Table 3.

Factors associated with patient-reported flares following vaccination among IIM patients

Univariate
Multivariable regression
OR (95% CI)PBetaOR (95% CI)aP
Age (as a scale variable)0.997 (0.996, 0.999)<0.001–0.0150.98 (0.96, 1.00)0.057
Female gender (ref. males)2.6 (1.5, 4.4)<0.0010.4691.5 (0.9, 2.8)0.101
Asian (ref. Caucasians)1.4 (0.7, 2.8)0.2680.2761.3 (0.6, 2.7)0.459
Native American (ref. Caucasians)10.7 (0.6, 172.9)0.0941.9717.1 (0.4, 125.4)0.177
African American or African origin (ref. Caucasians)1.8 (0.7, 4.2)0.1530.3431.4 (0.5, 3.4)0.454
Hispanic (ref. Caucasians)1.9 (0.8, 4.2)0.0950.4871.6 (0.7, 3.7)0.258
Mixed (ref. Caucasians)4.0 (1.5, 10.5)0.0041.0292.7 (0.9, 8.1)0.059
Others (ref. Caucasians)1.6 (0.3, 7.4)0.5140.4581.5 (0.3, 7.6)0.570
AID comorbidity (ref. those without AID comorbidity)1.8 (1.2, 2.6)0.0020.3311.3 (0.9, 2.1)0.116
Any comorbidity (non-AID) (ref. those without non-AID comorbidities)1.0 (0.7, 1.6)0.7670.3831.4 (0.9, 2.3)0.121
Mental health disorders (ref. those without mental health disorders)1.9 (1.3, 2.8)<0.001–0.1840.8 (0.4, 1.6)0.579
Asthma (ref. no asthma)1.8 (1.1, 2.8)0.0090.2881.3 (0.7, 2.2)0.280
Anxiety (ref. no anxiety)2.1 (1.4, 3.2)<0.0010.6972.0 (1.04, 3.8)0.037
Insomnia (ref. no insomnia)2.3 (1.3, 3.9)0.0020.5991.8 (0.9, 3.4)0.068
Diabetes mellitus (ref. no diabetes)0.5 (0.2, 1.0)0.056–0.6960.4 (0.2, 1.1)0.063
Pfizer vaccine (ref. rest of vaccine)1.1 (0.7, 1.6)0.5070.9151.0 (0.6, 1.5)0.915
Oxford vaccine (ref. rest of vaccine)0.5 (0.2, 1.1)0.112–0.3440.7 (0.3, 1.5)0.398
DM (ref. other IIM)1.5 (1.01, 2.3)0.0410.2111.2 (0.7, 1.9)0.355
IBM (ref. other IIM)0.3 (0.1, 0.7)0.002–0.6580.5 (0.2, 1.1)0.083
Rituximab use (ref. rituximab non users)0.4 (0.2, 1.0)0.055–1.0740.3 (0.1, 0.7)0.010
AZA use (ref. AZA non users)0.4 (0.1, 1.0)0.060–1.0670.3 (0.1, 0.8)0.016
Univariate
Multivariable regression
OR (95% CI)PBetaOR (95% CI)aP
Age (as a scale variable)0.997 (0.996, 0.999)<0.001–0.0150.98 (0.96, 1.00)0.057
Female gender (ref. males)2.6 (1.5, 4.4)<0.0010.4691.5 (0.9, 2.8)0.101
Asian (ref. Caucasians)1.4 (0.7, 2.8)0.2680.2761.3 (0.6, 2.7)0.459
Native American (ref. Caucasians)10.7 (0.6, 172.9)0.0941.9717.1 (0.4, 125.4)0.177
African American or African origin (ref. Caucasians)1.8 (0.7, 4.2)0.1530.3431.4 (0.5, 3.4)0.454
Hispanic (ref. Caucasians)1.9 (0.8, 4.2)0.0950.4871.6 (0.7, 3.7)0.258
Mixed (ref. Caucasians)4.0 (1.5, 10.5)0.0041.0292.7 (0.9, 8.1)0.059
Others (ref. Caucasians)1.6 (0.3, 7.4)0.5140.4581.5 (0.3, 7.6)0.570
AID comorbidity (ref. those without AID comorbidity)1.8 (1.2, 2.6)0.0020.3311.3 (0.9, 2.1)0.116
Any comorbidity (non-AID) (ref. those without non-AID comorbidities)1.0 (0.7, 1.6)0.7670.3831.4 (0.9, 2.3)0.121
Mental health disorders (ref. those without mental health disorders)1.9 (1.3, 2.8)<0.001–0.1840.8 (0.4, 1.6)0.579
Asthma (ref. no asthma)1.8 (1.1, 2.8)0.0090.2881.3 (0.7, 2.2)0.280
Anxiety (ref. no anxiety)2.1 (1.4, 3.2)<0.0010.6972.0 (1.04, 3.8)0.037
Insomnia (ref. no insomnia)2.3 (1.3, 3.9)0.0020.5991.8 (0.9, 3.4)0.068
Diabetes mellitus (ref. no diabetes)0.5 (0.2, 1.0)0.056–0.6960.4 (0.2, 1.1)0.063
Pfizer vaccine (ref. rest of vaccine)1.1 (0.7, 1.6)0.5070.9151.0 (0.6, 1.5)0.915
Oxford vaccine (ref. rest of vaccine)0.5 (0.2, 1.1)0.112–0.3440.7 (0.3, 1.5)0.398
DM (ref. other IIM)1.5 (1.01, 2.3)0.0410.2111.2 (0.7, 1.9)0.355
IBM (ref. other IIM)0.3 (0.1, 0.7)0.002–0.6580.5 (0.2, 1.1)0.083
Rituximab use (ref. rituximab non users)0.4 (0.2, 1.0)0.055–1.0740.3 (0.1, 0.7)0.010
AZA use (ref. AZA non users)0.4 (0.1, 1.0)0.060–1.0670.3 (0.1, 0.8)0.016
a

Binary logistic regression was adjusted for age, gender, ethnicity, vaccine type and other factors significant (P < 0.05) or nearing significance (P < 0.07) in univariate analysis were used as covariates using enter method. Bold indicates statistical significance (P < 0.05). IIM: idiopathic inflammatory myopathies; OR: odds ratio; ref: reference group; AID: autoimmune disease.

Table 3.

Factors associated with patient-reported flares following vaccination among IIM patients

Univariate
Multivariable regression
OR (95% CI)PBetaOR (95% CI)aP
Age (as a scale variable)0.997 (0.996, 0.999)<0.001–0.0150.98 (0.96, 1.00)0.057
Female gender (ref. males)2.6 (1.5, 4.4)<0.0010.4691.5 (0.9, 2.8)0.101
Asian (ref. Caucasians)1.4 (0.7, 2.8)0.2680.2761.3 (0.6, 2.7)0.459
Native American (ref. Caucasians)10.7 (0.6, 172.9)0.0941.9717.1 (0.4, 125.4)0.177
African American or African origin (ref. Caucasians)1.8 (0.7, 4.2)0.1530.3431.4 (0.5, 3.4)0.454
Hispanic (ref. Caucasians)1.9 (0.8, 4.2)0.0950.4871.6 (0.7, 3.7)0.258
Mixed (ref. Caucasians)4.0 (1.5, 10.5)0.0041.0292.7 (0.9, 8.1)0.059
Others (ref. Caucasians)1.6 (0.3, 7.4)0.5140.4581.5 (0.3, 7.6)0.570
AID comorbidity (ref. those without AID comorbidity)1.8 (1.2, 2.6)0.0020.3311.3 (0.9, 2.1)0.116
Any comorbidity (non-AID) (ref. those without non-AID comorbidities)1.0 (0.7, 1.6)0.7670.3831.4 (0.9, 2.3)0.121
Mental health disorders (ref. those without mental health disorders)1.9 (1.3, 2.8)<0.001–0.1840.8 (0.4, 1.6)0.579
Asthma (ref. no asthma)1.8 (1.1, 2.8)0.0090.2881.3 (0.7, 2.2)0.280
Anxiety (ref. no anxiety)2.1 (1.4, 3.2)<0.0010.6972.0 (1.04, 3.8)0.037
Insomnia (ref. no insomnia)2.3 (1.3, 3.9)0.0020.5991.8 (0.9, 3.4)0.068
Diabetes mellitus (ref. no diabetes)0.5 (0.2, 1.0)0.056–0.6960.4 (0.2, 1.1)0.063
Pfizer vaccine (ref. rest of vaccine)1.1 (0.7, 1.6)0.5070.9151.0 (0.6, 1.5)0.915
Oxford vaccine (ref. rest of vaccine)0.5 (0.2, 1.1)0.112–0.3440.7 (0.3, 1.5)0.398
DM (ref. other IIM)1.5 (1.01, 2.3)0.0410.2111.2 (0.7, 1.9)0.355
IBM (ref. other IIM)0.3 (0.1, 0.7)0.002–0.6580.5 (0.2, 1.1)0.083
Rituximab use (ref. rituximab non users)0.4 (0.2, 1.0)0.055–1.0740.3 (0.1, 0.7)0.010
AZA use (ref. AZA non users)0.4 (0.1, 1.0)0.060–1.0670.3 (0.1, 0.8)0.016
Univariate
Multivariable regression
OR (95% CI)PBetaOR (95% CI)aP
Age (as a scale variable)0.997 (0.996, 0.999)<0.001–0.0150.98 (0.96, 1.00)0.057
Female gender (ref. males)2.6 (1.5, 4.4)<0.0010.4691.5 (0.9, 2.8)0.101
Asian (ref. Caucasians)1.4 (0.7, 2.8)0.2680.2761.3 (0.6, 2.7)0.459
Native American (ref. Caucasians)10.7 (0.6, 172.9)0.0941.9717.1 (0.4, 125.4)0.177
African American or African origin (ref. Caucasians)1.8 (0.7, 4.2)0.1530.3431.4 (0.5, 3.4)0.454
Hispanic (ref. Caucasians)1.9 (0.8, 4.2)0.0950.4871.6 (0.7, 3.7)0.258
Mixed (ref. Caucasians)4.0 (1.5, 10.5)0.0041.0292.7 (0.9, 8.1)0.059
Others (ref. Caucasians)1.6 (0.3, 7.4)0.5140.4581.5 (0.3, 7.6)0.570
AID comorbidity (ref. those without AID comorbidity)1.8 (1.2, 2.6)0.0020.3311.3 (0.9, 2.1)0.116
Any comorbidity (non-AID) (ref. those without non-AID comorbidities)1.0 (0.7, 1.6)0.7670.3831.4 (0.9, 2.3)0.121
Mental health disorders (ref. those without mental health disorders)1.9 (1.3, 2.8)<0.001–0.1840.8 (0.4, 1.6)0.579
Asthma (ref. no asthma)1.8 (1.1, 2.8)0.0090.2881.3 (0.7, 2.2)0.280
Anxiety (ref. no anxiety)2.1 (1.4, 3.2)<0.0010.6972.0 (1.04, 3.8)0.037
Insomnia (ref. no insomnia)2.3 (1.3, 3.9)0.0020.5991.8 (0.9, 3.4)0.068
Diabetes mellitus (ref. no diabetes)0.5 (0.2, 1.0)0.056–0.6960.4 (0.2, 1.1)0.063
Pfizer vaccine (ref. rest of vaccine)1.1 (0.7, 1.6)0.5070.9151.0 (0.6, 1.5)0.915
Oxford vaccine (ref. rest of vaccine)0.5 (0.2, 1.1)0.112–0.3440.7 (0.3, 1.5)0.398
DM (ref. other IIM)1.5 (1.01, 2.3)0.0410.2111.2 (0.7, 1.9)0.355
IBM (ref. other IIM)0.3 (0.1, 0.7)0.002–0.6580.5 (0.2, 1.1)0.083
Rituximab use (ref. rituximab non users)0.4 (0.2, 1.0)0.055–1.0740.3 (0.1, 0.7)0.010
AZA use (ref. AZA non users)0.4 (0.1, 1.0)0.060–1.0670.3 (0.1, 0.8)0.016
a

Binary logistic regression was adjusted for age, gender, ethnicity, vaccine type and other factors significant (P < 0.05) or nearing significance (P < 0.07) in univariate analysis were used as covariates using enter method. Bold indicates statistical significance (P < 0.05). IIM: idiopathic inflammatory myopathies; OR: odds ratio; ref: reference group; AID: autoimmune disease.

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