Type 1 Diabetes Patients’ Practice, Knowledge and Attitudes towards Influenza Immunization

Diabetic patients are at higher risk of developing infectious diseases and severe complications, compared to the general population. Almost no data is available in the literature on influenza immunization in people with type 1 diabetes mellitus (T1DM). As part of a broader project on immunization in...

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Main Authors: Giulia Dallagiacoma, Agnese Allora, Stefano Salvati, Giulia Cocciolo, Michele Capraro, Anna Lamberti, Sabrina Senatore, Leandro Gentile, Vincenza Gianfredi, Andrea Laurenzi, Chiara Molinari, Amelia Caretto, Marino Faccini, Carlo Signorelli, Marina Scavini, Anna Odone
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/9/7/707
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author Giulia Dallagiacoma
Agnese Allora
Stefano Salvati
Giulia Cocciolo
Michele Capraro
Anna Lamberti
Sabrina Senatore
Leandro Gentile
Vincenza Gianfredi
Andrea Laurenzi
Chiara Molinari
Amelia Caretto
Marino Faccini
Carlo Signorelli
Marina Scavini
Anna Odone
author_facet Giulia Dallagiacoma
Agnese Allora
Stefano Salvati
Giulia Cocciolo
Michele Capraro
Anna Lamberti
Sabrina Senatore
Leandro Gentile
Vincenza Gianfredi
Andrea Laurenzi
Chiara Molinari
Amelia Caretto
Marino Faccini
Carlo Signorelli
Marina Scavini
Anna Odone
author_sort Giulia Dallagiacoma
collection DOAJ
description Diabetic patients are at higher risk of developing infectious diseases and severe complications, compared to the general population. Almost no data is available in the literature on influenza immunization in people with type 1 diabetes mellitus (T1DM). As part of a broader project on immunization in diabetic patients, we conducted a cross-sectional study to: (i) report on seasonal influenza coverage rates in T1DM patients, (ii) explore knowledge, attitudes, and practices (KAPs) towards seasonal influenza in this population, and (iii) identify factors associated with vaccine uptake, including the role of family doctors and diabetologists. A survey was administered to 251 T1DM patients attending the Diabetes Clinic at San Raffaele Research Hospital in Milan, Italy and individual-level coverage data were retrieved from immunization registries. Self-reported seasonal influenza immunization coverage was 36%, which decreased to 21.7% when considering regional immunization registries, far below coverage target of 75%. More than a third (36.2%) of T1DM patients were classified as pro-vaccine, 30.7% as hesitant, 17.9% as uninformed, and 15.1% as anti-vaccine. Diabetologists resulted to be the most trusted source of information on vaccines’ benefits and risks (85.3%) and should be more actively involved in preventive interventions. Our study highlights the importance of developing tailored vaccination campaigns for people with diabetes, including hospital-based programs involving diabetes specialists.
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spelling doaj.art-c2f64e0c7a74411c85a0682efbdea2642023-12-03T13:18:11ZengMDPI AGVaccines2076-393X2021-06-019770710.3390/vaccines9070707Type 1 Diabetes Patients’ Practice, Knowledge and Attitudes towards Influenza ImmunizationGiulia Dallagiacoma0Agnese Allora1Stefano Salvati2Giulia Cocciolo3Michele Capraro4Anna Lamberti5Sabrina Senatore6Leandro Gentile7Vincenza Gianfredi8Andrea Laurenzi9Chiara Molinari10Amelia Caretto11Marino Faccini12Carlo Signorelli13Marina Scavini14Anna Odone15Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, ItalySchool of Medicine, Vita-Salute San Raffaele University, 20132 Milan, ItalySchool of Medicine, Vita-Salute San Raffaele University, 20132 Milan, ItalySchool of Medicine, Vita-Salute San Raffaele University, 20132 Milan, ItalySchool of Medicine, Vita-Salute San Raffaele University, 20132 Milan, ItalyAgency for Health Protection of Metropolitan Area of Milan (ATS), 20121 Milan, ItalyAgency for Health Protection of Metropolitan Area of Milan (ATS), 20121 Milan, ItalyDepartment of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, ItalySchool of Medicine, Vita-Salute San Raffaele University, 20132 Milan, ItalyDiabetes Research Institute, San Raffaele Hospital, 20132 Milan, ItalyDiabetes Research Institute, San Raffaele Hospital, 20132 Milan, ItalyDiabetes Research Institute, San Raffaele Hospital, 20132 Milan, ItalyAgency for Health Protection of Metropolitan Area of Milan (ATS), 20121 Milan, ItalySchool of Medicine, Vita-Salute San Raffaele University, 20132 Milan, ItalyDiabetes Research Institute, San Raffaele Hospital, 20132 Milan, ItalyDepartment of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, ItalyDiabetic patients are at higher risk of developing infectious diseases and severe complications, compared to the general population. Almost no data is available in the literature on influenza immunization in people with type 1 diabetes mellitus (T1DM). As part of a broader project on immunization in diabetic patients, we conducted a cross-sectional study to: (i) report on seasonal influenza coverage rates in T1DM patients, (ii) explore knowledge, attitudes, and practices (KAPs) towards seasonal influenza in this population, and (iii) identify factors associated with vaccine uptake, including the role of family doctors and diabetologists. A survey was administered to 251 T1DM patients attending the Diabetes Clinic at San Raffaele Research Hospital in Milan, Italy and individual-level coverage data were retrieved from immunization registries. Self-reported seasonal influenza immunization coverage was 36%, which decreased to 21.7% when considering regional immunization registries, far below coverage target of 75%. More than a third (36.2%) of T1DM patients were classified as pro-vaccine, 30.7% as hesitant, 17.9% as uninformed, and 15.1% as anti-vaccine. Diabetologists resulted to be the most trusted source of information on vaccines’ benefits and risks (85.3%) and should be more actively involved in preventive interventions. Our study highlights the importance of developing tailored vaccination campaigns for people with diabetes, including hospital-based programs involving diabetes specialists.https://www.mdpi.com/2076-393X/9/7/707vaccinationinfluenzadiabetestype 1 diabetes mellitus
spellingShingle Giulia Dallagiacoma
Agnese Allora
Stefano Salvati
Giulia Cocciolo
Michele Capraro
Anna Lamberti
Sabrina Senatore
Leandro Gentile
Vincenza Gianfredi
Andrea Laurenzi
Chiara Molinari
Amelia Caretto
Marino Faccini
Carlo Signorelli
Marina Scavini
Anna Odone
Type 1 Diabetes Patients’ Practice, Knowledge and Attitudes towards Influenza Immunization
Vaccines
vaccination
influenza
diabetes
type 1 diabetes mellitus
title Type 1 Diabetes Patients’ Practice, Knowledge and Attitudes towards Influenza Immunization
title_full Type 1 Diabetes Patients’ Practice, Knowledge and Attitudes towards Influenza Immunization
title_fullStr Type 1 Diabetes Patients’ Practice, Knowledge and Attitudes towards Influenza Immunization
title_full_unstemmed Type 1 Diabetes Patients’ Practice, Knowledge and Attitudes towards Influenza Immunization
title_short Type 1 Diabetes Patients’ Practice, Knowledge and Attitudes towards Influenza Immunization
title_sort type 1 diabetes patients practice knowledge and attitudes towards influenza immunization
topic vaccination
influenza
diabetes
type 1 diabetes mellitus
url https://www.mdpi.com/2076-393X/9/7/707
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