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10.3233/JPD-202497

http://scihub22266oqcxt.onion/10.3233/JPD-202497
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33935103!8355058!33935103
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suck abstract from ncbi


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pmid33935103      J+Parkinsons+Dis 2021 ; 11 (3): 1057-1065
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  • Barriers to Vaccination Among People with Parkinson s Disease and Implications for COVID-19 #MMPMID33935103
  • Phanhdone T; Drummond P; Meisel T; Friede N; Di Rocco A; Chodosh J; Fleisher J
  • J Parkinsons Dis 2021[]; 11 (3): 1057-1065 PMID33935103show ga
  • BACKGROUND: Patients with Parkinson's disease (PD) are at higher risk of vaccine-preventable respiratory infections. However, advanced, homebound individuals may have less access to vaccinations. In light of COVID-19, understanding barriers to vaccination in PD may inform strategies to increase vaccine uptake. OBJECTIVE: To identify influenza and pneumococcal vaccination rates, including barriers and facilitators to vaccination, among homebound and ambulatory individuals with PD and related disorders. METHODS: Cross-sectional US-based study among individuals with PD, aged > 65 years, stratified as homebound or ambulatory. Participants completed semi-structured interviews on vaccination rates and barriers, and healthcare utilization. RESULTS: Among 143 participants, 9.8% had missed all influenza vaccinations in the past 5 years, and 32.2% lacked any pneumococcal vaccination, with no between-group differences. Homebound participants (n = 41) reported difficulty traveling to clinic (p < 0.01) as a vaccination barrier, and despite similar outpatient visit frequencies, had more frequent emergency department visits (31.7% vs. 9.8%, p < 0.01) and hospitalizations (14.6% vs. 2.9%, p = 0.03). Vaccine hesitancy was reported in 35% of participants, vaccine refusal in 19%, and 13.3% reported unvaccinated household members, with no between-group differences. Nearly 13% thought providers recommended against vaccines for PD patients, and 31.5% were unsure of vaccine recommendations in PD. CONCLUSION: Among a sample of homebound and ambulatory people with PD, many lack age-appropriate immunizations despite ample healthcare utilization. Many participants were unsure whether healthcare providers recommend vaccinations for people with PD. In light of COVID-19, neurologist reinforcement that vaccinations are indicated, safe, and recommended may be beneficial.
  • |*Health Knowledge, Attitudes, Practice[MESH]
  • |*Parkinson Disease[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19/prevention & control[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Facilities and Services Utilization/*statistics & numerical data[MESH]
  • |Female[MESH]
  • |Health Services Accessibility/*statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Influenza Vaccines[MESH]
  • |Male[MESH]
  • |Mobility Limitation[MESH]
  • |Patient Acceptance of Health Care/*statistics & numerical data[MESH]
  • |Pneumococcal Vaccines[MESH]
  • |United States[MESH]


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