The effect of alcohol, tobacco, and other drug use on vaccine acceptance, uptake, and adherence: a systematic review.

Background Vaccine hesitancy is increasingly recognized as a health challenge affecting populations worldwide. Given the biological vulnerabilities and structural barriers people who use substances and/or have behavioral addictions face, this systematic review aims to evaluate whether this subpopula...

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Publicado en:Alcohol & Alcoholism Vol. 59; no. 6; pp. 1 - 22
Autores principales: Havelka, Eva M, Sanfilippo, Jenna E, Juneau, Paul L, Sherman, Garrick, Cooper, Diane, Leggio, Lorenzo
Formato: research systematic review tables/charts Journal Article
Publicado: Oxford University Press / USA Nov2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2024
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        atl: The effect of alcohol, tobacco, and other drug use on vaccine acceptance, uptake, and adherence: a systematic review.
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          Havelka, Eva M
          Sanfilippo, Jenna E
          Juneau, Paul L
          Sherman, Garrick
          Cooper, Diane
          Leggio, Lorenzo
        affil: Clinical Psychoneuroendocrinology and Neuropsychopharmacology Section , Translational Addiction Medicine Branch, National Institute on Drug Abuse Intramural Research Program and National Institute on Alcohol Abuse and Alcoholism Division of Intramural Clinical and Biological Research, National Institutes of Health , 251 Bayview Blvd, Suite 200, Baltimore, MD 21224 , United States
      sug:
        subj:
          Attitude to Vaccines
          Immunization Psychosocial Factors
          Vaccination Hesitancy
          Substance Use Disorders Psychosocial Factors
          Behavior, Addictive Psychosocial Factors
          Alcoholism
          Smoking
          Treatment Outcomes
          Risk Assessment
          Medication Compliance Evaluation
          Human
          Systematic Review
          PubMed
          Embase
          Psycinfo
          Funding Source
          COVID-19 Vaccines
          Influenza Vaccine
          Europe
          North America
          Papillomavirus Vaccine
          Odds Ratio
          Confidence Intervals
          Effect Size
          P-Value
          Health Services Accessibility
          Health Literacy
          Vaccines Economics
      ab: Background Vaccine hesitancy is increasingly recognized as a health challenge affecting populations worldwide. Given the biological vulnerabilities and structural barriers people who use substances and/or have behavioral addictions face, this systematic review aims to evaluate whether this subpopulation is less prone to adhere to vaccination recommendations. Methods Electronic searches of published original research were conducted in PubMed, EMBASE, Scopus, and PsycINFO from database inception to December 2022. Our strategy encompassed retrievals regardless of languages and date of publication. Animal studies, abstracts without a full manuscript, and studies which were considered to have lower robustness of scientific evidence were excluded. Outcomes measured were vaccine acceptance, uptake, and adherence. Results were interpreted through a narrative synthesis. Results The search yielded 103 retrievals encompassing data collected on 5 576 374 persons who were predominantly residents of Europe (n = 39) and North America (n = 27). Tobacco use, the substance for which many studies were found (n = 91), was significantly associated with poorer vaccine acceptance, uptake and adherence for influenza, COVID-19, human papillomavirus (HPV), and maternal and childhood vaccines. Peri-natal and parental substance use was identified as a risk factor for suboptimal vaccine-related outcomes concerning maternal COVID-19 and childhood vaccines. Finally, people identified as 'using', 'abusing', or 'misusing' drugs or substances may be at decreased odds of all outcomes in various vaccines. Conclusions Collectively, the studies identified several groups with statistically significant greater vaccine hesitancy and decreased engagement among whom targeted measures could be beneficial. Timely evidence, especially on behavioral addictions and substances besides tobacco, is lacking, and warrants urgent attention.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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