@article{fdi:010076247,
  title = {{T}rajectories of seasonal influenza vaccine uptake among {F}rench people with diabetes : a nationwide retrospective cohort study, 2006-2015},
  author = {{B}ocquier, {A}. and {C}ortaredona, {S}{\'e}bastien and {F}ressard, {L}. and {L}oulergue, {P}. and {R}aude, {J}ocelyn and {S}ultan, {A}. and {G}altier, {F}. and {V}erger, {P}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {A}nnual seasonal influenza vaccination ({SIV}) is recommended for people with diabetes, but their {SIV} rates remain far below public health targets. {W}e aimed to identify temporal trajectories of {SIV} uptake over a 10-year period among {F}rench people with diabetes and describe their clinical characteristics. {M}ethods: {W}e identified patients with diabetes in 2006 among a permanent, representative sample of beneficiaries of the {F}rench {N}ational {H}ealth {I}nsurance {F}und. {W}e followed them up over 10 seasons (2005/06-2015/16), using {SIV} reimbursement claims and group-based trajectory modelling to identify {SIV} trajectories and to study sociodemographic, clinical, and healthcare utilization characteristics associated with the trajectories. {R}esults {W}e identified six trajectories. {O}f the 15,766 patients included in the model, 4344 (28%) belonged to the "continuously vaccinated" trajectory and 4728 (30%) to the "never vaccinated" one. {T}wo other trajectories showed a "progressive decrease" (2832, 18%) or sharp "postpandemic decrease" (1627, 10%) in uptake. {T}he last two trajectories (totalling 2235 patients, 14%) showed an early or delayed "increase" in uptake. {C}ompared to "continuously vaccinated" patients, those in the "progressively decreasing" trajectory were older and those in all other trajectories were younger with fewer comorbidities at inclusion. {W}orsening diabetes and comorbidities during follow-up were associated with the "increasing" trajectories. {C}onclusions {M}ost patients with diabetes had been continuously vaccinated or never vaccinated and thus had stable {SIV} behaviours. {O}thers adopted or abandoned {SIV}. {T}hese behaviour shifts might be due to increasing age, health events, or contextual factors (e.g., controversies about vaccine safety or efficacy). {H}ealthcare professionals and stakeholders should develop tailored strategies that take each group's specificities into account.},
  keywords = {{D}iabetes mellitus ; {I}nfluenza vaccines ; {C}ohort studies ; {A}dministrative claims ; {H}ealthcare ; {FRANCE}},
  booktitle = {},
  journal = {{BMC} {P}ublic {H}ealth},
  volume = {19},
  numero = {},
  pages = {art. 918 [8 p.]},
  ISSN = {1471-2458},
  year = {2019},
  DOI = {10.1186/s12889-019-7209-z},
  URL = {https://www.documentation.ird.fr/hor/fdi:010076247},
}