{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:13:46Z","timestamp":1753877626428,"version":"3.41.2"},"reference-count":50,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T00:00:00Z","timestamp":1750204800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,6,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>We examined how the COVID-19 pandemic influenced influenza vaccination, healthcare engagement, and patient satisfaction.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We retrospectively analyzed influenza vaccination records and patient experience surveys of adult primary care patients in southeastern Minnesota during two 3-year phases: Prepandemic (1 January 2017\u201328 February 2020) and Pandemic-Plus (1 March 2020\u201331 December 2023). Vaccination status was defined as \u201calways vaccinated\u201d (AV), \u201cnever vaccinated\u201d (NV), or \u201cintermittently vaccinated\u201d (IV) for seasonal influenza.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>During the Pandemic-Plus phase, 7.0% (n = 3556) of the Prepandemic AV and 48.7% (n = 16 710) of the Prepandemic IV patients never received another influenza vaccine. Compared to AV, IV and NV patients were more likely to reside in areas with greater socioeconomic deprivation (odds ratio [OR], 1.58 [95% confidence interval {CI}, 1.53\u20131.62] and 1.99 [1.94\u20132.05], respectively), have a high school education or less (2.86 [2.74\u20132.98] and 3.38 [3.23\u20133.53]), and report healthcare disengagement (1.59 [1.55\u20131.64] and 4.21 [4.09\u20134.33]). After adjusting for Area Deprivation Index and medical comorbidities, healthcare disengagement increased among the NV versus AV between phases (3.33 [3.24\u20133.41] and 4.23 [4.10\u20134.35]). In a subgroup analysis those with severe comorbidities were less likely AV (NV vs AV: 1.21 [1.14\u20131.27]) and more dissatisfied with care (NV vs AV: 1.25 [1.18\u20131.33]).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The COVID-19 pandemic altered vaccination behaviors and healthcare satisfaction, especially among those at high risk of developing influenza-related complications. Medical providers and public health officials should be aware of factors associated with vaccine refusal to better target interventions.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ofid\/ofaf351","type":"journal-article","created":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T18:04:28Z","timestamp":1751047468000},"source":"Crossref","is-referenced-by-count":0,"title":["The Influence of the Coronavirus Disease 2019 Pandemic on Influenza Vaccination Refusal and Patient Satisfaction"],"prefix":"10.1093","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9598-4502","authenticated-orcid":false,"given":"Olivia M","family":"Man","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Mayo Clinic School of Medicine and Science , Rochester, Minnesota ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7507-232X","authenticated-orcid":false,"given":"Jack W","family":"McHugh","sequence":"additional","affiliation":[{"name":"Division of Public Health, Infectious Diseases, and Occupational Medicine, Mayo Clinic , Rochester, Minnesota ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy","family":"Young","sequence":"additional","affiliation":[{"name":"RavenRock Innovations, Highlands Ranch, Colorado ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9361-2601","authenticated-orcid":false,"given":"Laurie L","family":"Wilshusen","sequence":"additional","affiliation":[{"name":"Mayo Clinic Quality , Rochester, Minnesota ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lacey","family":"Hart","sequence":"additional","affiliation":[{"name":"Mayo Clinic Quality , Rochester, Minnesota ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tripp","family":"Welch","sequence":"additional","affiliation":[{"name":"Mayo Clinic Quality , Rochester, Minnesota ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0880-4498","authenticated-orcid":false,"given":"John C","family":"O\u2019Horo","sequence":"additional","affiliation":[{"name":"Division of Public Health, Infectious Diseases, and Occupational Medicine, Mayo Clinic , Rochester, Minnesota ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6964-9639","authenticated-orcid":false,"given":"Douglas W","family":"Challener","sequence":"additional","affiliation":[{"name":"Division of Public Health, Infectious Diseases, and Occupational Medicine, Mayo Clinic , Rochester, Minnesota 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