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. 2021 Sep 25;39(44):6454–6459. doi: 10.1016/j.vaccine.2021.09.057

Table 2.

Immune-mediated inflammatory diseases, comorbidities, and concomitant therapies stratified by willingness for COVID-19 vaccination.

COVID-19 vaccine acceptance group n = 744 COVID-19 vaccine hesitant group n = 164 P value
Immune-mediated inflammatory diseases
RA 248 (33.3) 49 (29.9) 0.40
SLE 143 (19.2) 45 (27.4) <0.05
AS 111 (14.9) 21 (12.8) 0.54
PsA/Pso 60 (8.1) 15 (9.1) 0.63
SS 24 (3.2) 4 (2.4) 0.80
SSc 19 (2.5) 7 (4.3) 0.29
IBD 16 (2.1) 0 0.09
PM/DM 10 (1.3) 2 (1.2) >0.99
TAK 7 (0.9) 0 0.36
Behçet 7 (0.9) 1 (0.6) >0.99
GPA 5 (0.7) 1 (0.6) >0.99
GCA 2 (0.3) 2 (1.2) 0.15
Other/overlap syndromes 92 (12.4) 17 (10.4) 0.59



Non-biologic DMARDs (not mutually exclusive)
Azathioprine 91 (12.2) 26 (15.8) 0.24
Cyclophosphamide 6 (0.8) 1 (0.6) >0.99
Antimalarial agent 184 (24.7) 65 (39.6) <0.05
Leflunomide 54 (7.2) 17 (10.4) 0.19
Methotrexate 172 (23.1) 27 (16.5) 0.07
Mycophenolate 35 (4.7) 11 (6.7) 0.32
Sulfasalazine 37 (5.0) 4 (2.4) 0.21
Tacrolimus or cyclosporine 11 (1.5) 2 (1.2) >0.99
Tofacitinib, baricitinib or upadacitinib 32 (4.3) 3 (1.8) 0.17



Biologic DMARDs (mutually exclusive)
Adalimumab 60 (8.1) 14 (8.5) 0.87
Etanercept 18 (2.4) 8 (4.9) 0.11
Golimumab 28 (3.8) 5 (3.0) 0.81
Infliximab 74 (9.9) 12 (7.3) 0.37
Certolizumab 18 (2.4) 3 (1.8) >0.99
Secukinumab 17 (2.3) 6 (3.6) 0.28
Ixekizumab 4 (0.5) 0 >0.99
Abatacept 20 (2.7) 5 (3.0) 0.79
Belimumab 7 (0.9) 5 (3.0) <0.05
Rituximab 36 (4.8) 11 (6.7) 0.33
Tocilizumab 35 (4.7) 7 (4.3) >0.99
Ustekinumab 9 (1.2) 1 (0.6) >0.99
Vedolizumab 1 (0.1) 0 >0.99



Comorbidities (not mutually exclusive)
Cardiovascular disease* 196 (26.3) 35 (21.3) 0.19
Diabetes mellitus 66 (8.9) 14 (8.5) >0.99
Chronic lung disease § 69 (9.3) 17 (10.4) 0.65
Chronic liver disease † 21 (2.8) 8 (4.9) 0.21
Chronic kidney disease ‡ 12 (1.6) 9 (5.5) <0.05
HIV infection 4 (0.5) 1 (0.6) >0.99
Obesity 39 (5.2) 12 (7.3) 0.34
Cancer ¶ 7 (0.9) 5 (3) <0.05
Depressive/anxiety disorder 171 (23) 34 (20.7) 0.60
Fibromyalgia 88 (11.8) 33 (20.1) <0.05

Abbreviations: AS, ankylosing spondylitis; DMARD, disease-modifying antirheumatic drug; PM/DM, polymyositis or dermatomyositis; GCA, giant cell arteritis; GPA, granulomatosis with polyangiitis; HIV, human immunodeficiency virus; IBD, inflammatory bowel disease; IL-17, interleukin-17; PsA/Pso, psoriatic arthritis or psoriasis; RA, rheumatoid arthritis; SLE, systemic lupus erythematosus; SS, Sjogren syndrome; SSc, systemic sclerosis; TAK, Takayasu’s arteritis; TNF, tumour necrosis factor.

Proportions were compared with chi-square or Fisher’s exact test.

* Includes systemic arterial hypertension, coronary artery disease, cardiopathy, heart failure, stroke, and arrhythmia.

§ Includes asthma, bronchitis, emphysema, chronic obstructive pulmonary disease, and fibrosis.

† Includes hepatitis B, hepatitis C, cirrhosis, and non-alcoholic fatty liver disease.

‡ Includes haemodialysis and peritoneal dialysis.

¶ Includes haematopoietic malignancies.