Sociodemographic, health and behavioral factors associated with influenza vaccination uptake among patients with diabetes in Singapore: A cohort registry-based study
Objective: With the low uptake of influenza vaccination among patients with diabetes mellitus in many countries, this study aims to investigate how sociodemographic, health and behavioral factors collectively predict vaccination uptake among patients in Singapore. Methods: A retrospective study was...
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Elsevier
2025-08-01
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| Series: | Preventive Medicine Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335525001755 |
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| author | Siang Joo Seah Gek Hsiang Lim Sungwon Yoon Yong Mong Bee |
| author_facet | Siang Joo Seah Gek Hsiang Lim Sungwon Yoon Yong Mong Bee |
| author_sort | Siang Joo Seah |
| collection | DOAJ |
| description | Objective: With the low uptake of influenza vaccination among patients with diabetes mellitus in many countries, this study aims to investigate how sociodemographic, health and behavioral factors collectively predict vaccination uptake among patients in Singapore. Methods: A retrospective study was conducted using the SingHealth Diabetes Registry. Patients aged 21 and above with diabetes mellitus from 2013 onwards were selected. Data on demographic and clinical characteristics, attendance at eye and foot screenings, smoking status, and influenza vaccination records from 2013 to 2020 were analyzed with the Prentice, William and Peterson Gap Time model and binomial logistic regression. Results: A total of 184,882 patients, contributing 1,106,085 influenza vaccination records from 2013 to 2020 were analyzed. Age, ethnicity, housing type, duration of diabetes, and attendance at eye or foot screenings were associated with receiving at least one vaccination and with regular annual vaccinations over an eight-year period. Compared to patients without complications screening, those who underwent eye and foot screenings were 1.19 times (95 % CI 1.16, 1.22) and 1.20 times (95 % CI 1.18, 1.23) more likely, respectively, to have received at least one vaccination. They were also 1.41 times (95 % CI 1.20, 1.66) and 1.45 times (95 % CI 1.23, 1.70) more likely, respectively, to have received regular vaccination. Conclusions: Attendance at eye and foot screenings among patients with diabetes mellitus was associated with higher influenza vaccination uptake, both at least once and annually. Bundling influenza vaccination with eye and foot screenings may improve vaccination uptake at the population level. |
| format | Article |
| id | doaj-art-ca357de147ff40249f2846d4378e3956 |
| institution | Kabale University |
| issn | 2211-3355 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj-art-ca357de147ff40249f2846d4378e39562025-08-20T03:50:58ZengElsevierPreventive Medicine Reports2211-33552025-08-015610313610.1016/j.pmedr.2025.103136Sociodemographic, health and behavioral factors associated with influenza vaccination uptake among patients with diabetes in Singapore: A cohort registry-based studySiang Joo Seah0Gek Hsiang Lim1Sungwon Yoon2Yong Mong Bee3Centre for Population Health Research and Implementation, Regional Health System, Singapore Health Services Pte Ltd, Address: 167 Jalan Bukit Merah #22-10 Tower 5 Connection One, Singapore 150167, SingaporeHealth Services Research Unit, Singapore General Hospital, Outram Road, Singapore 169608, SingaporeCentre for Population Health Research and Implementation, Regional Health System, Singapore Health Services Pte Ltd, Address: 167 Jalan Bukit Merah #22-10 Tower 5 Connection One, Singapore 150167, Singapore; Health Services and Systems Research, Duke-NUS Medical School, 8 College Road, Singapore 169857, SingaporeDepartment of Endocrinology, Singapore General Hospital, Academia, Level 3, 20 College Road, Singapore 169856, Singapore; Corresponding author.Objective: With the low uptake of influenza vaccination among patients with diabetes mellitus in many countries, this study aims to investigate how sociodemographic, health and behavioral factors collectively predict vaccination uptake among patients in Singapore. Methods: A retrospective study was conducted using the SingHealth Diabetes Registry. Patients aged 21 and above with diabetes mellitus from 2013 onwards were selected. Data on demographic and clinical characteristics, attendance at eye and foot screenings, smoking status, and influenza vaccination records from 2013 to 2020 were analyzed with the Prentice, William and Peterson Gap Time model and binomial logistic regression. Results: A total of 184,882 patients, contributing 1,106,085 influenza vaccination records from 2013 to 2020 were analyzed. Age, ethnicity, housing type, duration of diabetes, and attendance at eye or foot screenings were associated with receiving at least one vaccination and with regular annual vaccinations over an eight-year period. Compared to patients without complications screening, those who underwent eye and foot screenings were 1.19 times (95 % CI 1.16, 1.22) and 1.20 times (95 % CI 1.18, 1.23) more likely, respectively, to have received at least one vaccination. They were also 1.41 times (95 % CI 1.20, 1.66) and 1.45 times (95 % CI 1.23, 1.70) more likely, respectively, to have received regular vaccination. Conclusions: Attendance at eye and foot screenings among patients with diabetes mellitus was associated with higher influenza vaccination uptake, both at least once and annually. Bundling influenza vaccination with eye and foot screenings may improve vaccination uptake at the population level.http://www.sciencedirect.com/science/article/pii/S2211335525001755Influenza vaccinationType 1 diabetes mellitusType 2 diabetes mellitusSocioeconomic determinantPreventive health behaviorClinical characteristic |
| spellingShingle | Siang Joo Seah Gek Hsiang Lim Sungwon Yoon Yong Mong Bee Sociodemographic, health and behavioral factors associated with influenza vaccination uptake among patients with diabetes in Singapore: A cohort registry-based study Preventive Medicine Reports Influenza vaccination Type 1 diabetes mellitus Type 2 diabetes mellitus Socioeconomic determinant Preventive health behavior Clinical characteristic |
| title | Sociodemographic, health and behavioral factors associated with influenza vaccination uptake among patients with diabetes in Singapore: A cohort registry-based study |
| title_full | Sociodemographic, health and behavioral factors associated with influenza vaccination uptake among patients with diabetes in Singapore: A cohort registry-based study |
| title_fullStr | Sociodemographic, health and behavioral factors associated with influenza vaccination uptake among patients with diabetes in Singapore: A cohort registry-based study |
| title_full_unstemmed | Sociodemographic, health and behavioral factors associated with influenza vaccination uptake among patients with diabetes in Singapore: A cohort registry-based study |
| title_short | Sociodemographic, health and behavioral factors associated with influenza vaccination uptake among patients with diabetes in Singapore: A cohort registry-based study |
| title_sort | sociodemographic health and behavioral factors associated with influenza vaccination uptake among patients with diabetes in singapore a cohort registry based study |
| topic | Influenza vaccination Type 1 diabetes mellitus Type 2 diabetes mellitus Socioeconomic determinant Preventive health behavior Clinical characteristic |
| url | http://www.sciencedirect.com/science/article/pii/S2211335525001755 |
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