Sociodemographic, HIV-Related Characteristics, and Health Care Factors as Predictors of Self-Reported Vaccination Coverage in a Nationwide Sample of People Aging with HIV in Germany

Jochen Drewes, Phil C. Langer, Jennifer Ebert, Dieter Kleiber and Burkhard Gusy
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Jochen Drewes: Public Health: Prevention and Psychosocial Health Research, Freie Universität Berlin, 14195 Berlin, Germany
Phil C. Langer: Department of Social Psychology, International Psychoanalytic University, 10555 Berlin, Germany
Jennifer Ebert: Public Health: Prevention and Psychosocial Health Research, Freie Universität Berlin, 14195 Berlin, Germany
Dieter Kleiber: Public Health: Prevention and Psychosocial Health Research, Freie Universität Berlin, 14195 Berlin, Germany
Burkhard Gusy: Public Health: Prevention and Psychosocial Health Research, Freie Universität Berlin, 14195 Berlin, Germany

IJERPH, 2021, vol. 18, issue 9, 1-11

Abstract: Preventing infectious diseases through vaccination becomes more significant among the growing population of people aging with HIV. Coverage rates for vaccinations and factors associated with vaccination utilization among this population in Germany are unknown. We assessed the coverage of eight recommended vaccinations in a certain time frame in our convenience sample of 903 people living with HIV aged 50 years and older. We analysed coverage rates and used bivariate and multiple linear regression analyses to identify factors associated with number of reported vaccinations. Coverage rates in our sample ranged between 51.0% for meningococcus disease and 84.6% for the triple vaccination against tetanus, diphtheria, and pertussis. All rates were higher compared to the German general population. Seven factors were related to the number of vaccinations in multiple regression analysis: sexual orientation, education, relationship status, CD4 count, time since last visit to HIV specialist, type of HIV specialist, and distance to HIV specialist. Vaccination coverage among people aging with HIV in Germany is high, but not optimal. To improve vaccination uptake, strengthened efforts need to be focused on female and heterosexual male patients, socioeconomically disadvantaged patients, and patients with barriers to access regular HIV care.

Keywords: vaccination; vaccination coverage; HIV; AIDS; elderly (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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