2010 A(H1N1) vaccination in pregnant women in Brazil: identifying coverage and associated factors

Mendoza-Sassi, Raúl Andrés; César, Juraci Almeida; Cagol, Jussara Maria; Duarte, Ivanise Almeida; Friedrich, Luana Mostardeiro; Santos, Viviane Kubiszewski dos; Zhang, Linjie

doi:10.1590/0102-311x00084514

“…In our study, having ve or more antenatal visits increase the probability of vaccination which is in accordance to other studies [40][41][42]. Antenatal check-ups are essential to promoting the bene ts of in uenza vaccination and to offering the vaccine to pregnant women [43].…”

Section: Discusionsupporting

confidence: 91%

Knowledge, attitudes and practices on influenza vaccine during pregnancy in Quito, Ecuador

Erazo

¹

,

Erazo

²

,

Grijalva

³

et al. 2020

Preprint

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Background: Vaccination is the most effective way to prevent infection and severe outcomes caused by influenza viruses in pregnant women and their children. In Ecuador, the coverage of seasonal influenza vaccination in pregnant women is low. The aim of this study was to assess the knowledge, attitudes and practices of pregnant women toward influenza vaccination in Quito-Ecuador.Methods: A cross-sectional study enrolled 842 women who delivered at three main public gynecological-obstetric units of the Metropolitan District of Quito. A questionnaire regarding demographics, antenatal care, risk conditions and knowledge, attitudes and practices related to influenza vaccination was administered. We examined factors associated with vaccination using log-binomial regression models.Results: A low vaccination rate (36.6%) against influenza was observed among pregnant women. The factors associated with vaccination included the recommendations from health providers (adjusted PR: 15.84; CI 95% 9.62-26.10), belief in the safety of the influenza vaccine (adjusted PR: 1.53; CI 95% 1.03-2.37) and antenatal care (adjusted PR: 1.21; CI 95% 1.01-1.47). The most common reasons for not vaccinating included the lack of recommendation from health care providers (73.9%) and lack of access to vaccine (9.0%).Conclusions: Health educational programs aimed to pregnant women and antenatal care providers have the most potential to increase influenza vaccination rates. Further studies are needed to understand the barriers of health care providers regarding influenza vaccination in Ecuador.

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“…In our study, having ve or more antenatal visits increase the probability of vaccination which is in accordance to other studies (48)(49)(50). Antenatal check-ups are essential to promoting the bene ts of in uenza vaccination and to offering the vaccine to pregnant women (51).…”

Section: Discusionsupporting

confidence: 91%

Knowledge, attitudes and practices on influenza vaccine during pregnancy in Quito, Ecuador

Erazo

¹

,

Erazo

²

,

Grijalva

³

et al. 2020

Preprint

0

View full text Add to dashboard Cite

Background: Vaccination is the most effective way to prevent infection and severe outcomes caused by influenza viruses in pregnant women and their children. In Ecuador, the coverage of seasonal influenza vaccination in pregnant women is low. The aim of this study was to assess the knowledge, attitudes and practices of pregnant women toward influenza vaccination in Quito-Ecuador.Methods: A cross-sectional study enrolled 842 women who delivered at three main public gynecological-obstetric units of the Metropolitan District of Quito. A questionnaire regarding demographics, antenatal care, risk conditions and knowledge, attitudes and practices related to influenza vaccination was administered. We examined factors associated with vaccination using log-binomial regression models.Results: A low vaccination rate (36.6%) against influenza was observed among pregnant women. The factors associated with vaccination included the recommendations from health providers (adjusted PR: 15.84; CI 95% 9.62-26.10), belief in the safety of the influenza vaccine (adjusted PR: 1.53; CI 95% 1.03-2.37) and antenatal care (adjusted PR: 1.21; CI 95% 1.01-1.47). The most common reasons for not vaccinating included the lack of recommendation from health care providers (73.9%) and lack of access to vaccine (9.0%).Conclusions: Health educational programs aimed to pregnant women and antenatal care providers have the most potential to increase influenza vaccination rates. Further studies are needed to understand the barriers of health care providers regarding influenza vaccination in Ecuador.

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“…Higher maternal age at booking and an association with receiving the influenza vaccination has been found in previous studies (Ahluwalia et al, 2014;Blondel et al, 2012;Cleary et al, 2014;Dlugacz et al, 2012;Drees et al, 2012;Freund et al, 2011;Goldfarb et al, 2011;Henninger et al, 2015; Howland et al, 2013;Liu et al, 2012;Mak et al, 2015;Mendoza-Sassi et al, 2015;Sammon et al, 2013;Scheminske et al, 2015;Steelfisher et al, 2011;Yuen et al, 2014). However, some studies found no statistical significant difference with regards to vaccine uptake and maternal age (Bhaskar et al, 2015;de Ávila Kfouri & Richtmann, 2013;Eppes et al, 2013;Maher et al, 2013;Ozer et al, 2010).…”

Section: Agementioning

confidence: 86%

Can common characteristics be identified as predictors for seasonal influenza vaccine uptake in pregnancy? A retrospective cohort study from a South London Hospital

Carlisle

¹

,

Seed

²

,

Gillman

³

2019

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2010 A(H1N1) vaccination in pregnant women in Brazil: identifying coverage and associated factors

Cited by 15 publications

References 33 publications

Knowledge, attitudes and practices on influenza vaccine during pregnancy in Quito, Ecuador

Knowledge, attitudes and practices on influenza vaccine during pregnancy in Quito, Ecuador

Knowledge, attitudes and practices on influenza vaccine during pregnancy in Quito, Ecuador

Can common characteristics be identified as predictors for seasonal influenza vaccine uptake in pregnancy? A retrospective cohort study from a South London Hospital

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