Trajectories of seasonal influenza vaccine uptake among French people with diabetes: a nationwide retrospective cohort study, 2006–2015
Abstract Background Annual seasonal influenza vaccination (SIV) is recommended for people with diabetes, but their SIV rates remain far below public health targets. We aimed to identify temporal trajectories of SIV uptake over a 10-year period among French people with diabetes and describe their cli...
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| Format: | Article |
| Language: | English |
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BMC
2019-07-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-019-7209-z |
| _version_ | 1818403889825710080 |
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| author | Aurélie Bocquier Sébastien Cortaredona Lisa Fressard Pierre Loulergue Jocelyn Raude Ariane Sultan Florence Galtier Pierre Verger |
| author_facet | Aurélie Bocquier Sébastien Cortaredona Lisa Fressard Pierre Loulergue Jocelyn Raude Ariane Sultan Florence Galtier Pierre Verger |
| author_sort | Aurélie Bocquier |
| collection | DOAJ |
| description | Abstract Background Annual seasonal influenza vaccination (SIV) is recommended for people with diabetes, but their SIV rates remain far below public health targets. We aimed to identify temporal trajectories of SIV uptake over a 10-year period among French people with diabetes and describe their clinical characteristics. Methods We identified patients with diabetes in 2006 among a permanent, representative sample of beneficiaries of the French National Health Insurance Fund. We followed them up over 10 seasons (2005/06–2015/16), using SIV reimbursement claims and group-based trajectory modelling to identify SIV trajectories and to study sociodemographic, clinical, and healthcare utilization characteristics associated with the trajectories. Results We identified six trajectories. Of the 15,766 patients included in the model, 4344 (28%) belonged to the “continuously vaccinated” trajectory and 4728 (30%) to the “never vaccinated” one. Two other trajectories showed a “progressive decrease” (2832, 18%) or sharp “postpandemic decrease” (1627, 10%) in uptake. The last two trajectories (totalling 2235 patients, 14%) showed an early or delayed “increase” in uptake. Compared to “continuously vaccinated” patients, those in the “progressively decreasing” trajectory were older and those in all other trajectories were younger with fewer comorbidities at inclusion. Worsening diabetes and comorbidities during follow-up were associated with the “increasing” trajectories. Conclusions Most patients with diabetes had been continuously vaccinated or never vaccinated and thus had stable SIV behaviours. Others adopted or abandoned SIV. These behaviour shifts might be due to increasing age, health events, or contextual factors (e.g., controversies about vaccine safety or efficacy). Healthcare professionals and stakeholders should develop tailored strategies that take each group’s specificities into account. |
| first_indexed | 2024-12-14T08:31:26Z |
| format | Article |
| id | doaj.art-59be422e9a414979904da3ff0d747588 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-14T08:31:26Z |
| publishDate | 2019-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-59be422e9a414979904da3ff0d7475882022-12-21T23:09:31ZengBMCBMC Public Health1471-24582019-07-011911810.1186/s12889-019-7209-zTrajectories of seasonal influenza vaccine uptake among French people with diabetes: a nationwide retrospective cohort study, 2006–2015Aurélie Bocquier0Sébastien Cortaredona1Lisa Fressard2Pierre Loulergue3Jocelyn Raude4Ariane Sultan5Florence Galtier6Pierre Verger7Aix Marseille Univ, IRD, AP-HM, SSA, VITROMEAix Marseille Univ, IRD, AP-HM, SSA, VITROMEAix Marseille Univ, IRD, AP-HM, SSA, VITROMEINSERM, F-CRIN Innovative Clinical research Network in vaccinology (I-Reivac), GH Cochin Broca Hôtel DieuEHESP Rennes, Université Sorbonne Paris CitéEndocrinology-Diabetology-Nutrition Department, University HospitalINSERM, F-CRIN Innovative Clinical research Network in vaccinology (I-Reivac), GH Cochin Broca Hôtel DieuAix Marseille Univ, IRD, AP-HM, SSA, VITROMEAbstract Background Annual seasonal influenza vaccination (SIV) is recommended for people with diabetes, but their SIV rates remain far below public health targets. We aimed to identify temporal trajectories of SIV uptake over a 10-year period among French people with diabetes and describe their clinical characteristics. Methods We identified patients with diabetes in 2006 among a permanent, representative sample of beneficiaries of the French National Health Insurance Fund. We followed them up over 10 seasons (2005/06–2015/16), using SIV reimbursement claims and group-based trajectory modelling to identify SIV trajectories and to study sociodemographic, clinical, and healthcare utilization characteristics associated with the trajectories. Results We identified six trajectories. Of the 15,766 patients included in the model, 4344 (28%) belonged to the “continuously vaccinated” trajectory and 4728 (30%) to the “never vaccinated” one. Two other trajectories showed a “progressive decrease” (2832, 18%) or sharp “postpandemic decrease” (1627, 10%) in uptake. The last two trajectories (totalling 2235 patients, 14%) showed an early or delayed “increase” in uptake. Compared to “continuously vaccinated” patients, those in the “progressively decreasing” trajectory were older and those in all other trajectories were younger with fewer comorbidities at inclusion. Worsening diabetes and comorbidities during follow-up were associated with the “increasing” trajectories. Conclusions Most patients with diabetes had been continuously vaccinated or never vaccinated and thus had stable SIV behaviours. Others adopted or abandoned SIV. These behaviour shifts might be due to increasing age, health events, or contextual factors (e.g., controversies about vaccine safety or efficacy). Healthcare professionals and stakeholders should develop tailored strategies that take each group’s specificities into account.http://link.springer.com/article/10.1186/s12889-019-7209-zDiabetes mellitusInfluenza vaccinesCohort studiesAdministrative claimsHealthcare |
| spellingShingle | Aurélie Bocquier Sébastien Cortaredona Lisa Fressard Pierre Loulergue Jocelyn Raude Ariane Sultan Florence Galtier Pierre Verger Trajectories of seasonal influenza vaccine uptake among French people with diabetes: a nationwide retrospective cohort study, 2006–2015 BMC Public Health Diabetes mellitus Influenza vaccines Cohort studies Administrative claims Healthcare |
| title | Trajectories of seasonal influenza vaccine uptake among French people with diabetes: a nationwide retrospective cohort study, 2006–2015 |
| title_full | Trajectories of seasonal influenza vaccine uptake among French people with diabetes: a nationwide retrospective cohort study, 2006–2015 |
| title_fullStr | Trajectories of seasonal influenza vaccine uptake among French people with diabetes: a nationwide retrospective cohort study, 2006–2015 |
| title_full_unstemmed | Trajectories of seasonal influenza vaccine uptake among French people with diabetes: a nationwide retrospective cohort study, 2006–2015 |
| title_short | Trajectories of seasonal influenza vaccine uptake among French people with diabetes: a nationwide retrospective cohort study, 2006–2015 |
| title_sort | trajectories of seasonal influenza vaccine uptake among french people with diabetes a nationwide retrospective cohort study 2006 2015 |
| topic | Diabetes mellitus Influenza vaccines Cohort studies Administrative claims Healthcare |
| url | http://link.springer.com/article/10.1186/s12889-019-7209-z |
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