Factors influencing the uptake of influenza vaccination in African American patients with heart failure: Findings from a large urban public hospital
Olanipekun T, Effoe VS, Olanipekun O, Igbinomwanhia E, Kola-Kehinde O, Fotzeu C, Bakinde N, Harris R. Factors influencing the uptake of influenza vaccination in African American patients with heart failure: Findings from a large urban public hospital. Heart Lung. 2020 May-Jun;49(3):233-237. doi: 10.1016/j.hrtlng.2019.12.003. Epub 2020 Jan 23. PMID: 31982176
BACKGROUND: Evidence suggests that annual influenza vaccination may prevent acute heart failure exacerbation episodes and improve survival.
OBJECTIVE: Determine the influenza vaccination rate among African American patients with heart failure and identify predictors of uptake.
METHODS: African American patients with heart failure were recruited at Grady Memorial Hospital, Atlanta GA between October 1, 2017 and April 28, 2018 (N = 281). All participants completed a questionnaire.
RESULTS: Mean age of the sample was 50.5 ± 11.5 years (58% male). The influenza vaccination rate among the patients was 46% (n = 129/281). Patients who received vaccination information and recommendation from their physician, especially cardiologists, were significantly more likely to be vaccinated than those who did not (P<0.05). Major reasons for declining vaccination included fear of getting sick from influenza vaccine and distrust of the pharmaceutical companies that produce vaccines.
CONCLUSIONS: Recommendation of influenza vaccines by physicians during medical consultations and cardiology visits may improve uptake rates in heart failure patients.