Abstract

Background Psychosocial factors predict poor influenza vaccine (IV) response. Aging and negative affect (NA) may dampen IV response by reducing class switch recombination (CSR), a B-cell process primed by IV. We examined whether greater positive affect [PA] and less NA pre- and post-IV relates to greater antibody responses and CSR in older persons receiving IV. Method Older healthy persons (>60 yrs) completed the Affect Balance Scale (ABS) for NA and PA pre and post-IV in two separate Flu seasons. They received trivalent IV (H1N1, H3N2, B), and were re-assessed at 7 (t7)and 28 days (t28) for HAI titers and % switched B-cells (IgG+/IgA+CD27+) to quantify CSR. Results Season 1: greater PA was associated with greater HAI titer Fold increase and greater CSR at t28. NA at t28 correlated with less CSR (p’s Conclusion Optimizing affect pre- and post-IV may improve health in older persons.

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