Vaccine hesitancy decreases in rheumatic diseases, long-term concerns remain in myositis: a comparative analysis of the COVAD surveys

Sen P, Naveen R, Houshmand N, Kia SM, Joshi M, Saha S, Jagtap K, Agarwal V, Nune A, Nikiphorou E, Tan AL, Shinjo SK, Ziade N, Velikova T, Milchert M, Parodis I, Gracia-Ramos AE, Cavagna L, Kuwana M, Knitza J, Makol A, Patel A, Pauling JD, Wincup C, Barman B, Tehozol EAZ, Serrano JR, De La Torre I, Colunga-Pedraza IJ, Merayo-Chalico J, Chibuzo OC, Katchamart W, Akawatcharangura Goo P, Shumnalieva R, Chen YM, Hoff LS, El Kibbi L, Halabi H, Vaidya B, Shaharir SS, Hasan ATMT, Dey D, Gutierrez CET, Caballero-Uribe CV, Lilleker JB, Salim B, Gheita T, Chatterjee T, Distler O, Saavedra MA, Day J, Chinoy H, Covad Study Grp SA, Kardes S, Kardes SA, Andreoli L, Lini D, Screiber K, Vince MN, Singh YP, Ranjan R, Jain A, Pandya SC, Pilania RK, Sharma A, Manoj MM, Gupta V, Kavadichanda CG, Patro PS, Ajmani S, Phatak S, Goswami RP, Chowdhury AC, Mathew AJ, Shenoy P, Asranna A, Bommakanti KT, Shukla A, Pande AR, Chandwar K, Ghodke A, Boro H, Fazal ZZ, Cansu DU, Yildirim R, Gasparyan AY, Del Papa N, Sambataro G, Fabiola A, Govoni M, Parisi S, Bocci EB, Sebastiani GD, Fusaro E, Sebastiani M, Quartuccio L, Franceschini F, Sainaghi PP, Orsolini G, De Angelis R, Danielli MG, Venerito V, Grignaschi S, Giollo A, Alluno A, Ioannone F, Fornaro M, Traboco LS, Wibowo SAK, Loarce-Martos J, Prieto-Gonzalez S, Gonzalez RA, Yoshida A, Nakashima R, Sato S, Kimura N, Kaneko Y, Gono T, Tomaras S, Proft FN, Holzer MT, Gromova MA, Aharonov O, Griger Z, Hmamouchi I, El Bouchti I, Baba Z, Giannini M, Maurier F, Campagne J, Meyer A, Langguth D, Limaye V, Needham M, Srivastav N, Hudson M, Landon-Cardinal O, Zuleta WGR, Arbelaez A, Cajas J, Silva JAP, Fonseca JE, Zimba O, Bohdana D, Ima-Edomwonyi U, Dedeke I, Airenakho E, Madu NH, Yerima A, Olaosebikan H, Becky A, Koussougbo OD, Palalane E, So H, Ugarte-Gil MF, Chinchay L, Bernaola JP, Pimentel V, Fathi HM, Mohammed RHA, Harifi G, Fuentes-Silva Y, Cabriza K, Losanto J, Colaman N, Cachafeiro-Vilar A, Bautista GG, Ho EJG, Gonzalez R, Nunez LS, Cristian Vergara M, Baez JT, Alonzo H, Pastelin CBS, Salinas RG, Obiols AQ, Chavez N, Ordonez AB, Argueta S, Llerena GAR, Sierra-Zorita R, Arrieta D, Hidalgo ER, Saenz R, Escalante MI, Morales R, Calapaqui W, Quezada I, Arredondo G, Agarwal V, Aggarwal R, Gupta L (2023)


Publication Type: Journal article

Publication year: 2023

Journal

DOI: 10.1093/rheumatology/kead057

Abstract

Objective COVID-19 vaccines have a favorable safety profile in patients with autoimmune rheumatic diseases (AIRDs) such as idiopathic inflammatory myopathies (IIMs); however, hesitancy continues to persist among these patients. Therefore, we studied the prevalence, predictors and reasons for hesitancy in patients with IIMs, other AIRDs, non-rheumatic autoimmune diseases (nrAIDs) and healthy controls (HCs), using data from the two international COVID-19 Vaccination in Autoimmune Diseases (COVAD) e-surveys. Methods The first and second COVAD patient self-reported e-surveys were circulated from March to December 2021, and February to June 2022 (ongoing). We collected data on demographics, comorbidities, COVID-19 infection and vaccination history, reasons for hesitancy, and patient reported outcomes. Predictors of hesitancy were analysed using regression models in different groups. Results We analysed data from 18 882 (COVAD-1) and 7666 (COVAD-2) respondents. Reassuringly, hesitancy decreased from 2021 (16.5%) to 2022 (5.1%) (OR: 0.26; 95% CI: 0.24, 0.30, P < 0.001). However, concerns/fear over long-term safety had increased (OR: 3.6; 95% CI: 2.9, 4.6, P < 0.01). We noted with concern greater skepticism over vaccine science among patients with IIMs than AIRDs (OR: 1.8; 95% CI: 1.08, 3.2, P = 0.023) and HCs (OR: 4; 95% CI: 1.9, 8.1, P < 0.001), as well as more long-term safety concerns/fear (IIMs vs AIRDs - OR: 1.9; 95% CI: 1.2, 2.9, P = 0.001; IIMs vs HCs - OR: 5.4 95% CI: 3, 9.6, P < 0.001). Caucasians [OR 4.2 (1.7-10.3)] were likely to be more hesitant, while those with better PROMIS physical health score were less hesitant [OR 0.9 (0.8-0.97)]. Conclusion Vaccine hesitancy has decreased from 2021 to 2022, long-term safety concerns remain among patients with IIMs, particularly in Caucasians and those with poor physical function.

Authors with CRIS profile

Involved external institutions

Karolinska Institute Hl. Kliment Ochridski-Universität Sofia Pomeranian Medical University / Pomorski Uniwersytet Medyczny w Szczecinie (PMU) Instituto Mexicano del Seguro Social Università degli Studi di Pavia Nippon Medical School Mayo Clinic University of Virginia (UVA) University of Bristol University College London (UCL) All India Institute of Medical Sciences, Guwahati (AIIMS Guwahati) Instituto Nacional de Enfermedades Respiratorias Hospital General de Occidente (HGO) Mahidol University / มหาวิทยาลัยมหิดล Queen Savang Vadhana Memorial Hospital / โรงพยาบาลสมเด็จพระบรมราชเทวี ณ ศรีราชา Medical University Sofia / Медицински университет Taichung Veterans General Hospital Universidade Potiguar (UnP) King Faisal Specialist Hospital & Research Centre National Center for Rheumatic Diseases (NCRD) The National University of Malaysia / Universiti Kebangsaan Malaysia (UKM) Enam Medical College & Hospital (EMCH) / এনাম মেডিকেল কলেজ ও হাসপাতাল University of Ghana Pontifical Xavierian University / Pontificia Universidad Javeriana Universidad del Norte Manchester Academic Health Science Centre University of Illinois College of Medicine University of Zurich / Universität Zürich (UZH) Royal Melbourne Hospital (RMH) University of Manchester Maulana Azad Medical College (MAMC) Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGIMS) University of Nevada Las Vegas University of Pittsburgh Byramjee Jeejeebhoy Government Medical College & Sassoon General Hospital Mymensingh Medical College / ময়মনসিংহ মেডিকেল কলেজ King Edward Memorial Hospital and Seth G.S. Medical College / கிங் எட்வர்ட் நினைவு மருத்துவமனை,राजा एड्वर्ड स्मारक रुग्णालय व सेठ गोवर्धनदास सुंदरदास वैद्यकीय महाविद्यालय Mahatma Gandhi Mission Institute of Health Sciences (MGMIHS) Southport and Ormskirk Hospital NHS Trust King’s College London Leeds Teaching Hospitals NHS Trust University of São Paulo / Universidade de São Paulo (USP) Université Saint-Joseph (USJ) / جامعة القديس يوسف / Սուրբ Ժոզեֆի համալսարան Hospital Universitario Dr José Eleuterio Gonzalez Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán University of Nigeria Teaching Hospital (UNTH) Fauji Foundation Hospital Cairo University / جامعة القاهرة The Royal Wolverhampton NHS Trust / Royal Wolverhampton Hospitals NHS Trust

How to cite

APA:

Sen, P., Naveen, R., Houshmand, N., Kia, S.M., Joshi, M., Saha, S.,... Gupta, L. (2023). Vaccine hesitancy decreases in rheumatic diseases, long-term concerns remain in myositis: a comparative analysis of the COVAD surveys. Rheumatology. https://doi.org/10.1093/rheumatology/kead057

MLA:

Sen, Parikshit, et al. "Vaccine hesitancy decreases in rheumatic diseases, long-term concerns remain in myositis: a comparative analysis of the COVAD surveys." Rheumatology (2023).

BibTeX: Download