Vaccination Rates, Perceptions, and Information Sources Used by People With Inflammatory Arthritis

Andrea Lyon; Alannah Quinlivan; Susan Lester; Claire Barrett; Samuel L Whittle; Debra Rowett; Rachel Black; Premarani Sinnathurai; Lyn March; Rachelle Buchbinder; Catherine L Hill

doi:10.1002/acr2.11525

Vaccination Rates, Perceptions, and Information Sources Used by People With Inflammatory Arthritis

ACR Open Rheumatol. 2023 Feb;5(2):84-92. doi: 10.1002/acr2.11525. Epub 2023 Jan 18.

Authors

Affiliations

¹ The Queen Elizabeth Hospital, Woodville South, and The University of Adelaide, Adelaide, South Australia, Australia.
² The Queen Elizabeth Hospital, Woodville South, South Australia, Australia.
³ Redcliffe Hospital, Redcliffe, and The University of Queensland, Queensland, Australia.
⁴ University of South Australia (UniSA) and Drug and Therapeutics Information Service, Southern Adelaide Local Health Network (SALHN), South Australia, Australia.
⁵ The Queen Elizabeth Hospital, Woodville South, and The University of Adelaide, Adelaide, and Royal Adelaide Hospital, Adelaide, South Australia, Australia.
⁶ The University of Sydney, Camperdown, and Royal North Shore Hospital, St Leonards, and NPS MedicineWise, New South Wales, Australia.
⁷ The University of Sydney, Camperdown, and Royal North Shore Hospital, St Leonards, New South Wales, Australia.
⁸ Monash University and Monash Department of Clinical Epidemiology and Musculoskeletal Health and Cabrini Health, Melbourne, Victoria, Australia.

Abstract

Objective: To determine vaccination rates, perceptions, and information sources in people with inflammatory arthritis.

Methods: Participants enrolled in the Australian Rheumatology Association Database were invited to participate in an online questionnaire, conducted in January 2020, prior to the COVID-19 pandemic. Included questions were about vaccination history, modified World Health Organization Vaccination Hesitancy Scale, views of the information sources consulted, the Beliefs About Medicines Questionnaire, education, and the Single-Item Health Literacy Screener.

Results: Response rate was 994 of 1498 (66%). The median age of participants was 62 years, with 67% female. Self-reported adherence was 83% for the influenza vaccine. Participants generally expressed positive vaccination views, particularly regarding safety, efficacy, and access. However, only 43% knew which vaccines were recommended for them. Vaccine hesitancy was primarily attributable to uncertainty and a perceived lack of information about which vaccines were recommended. Participants consulted multiple vaccination information sources (median 3, interquartile range 2-7). General practitioners (89%) and rheumatologists (76%) were the most frequently used information sources and were most likely to yield positive views. Negative views of vaccination were most often from internet chatrooms, social media, and mainstream media. Factors of younger age, male gender, and having more concerns about the harms and overuse of medicines in general were associated with lower adherence and greater uncertainty about vaccinations, whereas education and self-reported literacy were not.

Conclusion: Participants with inflammatory arthritis generally held positive views about vaccination, although there was considerable uncertainty as to which vaccinations were recommended for them. This study highlights the need for improved consumer information about vaccination recommendations for people with inflammatory arthritis.

Abstract

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