{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:22:54Z","timestamp":1787772174390,"version":"build-2784847793"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Context:<\/jats:title>\n                    <jats:p>Influenza and pneumococcal infections cause substantial morbidity and mortality in older adults, particularly those with chronic comorbidities. Despite proven benefits, vaccination coverage remains low.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>To assess utilization of influenza and pneumococcal vaccines and identify predictors of uptake among adults aged \u226565 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings and Design:<\/jats:title>\n                    <jats:p>Longitudinal retrospective study using electronic health records of patients aged \u226565 years attending Ministry of National Guard Health Affairs (MNGHA) primary health care centers in Riyadh, Saudi Arabia (2020\u20132023).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Material:<\/jats:title>\n                    <jats:p>Demographics, comorbidities, visit frequency, and vaccination status for influenza vaccine and pneumococcal conjugate vaccine (PCV13) were extracted. Multivariable logistic regression was used to identify predictors of influenza and PCV13 uptake, reported as odds ratios (ORs) with 95% confidence intervals (CIs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical Analysis Used:<\/jats:title>\n                    <jats:p>\n                      Descriptive statistics and multivariable logistic regression; two-sided\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05 was considered significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 18,950 patients (mean age 73.7 \u00b1 7.3 years; 52.3% female), influenza vaccination coverage was 467 (2.46%) and PCV13 uptake was 147 (0.77%). Males had higher odds of receiving influenza (OR 1.3, 95% CI 1.12\u20131.63) and PCV13 (OR 1.4, 95% CI 1.05\u20132.03). Uptake was higher among patients with dyslipidemia, asthma, diabetes, or hypertension. Vaccination peaked in 2021 and declined sharply in 2022\u20132023. Dirab clinic showed the highest vaccination rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Influenza and PCV13 coverage among older adults in Riyadh primary care was very low, with variation by gender, comorbidities, and clinic. Targeted interventions are needed to improve uptake and reduce preventable infectious disease burden.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_396_26","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T14:00:24Z","timestamp":1781791224000},"page":"2088-2093","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Uptake of influenza and pneumococcal vaccines among older adults attending primary health care centers in Riyadh, Saudi Arabia"],"prefix":"10.4103","volume":"15","author":[{"given":"Moath A.","family":"Alkathiri","sequence":"first","affiliation":[{"name":"Department of Ambulatory Care Services, King Abdulaziz Medical City, Ministry of National Guard Health Affairs (MNGHA), Riyadh, Saudi Arabia"},{"name":"College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"},{"name":"King Abdullah International 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E.","family":"Alotaibi","sequence":"additional","affiliation":[{"name":"College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naila","family":"Shaheen","sequence":"additional","affiliation":[{"name":"College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"R2-20260619","first-page":"221","article-title":"Primary health-care goal and principles","author":"Behera","year":"2021","journal-title":"In: Healthcare Strategies and Planning for Social Inclusion and Development"},{"key":"R3-20260619","doi-asserted-by":"crossref","first-page":"1","DOI":"10.15585\/mmwr.rr7202a1","article-title":"Prevention and control of seasonal 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