Uptake of influenza vaccine by pregnant women: A cross-sectional survey

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The Medical journal of Australia (Impact Factor: 4.09). 04/2013; 198(7):373-5. DOI: 10.5694/mja12.11849
Source: PubMed


To determine influenza vaccination coverage among pregnant women in New South Wales, and factors associated with vaccine uptake during pregnancy.
Quantitative self-administered survey of pregnant women, using a non-random, stratified sample from antenatal clinics at three demographically diverse hospitals in NSW during the influenza season of 2011.
Self-reported influenza vaccine uptake while pregnant; and attitudes, barriers and facilitators to vaccine acceptance during pregnancy.
Of 939 women approached, 815 participated (87%). Influenza vaccine uptake in pregnant women was 27%. Women who had received a recommendation to have the vaccine were 20.0 times (95% CI, 10.9-36.9) more likely to have been vaccinated. Forty-two per cent recalled receiving a recommendation to be vaccinated. Other factors associated with vaccination were study site, perceived infection severity, overall feelings toward vaccination during pregnancy, vaccine accessibility, and willingness to take up the vaccine if recommended. Concern about the baby's safety was negatively associated with vaccination (odds ratio, 0.5; 95% CI, 0.2-0.9), but 68% (95% CI, 63%-71%) of women who expressed concern agreed they would have the vaccine if their health care professional recommended it.
Recommendation from a health care provider is strongly associated with influenza vaccine uptake among pregnant women and can overcome their concerns about safety, but less than half the women surveyed reported receiving such a recommendation. Educational material targeting pregnant women and professional education and support for antenatal health care providers are needed to increase awareness and recommendation.

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    • "The role of health care professional advice, perceived susceptibility to disease, and social norms surrounding health care practice have all previously been identified as factors associated with vaccination in pregnancy (Fabry, Gagneur, & Pasquier, 2011; Gorman et al., 2012; Lau et al., 2010; Naleway et al., 2006). In the quantitative arm of this study, we found that pregnant women who had received a recommendation to have an influenza vaccine were 20 times more likely to receive the vaccine than those who received no such recommendation; women who had received a recommendation to have the pertussis vaccine postpartum were 7 times more likely to report intention to have the vaccine (Wiley, Massey, Cooper, Wood, Ho, et al., 2013; Wiley, Massey, Cooper, Wood, Quinn, & Leask, 2013). These results confirm our qualitative findings relating to the integral role of the health care provider in how pregnant women view and act on vaccination. "
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    ABSTRACT: Internationally, pregnant and postpartum women have been the focus of influenza and pertussis immunization campaigns, with differing levels of vaccine acceptance. We used semistructured interviews to explore pregnant women's perspectives on influenza vaccination during pregnancy and postpartum pertussis vaccination. Many women saw pregnancy as a busy time filled with advice on what they "should" and "should not" do to ensure the health of their fetus, and vaccinating themselves was regarded as just one of these tasks needing consideration. Women were more concerned about potential risks to their infants' health before their own. They saw influenza as a disease affecting the mother, whereas they viewed pertussis as a threat to the baby and therefore comparatively more risky. They were thus more likely to intend to vaccinate against pertussis to protect their infant. Framing of vaccination information toward protection of the baby might help increase vaccine uptake among pregnant women.
    Qualitative Health Research 09/2014; 25(3). DOI:10.1177/1049732314551061 · 2.19 Impact Factor
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    • "In relation to influenza vaccination during pregnancy, women have indicated that they feel it is the physician who should explain the choice of whether to be vaccinated or not, and if the message was clear and unequivocal then they would follow the recommendation [42]. Even women who have safety concerns about the vaccine still indicate that they would accept it if the provider recommended it [23]. "
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    ABSTRACT: Background Pregnant women have an increased risk of influenza complications. Influenza vaccination during pregnancy is safe and effective, however coverage in Australia is less than 40%. Pregnant women who receive a recommendation for influenza vaccination from a health care provider are more likely to receive it, however the perspectives of Australian general practitioners has not previously been reported. The aim of the study was to investigate the knowledge, attitudes, beliefs, and practices of general practitioners practicing in South-Western Sydney, Australia towards influenza vaccination during pregnancy. Methods A qualitative descriptive study was conducted, with semi-structured interviews completed with seventeen general practitioners in October 2012. A thematic analysis was undertaken by four researchers, and transcripts were analysed using N-Vivo software according to agreed codes. Results One-third of the general practitioners interviewed did not consider influenza during pregnancy to be a serious risk for the mother or the baby. The majority of the general practitioners were aware of the government recommendations for influenza vaccination during pregnancy, but few general practitioners were confident of their knowledge about the vaccine and most felt they needed more information. More than half the general practitioners had significant concerns about the safety of influenza vaccination during pregnancy. Their practices in the provision of the vaccine were related to their perception of risk of influenza during pregnancy and their confidence about the safety of the vaccine. While two-thirds reported that they are recommending influenza vaccination to their pregnant patients, many were adopting principles of patient-informed choice in their approach and encouraged women to decide for themselves whether they would receive the vaccine. Conclusions General practitioners have varied knowledge, attitudes, and beliefs about influenza vaccination during pregnancy, which influence their practices. Addressing these could have a significant impact on improving vaccine uptake during pregnancy.
    BMC Family Practice 05/2014; 15(1):102. DOI:10.1186/1471-2296-15-102 · 1.67 Impact Factor

  • The Medical journal of Australia 04/2013; 198(7):349-50. DOI:10.5694/mja13.10294 · 4.09 Impact Factor
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