Article

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

862957 .
The Medical journal of Australia (Impact Factor: 3.79). 04/2013; 198(7):373-5. DOI: 10.5694/mja12.11849
Source: PubMed

ABSTRACT 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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Available from: Peter Massey, Jul 30, 2015
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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
  • The Medical journal of Australia 04/2013; 198(7):349-50. DOI:10.5694/mja13.10294 · 3.79 Impact Factor
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    ABSTRACT: INTRODUCTION: Post-partum vaccination of new mothers is currently recommended in Australia to reduce pertussis infection in infants. Internationally, vaccination recommendations now include pregnant women in some countries. Understanding the awareness of pertussis vaccination recommendations among pregnant women, and their willingness to have the vaccine while pregnant is important for informing vaccine program implementation. OBJECTIVE: To determine awareness and intentions toward current recommendations for post-partum pertussis vaccination among Australian pregnant women, and their willingness to accept pertussis vaccine during pregnancy, should it be recommended in Australia in the future. DESIGN: Quantitative self-administered survey, using a non-random stratified sampling plan based on representative proportions by age, parity and region of residence. PARTICIPANTS AND SETTING: Pregnant women receiving antenatal care through three large, demographically diverse referral hospitals in metropolitan, urban and rural New South Wales, Australia. RESULTS: The response rate was 815/939 (87%). Most women (80%) reported willingness to have the pertussis vaccine during pregnancy, should it be recommended. Thirty four per cent of women intended to receive a pertussis vaccine post-partum, 17% had received it previously, while 45% had never heard of pertussis vaccine, had not thought about it, or were undecided about having it. Compared with those who had not received a recommendation to have the vaccine post-partum, women who had received a recommendation were 7 times more likely (95% CI 4-14) to report intention to have the vaccine. CONCLUSIONS: Health care provider recommendation is paramount to raising awareness of pertussis vaccination recommendations among pregnant women. Women's willingness to have the vaccine while pregnant is encouraging, and indicates the potential for high pertussis vaccine coverage among pregnant women, should it be recommended in Australia.
    Vaccine 06/2013; 31(37). DOI:10.1016/j.vaccine.2013.06.015 · 3.49 Impact Factor
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