Low vaccination rates and awareness status in patients with rheumatoid arthritis: a nationwide cross-sectional survey study

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dc.authorid0000-0002-4124-1586
dc.authorid0000-0002-7986-931X
dc.authorid0000-0002-1727-0088
dc.authorid0000-0001-8142-913X
dc.contributor.authorKirik, Ali
dc.contributor.authorSahin, Nilay
dc.contributor.authorBaykul, Merve
dc.contributor.authorBodur, Hatice
dc.contributor.authorGuler, Tuba
dc.contributor.authorCevik, Remzi
dc.contributor.authorUgur, Sevcan
dc.date.accessioned2026-01-24T12:30:53Z
dc.date.available2026-01-24T12:30:53Z
dc.date.issued2025
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractTo examine the pneumococcal, haemophilus influenza, hepatitis A virus (HAV), and hepatitis B virus (HBV) vaccine rates and and predictors of vaccination among a T & uuml;rkiye population of rheumatoid arthritis (RA) patients. In this multicenter, cross-sectional study, vaccination levels and related factors were questioned by face-to-face survey method during routine clinical examination of patients with RA followed in different regions of T & uuml;rkiye. All statistical analyses were performed using the Statistical Package for the Social Sciences (SPSS) software package, version 26. A total of 715 patients (mean age 53.1 +/- 13 years), of whom 552 (77.2%) were women, were included in this study. The rate of vaccine awareness education in the whole patient group was 40.1%. The vaccination rates for influenza, pneumococcal, HAV, and HBV were 34.3%, 21.8%, 12.3%, and 28.5%, respectively. It was noteworthy that the level of vaccine awareness education was a positive predictive factor affecting vaccination in all vaccine types (p < 0.001, for all vaccine types). The rates of low income were higher in the vaccinated group for pneumococcal (p < 0.001) and haemophilus influenza (p = 0.011) vaccine than in the unvaccinated group. The participants with living in a rural area were significantly higher in the unvaccinated group for HAV and HBV vaccine than in the vaccinated group (p < 0.001). The frequency of less than two medical visits per year was significantly higher in the unvaccinated group for pneumococcal (p < 0.014) and haemophilus influenza (p < 0.001 ) and HBV vaccine (p = 0.009) than in the vaccinated group. multivariate analysis found that rural area (for Haemophilus influenza and HAV vaccines) and financial income (Pneumococcal vaccine) in specifically were associated with increased vaccination rates (p < 0.001). Additionally, the rate of vaccination education was significantly higher in the vaccinated group for all vaccine types, which is noteworthy as a result of the positive effect of education on vaccination (p < 0.001). Vaccination awareness education and rates are low in primary prevention for RA patients. Vaccination awareness training is important in increasing the level of vaccine rates.
dc.description.sponsorshipScientific and Technological Research Council of Turkiye (TUBITAK)
dc.description.sponsorshipOpen access funding provided by the Scientific and Technological Research Council of Turkiye (TUBITAK).
dc.identifier.doi10.1007/s00296-025-05870-y
dc.identifier.issn0172-8172
dc.identifier.issn1437-160X
dc.identifier.issue5
dc.identifier.pmid40261375
dc.identifier.scopus2-s2.0-105003809927
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1007/s00296-025-05870-y
dc.identifier.urihttps://hdl.handle.net/20.500.12868/5507
dc.identifier.volume45
dc.identifier.wosWOS:001472816500003
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer Heidelberg
dc.relation.ispartofRheumatology International
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20260121
dc.subjectRheumatoid arthritis
dc.subjectVaccination
dc.subjectHaemophilus influenza vaccine
dc.subjectPneumococcal vaccine
dc.subjectSurveys and questionnaires
dc.subjectHepatitis vaccine
dc.titleLow vaccination rates and awareness status in patients with rheumatoid arthritis: a nationwide cross-sectional survey study
dc.typeArticle

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