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

Sen P 1 , R N 2 , Houshmand N 3 , Moghadam Kia S 4 , Joshi M 5 , Saha S 6 Show all authors , Jagtap K 7 , Agarwal V 8 , Nune A 9 , Nikiphorou E 10 , Tan AL 11 , Shinjo SK 12 , Ziade N 13 , Velikova T 14 , Milchert M 15 , Parodis I 16 , Gracia-Ramos AE 17 , Cavagna L 18 , Kuwana M 19 , Knitza J 20 , Makol A 21 , Patel A 22 , Pauling JD 23 , Wincup C 24 , Barman B 25 , Zamora Tehozol EA 26 , Rojas Serrano J 27 , García-De La Torre I 28 , Colunga-Pedraza IJ 29 , Merayo-Chalico J 30 , Chibuzo OC 31 , Katchamart W 32 , Akawatcharangura Goo P 33 , Shumnalieva R 34 , Chen YM 35 , Hoff LS 36 , El Kibbi L 37 , Halabi H 38 , Vaidya B 39 , Sazliyana Shaharir S 40 , Hasan ATMT 41 , Dey D 42 , Gutiérrez CET 43 , Caballero-Uribe CV 44 , Lilleker JB 45 , Salim B 46 , Gheita T 47 , Chatterjee T 48 , Distler O 49 , Saavedra MA 50 , Day J 51 , Chinoy H 45 , COVAD Study Group , Agarwal V 2 , Aggarwal R 52 , Gupta L 45

Affiliations 

  • 1 Maulana Azad Medical College, New Delhi, Delhi, India
  • 2 Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
  • 3 Department of Internal Medicine, Kirk Kerkorian School of Medicine, University of Nevada Las Vegas, Las Vegas, NV, USA
  • 4 Myositis Center and Division of Rheumatology and Clinical Immunology, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
  • 5 Byramjee Jeejeebhoy Government Medical College and Sassoon General Hospitals, Pune, India
  • 6 Mymensingh Medical College, Mymensingh, Bangladesh
  • 7 Seth Gordhandhas Sunderdas Medical College and King Edwards Memorial Hospital, Mumbai, Maharashtra, India
  • 8 Mahatma Gandhi Mission Medical College, Navi Mumbai, Maharashtra, India
  • 9 Southport and Ormskirk Hospital NHS Trust, Southport, UK
  • 10 Centre for Rheumatic Diseases, King's College London, London, UK
  • 11 NIHR Leeds Biomedical Research Centre, Leeds Teaching Hospitals Trust, Leeds, UK
  • 12 Division of Rheumatology, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
  • 13 Rheumatology Department, Saint-Joseph University, Beirut, Lebanon
  • 14 Medical Faculty, Sofia University St. Kliment Ohridski, Sofia, Bulgaria
  • 15 Department of Internal Medicine, Rheumatology, Diabetology, Geriatrics and Clinical Immunology, Pomeranian Medical University, Szczecin, Poland
  • 16 Division of Rheumatology, Department of Medicine Solna, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden
  • 17 Department of Internal Medicine, General Hospital, National Medical Center "La Raza", Instituto Mexicano del Seguro Social, Mexico City, Mexico
  • 18 Rheumatology Unit, Dipartimento di Medicine Interna e Terapia Medica, Università degli studi di Pavia, Pavia, Lombardy, Italy
  • 19 Department of Allergy and Rheumatology, Nippon Medical School Graduate School of Medicine, Tokyo, Japan
  • 20 Medizinische Klinik 3-Rheumatologie und Immunologie, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Deutschland
  • 21 Division of Rheumatology, Mayo Clinic, Rochester, MN, USA
  • 22 Bon Secours Rheumatology Center and Division of Pediatric Rheumatology, Department of Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA
  • 23 Bristol Medical School Translational Health Sciences, University of Bristol, UK
  • 24 Department of Rheumatology, Division of Medicine, Rayne Institute, University College London, UK
  • 25 Department of General Medicine, All India Institute of Medical Sciences (AIIMS), Guwahati, India
  • 26 Rheumatology, Medical Care & Research, Centro Medico Pensiones Hospital, Instituto Mexicano del Seguro Social Delegación Yucatán, Yucatán, Mexcio
  • 27 Rheumatologist and Clinical Investigator, Interstitial Lung Disease and Rheumatology Unit, Instituto Nacional de Enfermedades Respiratorias, Mexico City, Mexico
  • 28 Departamento de Inmunología y Reumatología, Hospital General de Occidente and Universidad de Guadalajara, Guadalajara, Jalisco, Mexico
  • 29 Rheumatology, Hospital Universitario Dr Jose Eleuterio Gonzalez, Monterrey, Mexico
  • 30 Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
  • 31 Department of Medicine, University of Nigeria Teaching Hospital, Ituku-Ozalla/University of Nigeria, Enugu, Nigeria
  • 32 Division of Rheumatology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
  • 33 Department of Medicine, Queen Savang Vadhana Memorial Hospital, Chonburi, Thailand
  • 34 Department of Rheumatology, Clinic of Rheumatology, University Hospital 'St. Ivan Rilski', Medical University-Sofia, Bulgaria
  • 35 Division of Allergy, Immunology and Rheumatology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung City, Taiwan
  • 36 School of Medicine, Universidade Potiguar (UnP), Natal, Brazil
  • 37 Rheumatology Unit, Internal Medicine Department, Specialized Medical Center, Riyadh, Saudi Arabia
  • 38 Department of Internal Medicine, Section of Rheumatology, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia
  • 39 National Center for Rheumatic Diseases (NCRD), Kathmandu, Nepal
  • 40 Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
  • 41 Department of Rheumatology, Enam Medical College & Hospital, Dhaka, Bangladesh
  • 42 Rheumatology Unit, Department of Medicine and Therapeutics, University of Ghana Medical School, College of Health Sciences, Accra, Ghana
  • 43 Reference Center for Osteoporosis, Rheumatology and Dermatology, Pontifica Universidad Javeriana Cali, Colombia
  • 44 Department of Medicine, Hospital Universidad del Norte, Barranquilla, Atlantico, Colombia
  • 45 Division of Musculoskeletal and Dermatological Sciences, Centre for Musculoskeletal Research, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre The University of Manchester, Manchester, UK
  • 46 Rheumatology Department, Fauji Foundation Hospital, Rawalpindi, Pakistan
  • 47 Rheumatology Department, Kasr Al Ainy School of Medicine, Cairo University, Cairo, Egypt
  • 48 Department of Internal Medicine, University of Illinois College of Medicine at Peoria, Peoria, IL, USA
  • 49 Department of Rheumatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland
  • 50 Departamento de Reumatología Hospital de Especialidades Dr. Antonio Fraga Mouret, Centro Médico Nacional La Raza, IMSS, Mexico City, Mexico
  • 51 Department of Rheumatology, Royal Melbourne Hospital, Parkville, VIC, Australia
  • 52 Division of Rheumatology and Clinical Immunology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
Rheumatology (Oxford), 2023 Oct 03;62(10):3291-3301.
PMID: 36734536 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 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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