Determinants of seasonal influenza vaccination in pregnant women in Valencia, Spain
Por:
Vila-Candel, R, Navarro-Illana P, Navarro-Illana E, Castro-Sánchez E, Duke K, Soriano-Vidal FJ, Tuells J and Díez-Domingo J
Publicada:
21 nov 2016
Categoría:
Public health, environmental and occupational health
Resumen:
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.
Filiaciones:
:
Midwifery at La Ribera Hospital Health Department, Carretera Corbera, km 1, 46600, Alzira, Valencia, Spain.
Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain.
Navarro-Illana P:
Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain
Navarro-Illana E:
Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain
Castro-Sánchez E:
National Institute for Health Research Health Protection Research Unit (NIHR HPRU) In Healthcare Associated Infection and Antimicrobial Resistance at Imperial College London, Du Cane Road, London, W12 0NN, UK
Duke K:
Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain
:
Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain
Xàtiva-Ontinyent Health Department, Ausias March, 46.800, Xativa, Spain
Tuells J:
Cátedra de Vacunología Balmis, University of Alicante, Carretera de San Vicente del Raspeig, s/n. 03690, San Vicente del Raspeig, Alicante, Spain
:
Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain
Vaccine Research, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana, FISABIO-Public Health, Avda. Catalunya, 21. 46020, Valencia, Spain
gold, Green Accepted, Green Published
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