nach oben

Maternal and Child Health Journal

Erschienen in:

07.02.2018

Maternal Care Providers’ Barriers Regarding Influenza and Pertussis Vaccination During Pregnancy in Catalonia, Spain

verfasst von: Luz Maria Vilca, Cristina Martínez, Miriam Burballa, Magda Campins

Erschienen in: Maternal and Child Health Journal | Ausgabe 7/2018

Einloggen, um Zugang zu erhalten

Abstract

Objective Maternal care providers (MCPs), obstetrician-gynaecologists and midwives are uniquely placed to increase maternal vaccination acceptance. We aimed to assess their knowledge, attitudes and practices regarding influenza and pertussis vaccination during pregnancy. Methods We conducted an online survey among MCPs working at “Attention to Sexual and Reproductive Health” (ASSIR) Units in Catalonia region. The survey included questions about current recommendations of influenza and pertussis immunization during pregnancy, reasons for not routinely recommending vaccination and several strategies to increase vaccination uptake. Results A total of 194 MCPs completed the survey, 178 (91.8%) were female and 145 (70%) were midwives. Only 61 (31.4%) stated they vaccinated themselves annually against influenza with a significant lower uptake among midwives (26.9%) than obstetrician-gynaecologists (44.9%) (p = 0.03). Overall, 53.6% of MCPs knew influenza vaccine was indicated during first trimester but only 43.3% stated they prescribed it. Almost all MCPs (98.5%) knew pertussis vaccine was recommended and 97.4% stated they prescribed it. The most important vaccination barrier found was the concern related to vaccine adverse events (25.9%) and more midwives than obstetrician-gynaecologists expressed this concern (30.8 vs. 10%) (p = 0.02). The most popular strategies were: including vaccine recommendations in the pregnancy booklet (93.8%) and receiving vaccination training (92.3%). In the adjusted analysis, the only factor significantly associated with MCPs’ prescription of influenza vaccine during second/third trimester was having been vaccinated themselves (odds ratio 3.70, 95% confidence interval 1.3–13.2). Conclusions for Practice Implementation of practical tools, continuous training and clear definition of responsibilities regarding vaccination among MCPs may have a significant impact on maternal vaccination coverage.

Nur mit Berechtigung zugänglich

ACOG Committee Opinion No. 566: Update on immunization and pregnancy: Tetanus, diphtheria, and pertussis vaccination. (2013) Obstetrics and Gynecology, 121(6), 1411–1414. https://doi.org/10.1097/01.AOG.0000431054.33593.e3.

Amirthalingam, G., Andrews, N., Campbell, H., Ribeiro, S., Kara, E., Donegan, K., … Ramsay, M. (2014). Effectiveness of maternal pertussis vaccination in England: An observational study. Lancet, 384(9953), 1521–1528. https://doi.org/10.1016/S0140-6736(14)60686-3.CrossRefPubMed

Blanchard-Rohner, G., Meier, S., Ryser, J., Schaller, D., Combescure, C., Yudin, M. H., … Siegrist, C.-A. (2012). Acceptability of maternal immunization against influenza: The critical role of obstetricians. The Journal of Maternal-Fetal & Neonatal Medicine: The Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 25(9), 1800–1809. https://doi.org/10.3109/14767058.2012.663835.CrossRef

Bödeker, B., Walter, D., Reiter, S., & Wichmann, O. (2014). Cross-sectional study on factors associated with influenza vaccine uptake and pertussis vaccination status among pregnant women in Germany. Vaccine, 32(33), 4131–4139. https://doi.org/10.1016/j.vaccine.2014.06.007.CrossRefPubMed

Cabezas, C., Vilajeliu, A., & Urbiztondo, L. (2016). Impact of pertussis vaccination program in pregnant women in Catalonia (in Spanish). In M. Campins & F. Moraga (Eds.), Vacunas 2016. Madrid: Undergraf.

Centers for Disease Control and Prevention. (2016). Flu Vaccine Safety and Pregnancy | Seasonal Influenza (Flu) | CDC. Retrieved May 24, 2016, from http://www.cdc.gov/flu/protect/vaccine/qa_vacpregnant.htm.

Chu, H. Y., & Englund, J. A. (2014). Maternal immunization. Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America, 59(4), 560–568. https://doi.org/10.1093/cid/ciu327.CrossRef

Community Preventive Services Task Force. (2014). The Community Guide: Increasing Appropriate Vaccination: Immunization Information Systems.

Ding, H., Black, C. L., Ball, S., Donahue, S., Fink, R. V., Williams, W. W., … Greby, S. M. (2015). Influenza vaccination coverage among pregnant women—United States, 2014-15 influenza season. MMWR. Morbidity and Mortality Weekly Report, 64(36), 1000–1005. https://doi.org/10.15585/mmwr.mm6436a2.CrossRefPubMed

Dodds, L., McNeil, S. A., Fell, D. B., Allen, V. M., Coombs, A., Scott, J., & MacDonald, N. (2007). Impact of influenza exposure on rates of hospital admissions and physician visits because of respiratory illness among pregnant women. CMAJ: Canadian Medical Association Journal = Journal de l’Association Medicale Canadienne, 176(4), 463–468. https://doi.org/10.1503/cmaj.061435.CrossRefPubMed

Domínguez, A., Godoy, P., Castilla, J., María Mayoral, J., Soldevila, N., Torner, N., … Díaz, J. (2014). Knowledge of and attitudes to influenza in unvaccinated primary care physicians and nurses. Human Vaccines & Immunotherapeutics, 10(8), 2378–2386. https://doi.org/10.4161/hv.29142.CrossRef

Domínguez, A., Godoy, P., Castilla, J., Soldevila, N., Toledo, D., Astray, J., … Torner, N. (2013). Knowledge of and attitudes to influenza vaccination in healthy primary healthcare workers in Spain, 2011-2012. PloS ONE, 8(11), e81200. https://doi.org/10.1371/journal.pone.0081200.CrossRefPubMedPubMedCentral

Generalitat de Catalunya. Departament de Salut. (2008). Pla Estratègic d’Ordenació. de Serveis de l’Atenció a la Salut Sexual i Reproductiva.

Generalitat de Catalunya. Agència de Salut Publica. (2014). Vacunació de les dones embarassades contra la tos ferina a Catalunya. Retrieved from http://canalsalut.gencat.cat/web/.content/home_canal_salut/professionals/temes_de_salut/vacunacions/documents/arxius/vac_tos_ferina_embarassades_170114.pdf.

Generalitat de Catalunya. Departament de Salut. Direcció General de Salut Pública. (2014). Guia tècnica per a la vacunació antigripal estacional 2013. Retrieved from http://canalsalut.gencat.cat/web/.content/home_canal_salut/professionals/temes_de_salut/grip/documents/arxius/guia_tecnica_campanya_antigripal.pdf.

Groothuis, J. R., Meiklejohn, G., Lauer, B. A., Levin, M. J., & Rabalais, G. P. (1991). Immunization of high-risk infants younger than 18 months of age with split-product influenza vaccine. Pediatrics, 87(6), 823–828.PubMed

Henninger, M. L., Irving, S. A., Thompson, M., Avalos, L. A., Ball, S. W., Shifflett, P., & Naleway, A. L. (2015). Factors associated with seasonal influenza vaccination in pregnant women. Journal of Women’s Health (2002), 24(5), 394–402. https://doi.org/10.1089/jwh.2014.5105.CrossRef

Ishola, D. A., Permalloo, N., Cordery, R. J., & Anderson, S. R. (2013). Midwives’ influenza vaccine uptake and their views on vaccination of pregnant women. Journal of Public Health (Oxford, England), 35(4), 570–577. https://doi.org/10.1093/pubmed/fds109.CrossRef

Jiménez-García, R., Rodríguez-Rieiro, C., Hernandez-Barrera, V., Carrasco Garrido, P., López de Andres, A., Esteban-Vasallo, M. D., … Astray-Mochales, J. (2014). Negative trends from 2008/9 to 2011/12 seasons in influenza vaccination coverages among high risk subjects and health care workers in Spain. Vaccine, 32(3), 350–354. https://doi.org/10.1016/j.vaccine.2013.11.040.CrossRefPubMed

Kissin, D. M., Power, M. L., Kahn, E. B., Williams, J. L., Jamieson, D. J., MacFarlane, K., … Callaghan, W. M. (2011). Attitudes and practices of obstetrician-gynecologists regarding influenza vaccination in pregnancy. Obstetrics and Gynecology, 118(5), 1074–1080. https://doi.org/10.1097/AOG.0b013e3182329681.CrossRefPubMedPubMedCentral

Leddy, M. A., Anderson, B. L., Power, M. L., Gall, S., Gonik, B., & Schulkin, J. (2009). Changes in and current status of obstetrician-gynecologists’ knowledge, attitudes, and practice regarding immunization. Obstetrical & Gynecological Survey, 64(12), 823–829. https://doi.org/10.1097/OGX.0b013e3181c4bbb7.CrossRef

Lee, T., Saskin, R., McArthur, M., & McGeer, A. (2005). Beliefs and practices of Ontario midwives about influenza immunization. Vaccine, 23(13), 1574–1578. https://doi.org/10.1016/j.vaccine.2004.09.024.CrossRefPubMed

Lu, A. B., Halim, A. A., Dendle, C., Kotsanas, D., Giles, M. L., Wallace, E. M., … Stuart, R. L. (2012). Influenza vaccination uptake amongst pregnant women and maternal care providers is suboptimal. Vaccine, 30(27), 4055–4059. https://doi.org/10.1016/j.vaccine.2012.04.012.CrossRefPubMed

Lu, P., Bridges, C. B., Euler, G. L., & Singleton, J. A. (2008). Influenza vaccination of recommended adult populations, U.S., 1989-2005. Vaccine, 26(14), 1786–1793. https://doi.org/10.1016/j.vaccine.2008.01.040.CrossRefPubMed

Mereckiene, J., Cotter, S., Nicoll, A., Lopalco, P., Noori, T., & Weber, J. … VENICE project gatekeepers group, C. (2014). Seasonal influenza immunisation in Europe. Overview of recommendations and vaccination coverage for three seasons: pre-pandemic (2008/09), pandemic (2009/10) and post-pandemic (2010/11). Eurosurveillance, 19(16), 20780. https://doi.org/10.2807/1560-7917.ES2014.19.16.20780.CrossRefPubMed

Moniz, M. H., & Beigi, R. H. (2014). Maternal immunization. Clinical experiences, challenges, and opportunities in vaccine acceptance. Human Vaccines & Immunotherapeutics, 10(9), 2562–2570. https://doi.org/10.4161/21645515.2014.970901.CrossRef

National Health Service. (n.d.). Whooping cough vaccination in pregnancy.

Neuzil, K. M., Reed, G. W., Mitchel, E. F., Simonsen, L., & Griffin, M. R. (1998). Impact of influenza on acute cardiopulmonary hospitalizations in pregnant women. American Journal of Epidemiology, 148(11), 1094–1102.CrossRefPubMed

Panda, B., Stiller, R., & Panda, A. (2011). Influenza vaccination during pregnancy and factors for lacking compliance with current CDC guidelines. The Journal of Maternal-Fetal & Neonatal Medicine: The Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 24(3), 402–406. https://doi.org/10.3109/14767058.2010.497882.CrossRef

Poehling, K. A., Edwards, K. M., Griffin, M. R., Szilagyi, P. G., Staat, M. A., Iwane, M. K., … Bridges, C. B. (2013). The burden of influenza in young children, 2004-2009. Pediatrics, 131(2), 207–216. https://doi.org/10.1542/peds.2012-1255.CrossRefPubMedPubMedCentral

Public Health England. (2015). Influenza immunisation programme for England. GP patient groups. Data collection survey Season 2014 to 2015. Retrieved from https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/429612/Seasonal_Flu_GP_Patient_Groups_Annual_Report_2014_15.pdf.

R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. (n.d.). Retrieved from http://www.r-project.org/.

Regan, A. K., Mak, D. B., Hauck, Y. L., Gibbs, R., Tracey, L., & Effler, P. V. (2016). Trends in seasonal influenza vaccine uptake during pregnancy in Western Australia: Implications for midwives. Women and Birth: Journal of the Australian College of Midwives. https://doi.org/10.1016/j.wombi.2016.01.009.CrossRef

Silverman, N. S., & Greif, A. (2001). Influenza vaccination during pregnancy. Patients’ and physicians’ attitudes. The Journal of Reproductive Medicine, 46(11), 989–994.PubMed

Siston, A. M., Rasmussen, S. A., Honein, M. A., Fry, A. M., Seib, K., Callaghan, W. M., … Jamieson, D. J. (2010). Pandemic 2009 influenza A(H1N1) virus illness among pregnant women in the United States. JAMA, 303(15), 1517–1525. https://doi.org/10.1001/jama.2010.479.CrossRefPubMedPubMedCentral

Sočan, M., Erčulj, V., & Lajovic, J. (2013). Knowledge and attitudes on pandemic and seasonal influenza vaccination among Slovenian physicians and dentists. European Journal of Public Health, 23(1), 92–97. https://doi.org/10.1093/eurpub/cks006.CrossRefPubMed

Tong, A., Biringer, A., Ofner-Agostini, M., Upshur, R., & McGeer, A. (2008). A cross-sectional study of maternity care providers’ and women’s knowledge, attitudes, and behaviours towards influenza vaccination during pregnancy. Journal of Obstetrics and Gynaecology Canada, 30(5), 404–410. https://doi.org/10.1016/S1701-2163(16)32825-0.CrossRefPubMed

Torner, N., Godoy, P., Soldevila, N., Toledo, D., Rius, C., & Domínguez, A. (2016). [Primary health care professionals attitudes towards influenza immunzation in Catalonia]. Atencion Primaria / Sociedad Española de Medicina de Familia Y Comunitaria, 48(3), 192–199. https://doi.org/10.1016/j.aprim.2014.09.014.CrossRef

Vilca, L. M., Verma, A., Buckeridge, D., & Campins, M. (2017). A population-based analysis of predictors of influenza vaccination uptake in pregnant women: The effect of gestational and calendar time. Preventive Medicine, 99, 111–117. https://doi.org/10.1016/j.ypmed.2017.02.010.

Vilca Yengle, L. M., Campins Martí, M., Cabero Roura, L., Rodrigo Pendás, J. A., Martínez Gómez, X., Hermosilla Pérez, E., & Vaqué Rafart, J. (2010). Influenza vaccination in pregnant women. Coverage, practices and knowledge among obstetricians. Medicina Clínica, 134(4), 146–151. https://doi.org/10.1016/j.medcli.2009.10.004.CrossRefPubMed

Wallis, D. H., Chin, J. L., & Sur, D. K. (2004). Influenza vaccination in pregnancy: Current practices in a suburban community. The Journal of the American Board of Family Practice, 17(4), 287–291.CrossRefPubMed

Wilson, R. J., Paterson, P., Jarrett, C., & Larson, H. J. (2015). Understanding factors influencing vaccination acceptance during pregnancy globally: A literature review. Vaccine. https://doi.org/10.1016/j.vaccine.2015.08.046.PubMedCentralCrossRefPubMed

Yuen, C., & Tarrant, M. (2014). Determinants of uptake of influenza vaccination among pregnant women—a systematic review. Vaccine, 32(36), 4602–4613. https://doi.org/10.1016/j.vaccine.2014.06.067.CrossRefPubMed

Zaman, K., Roy, E., Arifeen, S. E., Rahman, M., Raqib, R., Wilson, E., … Steinhoff, M. C. (2008). Effectiveness of maternal influenza immunization in mothers and infants. The New England Journal of Medicine, 359(15), 1555–1564. https://doi.org/10.1056/NEJMoa0708630.CrossRefPubMed

Titel: Maternal Care Providers’ Barriers Regarding Influenza and Pertussis Vaccination During Pregnancy in Catalonia, Spain
verfasst von: Luz Maria Vilca
Cristina Martínez
Miriam Burballa
Magda Campins
Publikationsdatum: 07.02.2018
Verlag: Springer US
Erschienen in: Maternal and Child Health Journal / Ausgabe 7/2018
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-018-2481-6

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 7/2018

Challenges and Facilitators to Promoting a Healthy Food Environment and Communicating Effectively with Parents to Improve Food Behaviors of School Children

Advanced Maternal Age and Maternal Education Disparity in Children with Autism Spectrum Disorder

Adverse Childhood Experiences and Postpartum Depression in Home Visiting Programs: Prevalence, Association, and Mediating Mechanisms

Interpregnancy Interval and Risk of Adverse Pregnancy Outcomes: A Register-Based Study of 328,577 Pregnancies in Denmark 1994–2010

Prenatal Oral Health Counseling by Primary Care Physicians: Results of a National Survey

Constructing a Culturally Informed Spanish Decision-Aid to Counsel Latino Parents Facing Imminent Extreme Premature Delivery