A recent study published in the American Journal of Kidney Diseases examined the factors associated with not receiving an annual flu vaccine among adults with chronic kidney disease (CKD) who were receiving nephrology care. The study aimed to identify risk factors for influenza non-vaccination in this vulnerable population in order to develop strategies for improving vaccine uptake.
The researchers found that among adults with CKD enrolled in the Chronic Renal Insufficiency Cohort (CRIC), younger age, Black race, and low levels of education and income were associated with a lower likelihood of receiving an annual flu shot. Individuals with diabetes, chronic obstructive pulmonary disease (COPD), end-stage kidney disease (ESKD), and frailty were also less likely to have the influenza non-vaccination status.
The study revealed that the overall influenza vaccine uptake among participants between 2009 and 2020 was 72%. However, there is room for improvement as only 44% of participants consistently received the vaccine every year. The findings suggest a need for targeted interventions to address disparities in vaccine uptake among different demographic groups and those with adverse social determinants of health.
Nephrology care presents an important opportunity to increase vaccine uptake in patients with CKD. The role of nephrology clinics in promoting vaccination should be further explored. Additionally, involving patient-level stakeholders, such as family members and caregivers, may help reduce barriers and provide social support for preventive healthcare.
Further research is needed to understand the reasons behind vaccine hesitancy among adults with CKD. Tailoring vaccination programs to address these concerns, such as addressing fears of side effects or improving access to vaccination, can help increase vaccine uptake in this population.
In conclusion, strategies are necessary to address the disparities in influenza non-vaccination status among adults with CKD receiving nephrology care. By targeting individuals with barriers to vaccination, including younger adults, Black individuals, and those with adverse social determinants of health, efforts to improve vaccine uptake can be made. Leveraging the trusted relationships between nephrologists and patients can also contribute to the success of vaccination programs in nephrology care.
Sources:
– Junichi Ishigami et al, Factors Associated With Non-Vaccination for Influenza Among Patients With CKD: Findings From the Chronic Renal Insufficiency Cohort (CRIC) Study, American Journal of Kidney Diseases (2023). DOI: 10.1053/j.ajkd.2023.06.007
– National Kidney Foundation
