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RESEARCH PRODUCT
Determinants of seasonal influenza vaccination in pregnant women in Valencia, Spain
Esther Navarro-illanaJavier Díez-domingoRafael Vila-candelEnrique Castro-sánchezFrancisco Javier Soriano-vidalPedro Navarro-illanaKiri DukeJosé Tuellssubject
Adultmedicine.medical_specialtyInfluenza vaccine coverageImmunization registryEmbaràsPsychological intervention03 medical and health sciences0302 clinical medicinePregnancyEnvironmental healthEpidemiologyInfluenza HumanmedicineHumans030212 general & internal medicineVacunacióPregnancy Complications InfectiousRetrospective Studies030219 obstetrics & reproductive medicinebusiness.industryPublic healthMedical recordlcsh:Public aspects of medicineVaccinationPublic Health Environmental and Occupational Healthlcsh:RA1-1270Patient Acceptance of Health CareVaccinationAcceptanceImmunizationSpainInfluenza VaccinesImmunologyFemaleImmunizationEnfermeríaPregnant WomenSeasonsBiostatisticsbusinessRAResearch Articledescription
Background: In most countries the coverage of seasonal influenza vaccination in pregnant women is low. We investigated the acceptance, reasons for rejection and professional involvement related to vaccine information in pregnant women in Valencia, Spain. Methods: Observational retrospective study in 200 pregnant women, 100 vaccinated and 100 unvaccinated, were interviewed during the 2014/2015 vaccination campaign. Electronic medical records, immunization registry and telephone interviews were used to determine reasons for vaccination and immunization rejection. Results: 40.5% of pregnant women in the health department were vaccinated. The midwife was identified as source of information for 89% of women. The vaccine was rejected due to low perceptions of risk of influenza infection (23%), lack of information (19%), considering the vaccine as superfluous (16%), close proximity of delivery date (13%) and fear of side effects (12%). Conclusion: Pregnant women in Spain declined to be vaccinated due to under-estimation of the risk of contracting or being harmed by influenza, and lack of information. Interventions aiming to optimize vaccination coverage should include information addressing the safety and effectiveness of the current vaccine together with improved professional training and motivation. This project has been funded by a grant awarded by Hospital Universitario de la Ribera PBR24/15.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2016-11-21 |