 The study aimed to estimate influenza vaccination coverage among Spanish adults with chronic conditions, assessed time trends from 2014 to 2017, and identify predictors of vaccine uptake using data from the 2017 Spanish National Health Survey. The results showed that overall coverage in 2017 was low, 40.3%, and decreased significantly from 2014, 41.7%. Highest coverage was found among those with cerebrovascular disease, diabetes, and heart disease, while lowest figures were for cancer and respiratory disease patients. Coverage for cancer patients declined by 25% from 2014 to 2017. Older persons had higher coverage, but females and immigrant population had lower uptakes. The study concludes that influenza vaccination coverage among high-risk Spanish adults with chronic conditions remains low and has decreased significantly over time, affecting more intensely females and immigrants. This article was authored by Maria Amartina Suedo, Ana Lopez de Andres, Eduardo Morizomarono, and others. We are article.tv, links in the description below.