95% of researchers rate our articles as excellent or good
Learn more about the work of our research integrity team to safeguard the quality of each article we publish.
Find out more
ORIGINAL RESEARCH article
Front. Psychiatry
Sec. Public Mental Health
Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1566348
This article is part of the Research Topic Psychological Factors as Determinants of Medical Conditions, Volume III View all 8 articles
INFLUENZA, PNEUMOCOCCAL, AND COVID-19 VACCINATION COVERAGE AND HESITANCY IN ADULTS WITH PSYCHIATRIC DISORDERS
Provisionally accepted- 1 Family Medicine Department, Faculty of Medicine, Dicle University, Diyarbakır, Türkiye
- 2 Department of Psychiatry, Faculty of Medicine, Dicle University, Diyarbakır, Diyarbakır, Türkiye
Background/Objectives: Patients with psychiatric disorders have high mortality and morbidity rates from infectious diseases, but low vaccination rates compared to the normal population.This study aimed to evaluate the vaccination rates for influenza, pneumococcal, and COVID-19 vaccines, as well as the levels of vaccine hesitancy among individuals with psychiatric disorders.The study was a cross-sectional study among patients with psychiatric disorders.Participants' vaccination statuses for influenza, pneumococcal, and COVID-19 vaccines during the pandemic were assessed, along with their vaccine hesitancy levels using a vaccine hesitancy scale. Data were collected between 01.03. 2024-27.11.2024.The study included 500 patients diagnosed with psychiatric disorders. Only 3.6% of participants received the influenza vaccine in the past year, 3.0% reported regular influenza vaccinations, and 76.2% received the COVID-19 vaccine during the pandemic. Among participants at risk for pneumococcal infection (14%), the vaccination rate was only 2%.Attention Deficit Hyperactivity Disorder (ADHD)(45.0%) and anxiety disorder (17.2%) patients had the highest rates of regular influenza vaccination, while psychosis (13.6%) and depression (14.6%) had the lowest (p=0.010). COVID-19 vaccination rates during the pandemic were highest in ADHD(90.0%), bipolar disorder(81.1%), and depression (80.8%), and lowest in psychosis (54.5%) and Obsessive Compulsive Disorder (64.3%)(p=0.002).Women(p=0.001), participants with below university education levels (p=0.009), and patients with psychosis showed greater vaccine hesitancy. ADHD and bipolar disorder patients had the most positive attitudes toward vaccination(p=0.021). Positive attitudes were also linked to recent or regular influenza vaccinations and COVID-19 or pneumococcal vaccinations(p<0.05).Conclusions: Low vaccination rates and high vaccine hesitancy in psychiatric patients, particularly those with psychosis, necessitate targeted strategies to improve immunization coverage in this population.
Keywords: Psychiatric disorder, Vaccine, Vaccine hesitancy, influenza, influenza vaccine, pneumococcus, Pneumococcal vaccine, COVID 19
Received: 24 Jan 2025; Accepted: 24 Mar 2025.
Copyright: © 2025 DEMİR PERVANE, Uyar and Erten Bucaktepe. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
VASFİYE DEMİR PERVANE, Family Medicine Department, Faculty of Medicine, Dicle University, Diyarbakır, Türkiye
Pakize Gamze Erten Bucaktepe, Family Medicine Department, Faculty of Medicine, Dicle University, Diyarbakır, Türkiye
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.