Acceptance of a post-partum influenza vaccination (cocooning) strategy for neonates in Greece

Maltezou, Helena C.; Kalogriopoulou, Kleopatra; Pergialiotis, Vasilios; Siahanidou, Tania; Skiathitou, Anna V.; Katerelos, Panos; Goumalatsos, Nikolaos; Kostis, Evangelos; Antsaklis, A.; Theodoridou, Maria

doi:10.1016/j.vaccine.2012.06.082

Cited by 10 publications

(14 citation statements)

References 14 publications

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“…Fear of adverse events was reported by more than one fourth of women who declined vaccination, and in half cases they worried about adverse events to their babies. In a study conducted in the same hospital few years ago, 73.7% of women accepted to get the influenza vaccine early post-partum in order to protect their young babies (cocooning strategy) 18 compared to 19.5% uptake rate by pregnant women in the current study; this difference indicates that safety fears for the baby is a significant barrier to vaccine uptake during pregnancy. Safety concerns also impacted influenza vaccination decisions by pregnant women as well as by healthcare workers in other studies also, 10,[14][15][16] while perceived vaccine safety, efficacy and disease susceptibility were associated with intention to get the influenza vaccine.…”

Section: Discussioncontrasting

confidence: 50%

“…12 In this latter country, reported vaccine uptake rate was 70.5% when vaccination was offered by their healthcare provider, 43.7% when it was recommended but not offered and 14.8% when it was not recommended, 12 which underlines the role of healthcare professionals as well as of on-site vaccination. 13,17,18 In the current study, influenza vaccination in the past was associated with a 3.6-fold increased probability to get vaccinated. This is in accordance with others.…”

Section: Discussionmentioning

confidence: 48%

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Knowledge about influenza and adherence to the recommendations for influenza vaccination of pregnant women after an educational intervention in Greece

Maltezou

Koutroumanis

Kritikopoulou

et al. 2019

Human Vaccines & Immunotherapeutics

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Pregnant women and young infants are at increased risk for influenza-associated severe disease, complications and hospitalizations. In Greece influenza vaccination during pregnancy remains extremely low. We studied the knowledge about influenza and the adherence to the recommendations for influenza vaccination of pregnant women following an educational intervention in a large maternity hospital. A standardized questionnaire was used. A knowledge score was calculated for each woman. A total of 304 pregnant women were studied [mean age: 31.5 years (standard deviation (SD): 5.4 years), mean gestational age: 27.8 weeks (SD: 9.6 weeks)]. Their mean knowledge score was 87%. Sixty pregnant women (19.5%) were vaccinated against influenza at a mean gestational age of 24.6 weeks (SD: 7.5 weeks). Multiple regression analysis revealed that previous influenza vaccination and information about the need to get vaccinated were the only significant factors associated with an increased probability for influenza vaccination during pregnancy (47% versus 17% in women with and without a history of influenza vaccination in the past, respectively; odds ratio = 3.6; p-value = 0.016, and 32% versus 4% in women informed compared to those uninformed about the need for vaccination during pregnancy, respectively; odds ratio = 17.8; p-value<0.001). Seventy women provided a reason for refusing influenza vaccination. "Fear of adverse events" (for them or the fetus) was the prevalent reason for refusing influenza vaccination (19 women; 27%), followed by the statements "influenza vaccination is not necessary" (13; 18.5%) and "not at risk to get influenza" (9; 13%). In conclusion, an educational intervention was associated with an influenza vaccination rate of 19.5% among pregnant women compared to <2% the past years. In order to improve vaccine uptake by pregnant women and protect them and their babies, more intensified interventions should be explored.

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Section: Discussioncontrasting

confidence: 50%

Section: Discussionmentioning

confidence: 48%

Knowledge about influenza and adherence to the recommendations for influenza vaccination of pregnant women after an educational intervention in Greece

Maltezou

Koutroumanis

Kritikopoulou

et al. 2019

Human Vaccines & Immunotherapeutics

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“…Study designs used in the included studies were RCT/Quasi-experiments (n = 11), cohort (n = 6), and cross-sectional (n = 6). The vaccines targeted included a wide range of illnesses, including influenza [44,[46][47][48][49][50][51][52][53][54][55][56], pneumococcal [47,56], hepatitis [48,[57][58][59][60][61][62], polio [48,54,63,64], pertussis [45,48,[54][55][56]65], diphtheria and tetanus [45,48,[54][55][56], and measles-mumps-rubella [48] Note: AOR = Adjusted Odds Ratio; GP = General Practitioners; HBV= Hepatitis B virus, HCP = Health Care Professional.…”

Section: Study Characteristicsmentioning

confidence: 99%

A Systematic Review of Behaviour Change Techniques within Interventions to Increase Vaccine Uptake among Ethnic Minority Populations

et al. 2023

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: COVID-19 caused significant morbidity and mortality amongst ethnic minority groups, but vaccine uptake remained lower than non-minoritised groups. Interventions to increase vaccine uptake among ethnic minority communities are crucial. This systematic review synthesises and evaluates behaviour change techniques (BCTs) in interventions to increase vaccination uptake in ethnic minority populations. We searched five databases and grey literature sources. From 7637 records identified, 23 studies were included in the review. Interventions were categorised using the Behaviour Change Wheel (BCW) and Behaviour Change Taxonomy v1. Vaccines included influenza, pertussis, tetanus, diphtheria, meningitis and hepatitis. Interventions were primarily delivered in health centres/clinics and community settings. Six BCW intervention functions and policy categories and 26 BCTs were identified. The main intervention functions used were education, persuasion and enablement. Overall, effective interventions had multi-components and were tailored to specific populations. No strong evidence was observed to recommend specific interventions, but raising awareness and involvement of community organisations was associated with positive effects. Several strategies are used to increase vaccine uptake among ethnic minority communities; however, these do not address all issues related to low vaccine acceptance. There is a strong need for an increased understanding of addressing vaccine hesitancy among ethnic minority groups.

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“…The underlying assumption for this technique is that most infants contract influenza from caregivers or other close contacts. 48 Some hospitals around the country are implementing programs to provide free or reduced influenza or Tdap vaccines to close contacts of either ill pediatric patients or infants < 6 mo of age in order to increase the use of this technique. The integration of cocooning in family-care and in hospitals treating high-risk patients is a way to protect individuals from illness.…”

Section: Prevention Of Influenza In Children <6 Monthsmentioning

confidence: 99%

Infants and the seasonal influenza vaccine

Moriarty

Omer

2014

Human Vaccines & Immunotherapeutics

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Acceptance of a post-partum influenza vaccination (cocooning) strategy for neonates in Greece

Cited by 10 publications

References 14 publications

Knowledge about influenza and adherence to the recommendations for influenza vaccination of pregnant women after an educational intervention in Greece

Knowledge about influenza and adherence to the recommendations for influenza vaccination of pregnant women after an educational intervention in Greece

A Systematic Review of Behaviour Change Techniques within Interventions to Increase Vaccine Uptake among Ethnic Minority Populations

Infants and the seasonal influenza vaccine

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