Factors associated with pneumococcal vaccination uptake by cancer survivors.
Song YM; Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, South Korea. .
Shin J; Department of Family Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, South Korea.
Ko H; Department of Family Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Yoo JE; Department of Family Medicine & Health Promotion Center, Seoul National University Hospital, Seoul, South Korea.
Cho IY; Department of Family Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Shin DW; Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, South Korea.
Cho B; Department of Family Medicine & Health Promotion Center, Seoul National University Hospital, Seoul, South Korea.
Lee JE; Department of Family Medicine, CHA Bundang Medical Center, CHA University, Seongnam-si, South Korea.
Hwang J; Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Lee J; Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, South Korea.
Journal of cancer survivorship : research and practice [J Cancer Surviv] 2021 Apr; Vol. 15 (2), pp. 234-243. Date of Electronic Publication: 2020 Aug 10.
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Original Publication: New York, N.Y. : Springer Science + Business Media, c2007-
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Grant Information :
1720270 Ministry of Health and Welfare
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Keywords: Cancer survivors; Exercise; Pneumococcal infections; Prevention; Vaccination
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Date Created: 20200812 Latest Revision: 20210317
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Purpose: This study aimed to evaluate factors associated with pneumococcal vaccination uptake (PVU) of cancer survivors.
Methods: A total of 2032 Korean adult cancer survivors diagnosed between June of 1975 and February of 2018 have participated. Information on PVU status and selected variables were collected through self-administered questionnaires and medical record review. Factors associated PVU were investigated using multiple logistic regression analysis.
Results: PVU rate markedly differed by age strata and cancer sites: 73.9% for elderly (≥ 65 years) survivors and 34.6% for younger (< 65 years) survivors and 73.4% for lung cancer survivors and 42.1% for non-lung cancer survivors. Regular physical exercise was associated with higher PVU in both age groups: Odds ratio (OR) and 95% confidence interval (CI) were 1.52 (1.20, 1.94) for younger and 1.78 (1.09, 2.90) for elderly survivors. Complementary medication use was positively associated with PVU with borderline significance in both age groups. However, the association of PVU with other factors differed between the two age groups. In younger survivors, a positive association with PVU was evident for longer time lapse after cancer diagnosis, chronic disease, and living with spouse/or partner, while cancer stage, educational achievement, and alcohol use were inversely associated PVU. On the other hand, multi-modality (≥ 3) cancer treatment was inversely associated with PVU only in elderly survivors.
Conclusions: PVU of Korean cancer survivors was suboptimal in younger survivors and non-lung cancer survivors. Factors associated with PVU differed between younger and elderly survivors, and more diverse factors were identified for younger survivors.
Implications for Cancer Survivors: In order to promote adherence to PVU in cancer survivors, careful consideration of high-risk factors for non-immunization within cancer survivorship context would be necessary together with free-of-charge vaccination policy.