Pneumococcal vaccination knowledge, attitudes, and practices among surveyed U.S. adults aged 19–64 years at increased risk for pneumococcal disease

Veena Ramachandran; Sylvia Tangney; Amber Gedlinske; Natoshia M. Askelson; Andrew M. Parker; Courtney A. Gidengil; Alison P. Albert; Megan C. Lindley; Miwako Kobayashi; Aaron M. Scherer

doi:10.1016/j.vaccine.2025.127739

Back

Pneumococcal vaccination knowledge, attitudes, and practices among surveyed U.S. adults aged 19–64 years at increased risk for pneumococcal disease

Journal article

Peer reviewed

Pneumococcal vaccination knowledge, attitudes, and practices among surveyed U.S. adults aged 19–64 years at increased risk for pneumococcal disease

Veena Ramachandran, Sylvia Tangney, Amber Gedlinske, Natoshia M. Askelson, Andrew M. Parker, Courtney A. Gidengil, Alison P. Albert, Megan C. Lindley, Miwako Kobayashi and Aaron M. Scherer

Vaccine, Vol.64, 127739

10/2025

DOI: 10.1016/j.vaccine.2025.127739

PMID: 40957308

View Online

Abstract

Pneumococcal disease contributes to significant morbidity in the United States. Before October 2024, the Advisory Committee on Immunization Practices recommended pneumococcal vaccination for risk-eligible adults aged 19–64 years; however, as of 2023, vaccination coverage remained low (33.1 %). To understand factors associated with low vaccination coverage, in January 2024, a web-based survey was conducted among risk-eligible adults aged 19–64 years examining their knowledge, attitudes, and practices toward pneumococcal vaccination. Of 1533 eligible participants, 39.2 % self-reported having received pneumococcal vaccination. Compared with vaccinated participants, unvaccinated participants were less familiar with and had lower perceived risk of pneumococcal disease and were less willing to receive pneumococcal vaccination following healthcare provider recommendation. Common reasons for not being vaccinated were lack of understanding of vaccine-qualifying risk conditions and lack of healthcare provider recommendations. A multi-faceted approach, including optimization of provider and patient education, is necessary to increase vaccination coverage among risk-eligible adults.

Bacterial disease

Bacterial pneumonia

Pneumococcal disease

Risk-based vaccination

Streptococcus pneumoniae

Vaccination barriers

Vaccine coverage

Details

Title: Subtitle: Pneumococcal vaccination knowledge, attitudes, and practices among surveyed U.S. adults aged 19–64 years at increased risk for pneumococcal disease
Creators: Veena Ramachandran - National Center for Immunization and Respiratory Diseases
Sylvia Tangney - National Center for Immunization and Respiratory Diseases
Amber Gedlinske - University of Iowa
Natoshia M. Askelson - University of Iowa
Andrew M. Parker
Courtney A. Gidengil
Alison P. Albert - National Center for Immunization and Respiratory Diseases
Megan C. Lindley - Centers for Disease Control and Prevention
Miwako Kobayashi - Centers for Disease Control and Prevention
Aaron M. Scherer - University of Iowa
Resource Type: Journal article
Publication Details: Vaccine, Vol.64, 127739
DOI: 10.1016/j.vaccine.2025.127739
PMID: 40957308
NLM abbreviation: Vaccine
ISSN: 0264-410X
eISSN: 1873-2518
Publisher: Elsevier Ltd
Grant note: Centers for Disease Control and Prevention: 5U01IP001144-05-00
Dr. Aaron Scherer received financial support from Centers for Disease Control and Prevention through award #5U01IP001144-05-00 to conduct research and provide salary support for all HaPPI research team members listed as coauthors.
Language: English
Electronic publication date: 09/15/2025
Date published: 10/2025
Academic Unit: Nursing; Injury Prevention Research Center; General Internal Medicine; Community and Behavioral Health; Internal Medicine
Record Identifier: 9984963630302771

Metrics

29 Record Views

See more details