139829"></affiliation>
<affiliation ref="#struct-456899"></affiliation>
</author>
<author role="aut"> <persName> <forename type="first">N.</forename>
<surname>Voirin</surname>
</persName>
<idno type="halauthorid">441648</idno>
<affiliation ref="#struct-10025"></affiliation>
<affiliation ref="#struct-194495"></affiliation>
</author>
<author role="aut"> <persName> <forename type="first">C.</forename>
<surname>Richard</surname>
</persName>
<idno type="halauthorid">164767</idno>
</author>
<author role="aut"> <persName> <forename type="first">C.</forename>
<surname>Brochier</surname>
</persName>
<idno type="halauthorid">476713</idno>
</author>
<author role="aut"> <persName> <forename type="first">I.</forename>
<surname>Schlienger</surname>
</persName>
<idno type="halauthorid">819009</idno>
</author>
<author role="aut"> <persName> <forename type="first">P.</forename>
<surname>Lack</surname>
</persName>
<idno type="halauthorid">819010</idno>
</author>
<author role="aut"> <persName> <forename type="first">B.</forename>
<surname>Lina</surname>
</persName>
<idno type="halauthorid">147570</idno>
<affiliation ref="#struct-714"></affiliation>
</author>
<author role="aut"> <persName> <forename type="first">P.</forename>
<surname>Vanhems</surname>
</persName>
<idno type="halauthorid">441232</idno>
<affiliation ref="#struct-10025"></affiliation>
</author>
<author role="aut"> <persName> <forename type="first">F.</forename>
<surname>Zoulim</surname>
</persName>
<idno type="halauthorid">342588</idno>
<affiliation ref="#struct-139829"></affiliation>
<affiliation ref="#struct-581"></affiliation>
</author>
</analytic>
<monogr> <idno type="halJournalId" status="VALID">19820</idno>
<idno type="issn">0264-410X</idno>
<idno type="eissn">0264-410X</idno>
<title level="j">Vaccine</title>
<imprint> <publisher>Elsevier</publisher>
<biblScope unit="volume">29</biblScope>
<biblScope unit="issue">34</biblScope>
<biblScope unit="pp">5638-44</biblScope>
<date type="datePub">2011-08-05</date>
<date type="dateEpub">2011-06-23</date>
</imprint>
</monogr>
<idno type="doi">10.1016/j.vaccine.2011.06.013</idno>
<idno type="pubmed">21699948</idno>
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<profileDesc> <langUsage> <language ident="en">English</language>
</langUsage>
<textClass> <classCode scheme="mesh">Age Factors</classCode>
<classCode scheme="mesh">Disease Outbreaks</classCode>
<classCode scheme="mesh">Pandemics</classCode>
<classCode scheme="mesh">Patient Acceptance of Health Care</classCode>
<classCode scheme="mesh">Patient Compliance</classCode>
<classCode scheme="mesh">Pregnancy</classCode>
<classCode scheme="mesh">Sexual Behavior</classCode>
<classCode scheme="mesh">Female</classCode>
<classCode scheme="mesh">France</classCode>
<classCode scheme="mesh">HIV Infections</classCode>
<classCode scheme="mesh">Humans</classCode>
<classCode scheme="mesh">Influenza A Virus, H1N1 Subtype</classCode>
<classCode scheme="mesh">Influenza, Human</classCode>
<classCode scheme="mesh">Male</classCode>
<classCode scheme="mesh">Mass Vaccination</classCode>
<classCode scheme="halDomain" n="sdv.can">Life Sciences [q-bio]/Cancer</classCode>
<classCode scheme="halTypology" n="ART">Journal articles</classCode>
</textClass>
<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>
</abstract>
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