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Short Communication

The impact of comorbidities and sociodemographic predictors on pneumococcal vaccination coverage in adults with coronary heart disease

    Saint-Martin Allihien

    *Author for correspondence: Tel.: +1 262 302 6558;

    E-mail Address: smartallihien@yahoo.com

    Department of Internal Medicine, Piedmont Athens Regional Medical Center, Athens, GA 30606, USA

    ,
    Sammudeen Ibrahim

    Department of Internal Medicine, Piedmont Athens Regional Medical Center, Athens, GA 30606, USA

    ,
    Favour Markson

    Department of Internal Medicine, Lincoln Medical Center, 234 E 149 St Bronx, NY 10451, USA

    ,
    Walter Y Agyeman

    Department of Internal Medicine, Piedmont Athens Regional Medical Center, Athens, GA 30606, USA

    ,
    Setri Fugar

    Interventional Cardiology, Medical College of Wisconsin, Milwaukee, 8701 Watertown Plank Rd., 5th Floor Milwaukee, WI 53226, USA

    &
    Onoriode Kesiena‡

    Department of Internal Medicine, Piedmont Athens Regional Medical Center, Athens, GA 30606, USA

    Published Online:https://doi.org/10.2217/fca-2023-0095

    Aim: Coronary heart disease (CHD) increases the risk of adverse outcomes from invasive pneumococcal disease. Methods: Using the 2020 and 2021 data from the national health interview survey, we identified adults with CHD. Chi-square analysis and logistic regression were used to examine factors that influence vaccination status. Results: There were 2675 participants aged 41 and above with CHD. Participants were predominantly white people (82.5%) and males (60.1%). The odds of receiving the pneumococcal vaccine increased with stepwise increase in comorbidities from 1 to 2 and from 2 to 3. Among individuals with ≥2 comorbidities, black people were less likely to be vaccinated compared with white people. Conclusion: Pneumococcal vaccine uptake among adults with CHD is determined by cumulative comorbidities and ethnicity.

    Papers of special note have been highlighted as: • of interest; •• of considerable interest

    References

    • 1. Musher DM, Rueda AM, Kaka AS, Mapara SM. The association between pneumococcal pneumonia and acute cardiac events. Clin. Infect. Dis. 45(2), 158–165 (2007). •• Shows possible cardioprotective effect of the pneumococcal vaccine.
    • 2. Africano HF, Serrano-Mayorga CC, Ramirez-Valbuena PC et al. Major adverse cardiovascular events during invasive pneumococcal disease are serotype dependent. Clin. Infect. Dis. 72(11), e711–e719 (2021).
    • 3. Marques Antunes M, Duarte GS, Brito D et al. Pneumococcal vaccination in adults at very high risk or with established cardiovascular disease: systematic review and meta-analysis. Eur. Heart J. Qual. Care Clin. Outcomes 7(1), 97–106 (2021).
    • 4. Fitzgerald D, Waterer GW. Invasive pneumococcal and meningococcal disease. Infect. Dis. Clin. North Am. 33(4), 1125–1141 (2019).
    • 5. Jaiswal V, Ang SP, Lnu K et al. Effect of pneumococcal vaccine on mortality and cardiovascular outcomes: a systematic review and meta-analysis. J. Clin. Med. 11(13), 10–11 (2022). •• Shows possible cardioprotective effect of the pneumococcal vaccine.
    • 6. Zampetakis LA, Melas C. The health belief model predicts vaccination intentions against COVID-19: a survey experiment approach. Appl. Psychol. Health Well Being 13(2), 469–484 (2021).
    • 7. Lee K-C, Han K, Kim JY et al. Socioeconomic status and other related factors of seasonal influenza vaccination in the South Korean adult population based on a nationwide cross-sectional study. PLOS ONE 10(2), e0117305 (2015).
    • 8. Salmon DA, Dudley MZ, Glanz JM, Omer SB. Vaccine hesitancy. Vaccine 33, D66–D71 (2015).
    • 9. Kumar S, Shah Z, Garfield S. Causes of vaccine hesitancy in adults for the influenza and COVID-19 vaccines: a systematic literature review. Vaccines (Basel) 10(9), 1518 (2022).
    • 10. Gatwood J, McKnight M, Frederick K et al. Extent of and reasons for vaccine hesitancy in adults at high-risk for pneumococcal disease. Am. J. Health Prom. 35(7), 908–916 (2021).
    • 11. Boucher VG, Pelaez S, Gemme C, Labbe S, Lavoie KL. Understanding factors associated with vaccine uptake and vaccine hesitancy in patients with rheumatoid arthritis: a scoping literature review. Clin. Rheumatol. 40(2), 477–489 (2021).
    • 12. Ioannou GN, Green P, Locke ER, Berry K. Factors associated with early receipt of COVID-19 vaccination and adherence to second dose in the Veterans Affairs healthcare system. PLOS ONE 16(12), e0259696 (2021). • Shows the influence of age and comorbidities on pneumococcal vaccine uptake.
    • 13. Frank O, de Oliveira Bernardo C, González-Chica DA, Macartney K, Menzies R, Stocks N. Pneumococcal vaccination uptake among patients aged 65 years or over in Australian general practice. Hum. Vaccin. Immunother. 16(4), 965–971 (2020).
    • 14. The Center for Disease Control and Prevention, USA. ‘NHIS - About the National Health Interview Survey’ (2022). www.cdc.gov/nchs/nhis/about_nhis.htm
    • 15. Idris I, Deepa R, Fernando DJ, Mohan V. Relation between age and coronary heart disease (CHD) risk in Asian Indian patients with diabetes: a cross-sectional and prospective cohort study. Diabetes Res. Clin. Pract. 81(2), 243–249 (2008).
    • 16. Diseases NC for I and R. ‘Pneumococcal Vaccination: Who and When to Vaccinate | CDC’ (2022). www.cdc.gov/vaccines/vpd/pneumo/hcp/who-when-to-vaccinate.html
    • 17. The Center for Disease Control and Prevention, USA. ‘Vaccination Coverage among Adults in the United States, National Health Interview Survey, 2019–2020 | CDC’. 9, (2022). www.cdc.gov/vaccines/imz-managers/coverage/adultvaxview/pubs-resources/vaccination-coverage-adults-2019-2020.html
    • 18. Ostropolets A, Shoener Dunham L, Johnson KD, Liu J. Pneumococcal vaccination coverage among adults newly diagnosed with underlying medical conditions and regional variation in the US. Vaccine 40(33), 4856–4863 (2022).
    • 19. Vila-Córcoles A, Ochoa-Gondar O, de Diego C, Satué E, Vila-Rovira A, Aragón M. Pneumococcal vaccination coverages by age, sex and specific underlying risk conditions among middle-aged and older adults in Catalonia, Spain, 2017. Eurosurveillance 24(29), (2019). • Shows the influence of age and comorbidities on pneumococcal vaccine uptake.
    • 20. Nowalk MP, Wateska AR, Lin CJ et al. Racial disparities in adult pneumococcal vaccination indications and pneumococcal hospitalizations in the US. J. Natl Med. Assoc. 111(5), 540–545 (2019).
    • 21. Chowkwanyun M. What Is a “Racial Health Disparity”? Five analytic traditions. J. Health Polit. Policy Law 47(2), 131–158 (2022).
    • 22. Sohn H. Racial and ethnic disparities in health insurance coverage: dynamics of gaining and losing coverage over the life-course. Popul. Res. Policy Rev. 36(2), 181–201 (2017).
    • 23. Bhanu C, Gopal DP, Walters K, Chaudhry UAR. Vaccination uptake amongst older adults from minority ethnic backgrounds: a systematic review. PLOS Med. 18(11), e1003826 (2021).
    • 24. Kesiena O, Atarere J, Singireddy S, Ademiluyi A, Famojuro O. The role of health information technology in pneumococcal vaccination uptake among adults with heart disease. Telemedicine e-Health 28(5), 699–705 (2022).
    • 25. Gilani F, Majumdar SR, Johnson JA, Simpson SH. Factors associated with pneumococcal vaccination in 2040 people with type 2 diabetes: a cross-sectional study. Diabetes Metab. 46(2), 137–143 (2020).
    • 26. Zens KD, Baroutsou V, Fehr JS, Lang P. Pneumococcal vaccination coverage and uptake among adults in switzerland: a nationwide cross-sectional study of vaccination records. Front. Public Health 9, 9 (2022).
    • 27. National Center for Immunization and Respiratory Diseases. ‘Pneumococcal Vaccination: Summary of Who and When to Vaccinate’ (2023). www.cdc.gov/vaccines/vpd/pneumo/hcp/who-when-to-vaccinate.html#adults-19-64
    • 28. Hanada S, Takata M, Morozumi M, Iwata S, Fujishima S, Ubukata K. Multiple comorbidities increase the risk of death from invasive pneumococcal disease under the age of 65 years. J. Infect. Chemother. 27(9), 1311–1318 (2021).