Home > Pulmonology > ESCMID Vaccines 2025 > Influenza and COVID-19 Vaccination > Lower age is linked to reduced uptake of influenza and COVID-19 vaccination

Lower age is linked to reduced uptake of influenza and COVID-19 vaccination

Presented by
Ms Cecilie Seeger-Skaaning , Statens Serum Institut, Denmark
Conference
ESCMID Vaccines 2025
Lower age and country of origin were found to be key determinants of reduced uptake of both influenza and COVID-19 vaccination among pregnant women and individuals aged <65 years with comorbidities in Denmark. 

The study used data from national health registries to link groups to seasonal vaccinations at an individual level and identified 54,559 pregnant women and 491,403 individuals <65 years with chronic conditions (≥2 hospital contacts for selected chronic conditions). 

Ms Cecilie Seeger-Skaaning (Statens Serum Institut, Denmark) presented the results [1]. A total of 26.0% and 17.0% of pregnant women received influenza and COVID-19 vaccines, respectively. Among individuals <65 years with chronic conditions, 31.3% and 21.0% received influenza and COVID-19 vaccines, while vaccination uptake was almost 80% for both vaccines in individuals aged ≥65 years. Among pregnant women, vaccine uptake increased with age, showing a 4- to 5-fold increase in the odds of vaccination for the 35- to 45-year-old age group compared to the 18- to 24-year-old age group. Similarly, the odds of vaccination uptake increased with age in individuals <65 years with chronic conditions, with adjusted odds ratios (ORs) of 6.38 (95% CI 6.20-6.55) for influenza and 9.14 (95% CI 8.81–9.48) for COVID-19 vaccination when comparing the 60–64 with the 18-29 years age group. Another determinant of lower uptake in both populations was having a country of origin outside of Denmark. 

“Vaccination uptake in pregnant women and individuals <65 years with chronic conditions is much lower than in adults aged 65 and older”, said Ms Seeger-Skaaning. “We see that influenza vaccine uptake is consistently higher than COVID-19 vaccine uptake among all age groups, and that age and country of origin are determinants for vaccination.” However, Ms Seeger-Skaaning added that a pilot program using tailored invitations showed increased vaccination regardless of age or country of origin, a strategy which could be used in the future to increase uptake. 

  1. Moustsen-Helms IR, et al. Determinants of influenza and COVID-19 vaccine uptake among pregnant women and high-risk individuals. 6th ESCMID Vaccines, 10–13 September 2025, Lisbon, Portugal. 

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