{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:05:02Z","timestamp":1787025902155,"version":"build-2736575974"},"reference-count":43,"publisher":"SAGE Publications","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPD"],"published-print":{"date-parts":[[2021,8,2]]},"abstract":"<jats:p>Background: Patients with Parkinson\u2019s disease (PD) are at higher risk of vaccine-preventable respiratory infections. However, advanced, homebound individuals may have less access to vaccinations. In light of COVID-19, understanding barriers to vaccination in PD may inform strategies to increase vaccine uptake. Objective: To identify influenza and pneumococcal vaccination rates, including barriers and facilitators to vaccination, among homebound and ambulatory individuals with PD and related disorders. Methods: Cross-sectional US-based study among individuals with PD, aged\u200a&gt;\u200a65 years, stratified as homebound or ambulatory. Participants completed semi-structured interviews on vaccination rates and barriers, and healthcare utilization. Results: Among 143 participants, 9.8% had missed all influenza vaccinations in the past 5 years, and 32.2% lacked any pneumococcal vaccination, with no between-group differences. Homebound participants (n\u200a=\u200a41) reported difficulty traveling to clinic (p\u200a&lt;\u200a0.01) as a vaccination barrier, and despite similar outpatient visit frequencies, had more frequent emergency department visits (31.7% vs. 9.8%, p\u200a&lt;\u200a0.01) and hospitalizations (14.6% vs. 2.9%, p\u200a=\u200a0.03). Vaccine hesitancy was reported in 35% of participants, vaccine refusal in 19%, and 13.3% reported unvaccinated household members, with no between-group differences. Nearly 13% thought providers recommended against vaccines for PD patients, and 31.5% were unsure of vaccine recommendations in PD. Conclusion: Among a sample of homebound and ambulatory people with PD, many lack age-appropriate immunizations despite ample healthcare utilization. Many participants were unsure whether healthcare providers recommend vaccinations for people with PD. In light of COVID-19, neurologist reinforcement that vaccinations are indicated, safe, and recommended may be beneficial.<\/jats:p>","DOI":"10.3233\/jpd-202497","type":"journal-article","created":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T14:14:20Z","timestamp":1619792060000},"page":"1057-1065","source":"Crossref","is-referenced-by-count":10,"title":["Barriers to Vaccination Among People with Parkinson\u2019s Disease and Implications for COVID-19"],"prefix":"10.1177","volume":"11","author":[{"given":"Tiffany","family":"Phanhdone","sequence":"first","affiliation":[{"name":"Section of Movement Disorders, Department of Neurological Sciences, Rush University Medical Center, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Drummond","sequence":"additional","affiliation":[{"name":"Marlene and Paolo Fresco Institute for Parkinson\u2019s and Movement Disorders, Department of Neurology, New York University School of Medicine, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Talia","family":"Meisel","sequence":"additional","affiliation":[{"name":"College of Medicine, SUNY Downstate Health Sciences University, , Brooklyn, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naomi","family":"Friede","sequence":"additional","affiliation":[{"name":"Yale School of Nursing, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Di Rocco","sequence":"additional","affiliation":[{"name":"Zucker School of Medicine at Hofstra Northwell, Long Island, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Chodosh","sequence":"additional","affiliation":[{"name":"Division of Geriatric Medicine and Palliative Care, Department of Medicine, New York University School of Medicine, New York, NY, USA"},{"name":"VA New York Harbor Healthcare System, Medicine Service, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jori","family":"Fleisher","sequence":"additional","affiliation":[{"name":"Section of Movement Disorders, Department of Neurological Sciences, Rush University Medical Center, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","reference":[{"key":"10.3233\/JPD-202497_ref1","doi-asserted-by":"crossref","unstructured":"Al-Kassmy J , Pedersen J , Kobinger G (2020) Vaccine candidates against coronavirus infections. 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