{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T23:31:30Z","timestamp":1790638290366,"version":"4.1.0"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T00:00:00Z","timestamp":1751932800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Committee for Rheumatology and Connective Tissue Diseases of the Kanagawa Prefecture Medical Association"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate vaccination rates and identify factors associated with vaccine uptake among patients with autoimmune inflammatory rheumatic diseases (AIRD) in Kanagawa Prefecture, Japan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An anonymous survey was conducted between January and May 2023 using Google Forms\u2122. Adult AIRD patients and rheumatologists were asked about demographics, disease characteristics, vaccination status, and attitudes towards vaccination. Logistic regression and random forest analyses were used to identify factors influencing vaccination rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 1\u2009637 AIRD patients responded. Vaccination rates were as follows: herpes zoster 8.8%, influenza 86.7%, pneumococcus 29.7%, human papillomavirus 4.3%, hepatitis B virus 8.7%, and severe acute respiratory syndrome corona virus-2 92.2%. Physician recommendations were significantly associated with higher vaccination rates. Although knowledge of vaccine efficacy correlated with increased uptake, it did not fully alleviate vaccine hesitancy. Major barriers included concerns about adverse effects and lack of sufficient information.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Physician recommendations and providing comprehensive vaccine information are essential for improving vaccination rates among AIRD patients. Addressing concerns about vaccine safety and efficacy through targeted educational interventions and communication strategies is crucial to enhancing vaccine uptake.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/mr\/roaf061","type":"journal-article","created":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T07:19:54Z","timestamp":1751872794000},"page":"997-1008","source":"Crossref","is-referenced-by-count":3,"title":["Vaccine-related environments and patient preferences in Japanese patients with autoimmune rheumatic diseases"],"prefix":"10.1093","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0790-665X","authenticated-orcid":false,"given":"Kenji","family":"Oku","sequence":"first","affiliation":[{"name":"Division of Rheumatology, Department of Internal Medicine, Tokai University School of Medicine , Isehara ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidehiro","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Rheumatology Center, Seirei Yokohama Hospital , Yokohama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3717-8788","authenticated-orcid":false,"given":"Tatsuyoshi","family":"Ikenoue","sequence":"additional","affiliation":[{"name":"Center of Data Science Education and Research, Shiga University , Hikone ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masashi","family":"Akizuki","sequence":"additional","affiliation":[{"name":"Akizuki Clinic for Rheumatic Diseases , Yokohama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Hagiyama","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Yokohama City Minato Red Cross Hospital , Yokohama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haruko","family":"Ideguchi","sequence":"additional","affiliation":[{"name":"Ideguchi Clinic: Primary care and Rheumatology , Yamato ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsushi","family":"Ihata","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, NHO Yokohama Medical Center , Yokohama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7760-8581","authenticated-orcid":false,"given":"Takuya","family":"Kakutani","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Shonan Kamakura General Hospital , Kamakura ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimito","family":"Kawahata","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Collagen Disease, Allergy, St. Marianna University School of Medicine , Kawasaki ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshihiro","family":"Matsui","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Research, Clinical Research Center for Allergy and Rheumatology, National Hospital Organization Sagamihara National Hospital , Sagamihara ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junichi","family":"Obata","sequence":"additional","affiliation":[{"name":"Hikari Chuo Clinic , Kawasaki ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigeru","family":"Ohno","sequence":"additional","affiliation":[{"name":"Medical Center, Rheumatism and Collagen Disorder Center, Yokohama City University , Yokohama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinji","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Tokai University Hachioji Hospital , Hachioji ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2092-4094","authenticated-orcid":false,"given":"Naoki","family":"Sawa","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Toranomon Hospital Kajigaya , Kawasaki ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akiko","family":"Suda","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Chigasaki Municipital Hospital , Chigasaki ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroaki","family":"Taguchi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Center for Arthritis and Rheumatic Disease, Kawasaki Municipal Kawasaki Hospital , Kawasaki ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9212-7046","authenticated-orcid":false,"given":"Mitsuhiro","family":"Takeno","sequence":"additional","affiliation":[{"name":"Department of Allergy and Rheumatology, Nippon Medical School Musashi Kosugi Hospital , Kawasaki ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsuhisa","family":"Ueda","sequence":"additional","affiliation":[{"name":"Ueda Medical Clinic , Yokohama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaomi","family":"Yamasaki","sequence":"additional","affiliation":[{"name":"Shin-Yokohama Arthritis and Rheumatology Clinic , Yokohama ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kunihiro","family":"Yamaoka","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Kitasato University School of Medicine , Kanagawa 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