Acceptance and rejection of influenza vaccination by pregnant women in southern Iran

Honarvar, Behnam; Odoomi, Neda; Mahmoodi, Mojtaba; Kashkoli, Golnar Sami; Khavandegaran, Fatemeh; Lankarani, Kamran Bagheri; Moghadami, Mohsen

doi:10.4161/hv.22008

Cited by 13 publications

(22 citation statements)

References 30 publications

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“…Therefore, it is important to design and to implement interventions in order to increase the vaccination rate. The value observed in the present study is higher than those reported in other countries, since no women had received influenza vaccination in the already mentioned study in India [34], 3% in Turkey [36], 4% in Thailand [26], and it is almost identical to the 6% in Iran [37], 10.9% in Germany [38], and 16% in Canada [39]. Whereas, it is substantially below the levels observed in Australia with an uptake of 27% [20], in France of 39% [40], in Belgium of 42.8% [41], and in the United States with levels ranging from 35% [14] to 66.4% [42].…”

Section: Discussioncontrasting

confidence: 68%

Seasonal influenza vaccination in pregnant women: knowledge, attitudes, and behaviors in Italy

Napolitano

Angelillo

2017

BMC Infect Dis

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BackgroundThe aims of this study were to assess the knowledge, attitudes, and behaviors towards seasonal influenza and its vaccination among pregnant women.MethodsA cross-sectional survey was carried out among a sample of women in the second or third trimester of pregnancy in Italy.ResultsThe 64.2% of the sample knew that the influenza is more dangerous for pregnant women. Women of older age, Italian, and who had a pregnancy at high-risk were more likely to have this knowledge. This knowledge was lower among women with none, primary or secondary school education. The majority of the respondents considered the vaccine not very useful during pregnancy. Those younger, unmarried, who knew that influenza is more dangerous for pregnant women, who knew that the vaccine could protect them, who reported a higher self-rated health status, and who had received information about influenza and its vaccination were more likely to have a positive attitude toward the usefulness of influenza vaccination in pregnancy. Women with secondary school education and with more than one child revealed a lower perception. Only 9.7% had received the vaccine and 21.4% of those unvaccinated would be willing to receive it. This positive attitude was higher among women with one child, who knew that the vaccine could protect them against the influenza, and who have a positive attitude toward the usefulness of the vaccination during pregnancy.ConclusionsHealth educational programs are needed to improve the knowledge about seasonal influenza and vaccination rate in pregnancy.Electronic supplementary materialThe online version of this article (doi:10.1186/s12879-016-2138-2) contains supplementary material, which is available to authorized users.

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Section: Discussioncontrasting

confidence: 68%

Seasonal influenza vaccination in pregnant women: knowledge, attitudes, and behaviors in Italy

Napolitano

Angelillo

2017

BMC Infect Dis

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“…Our findings with respect to low uptake of influenza vaccination in pregnancy are similar to studies conducted in other populations, albeit with coverage ranging from 10 to 60% [ 23 - 27 ]. Studies that have investigated differences in uptake within populations have reported lower uptake in minority groups (eg non-Hispanic African Americans compared to non-Hispanic Americans in the United States) and between socio-economic groups [ 24 , 28 - 31 ]. Potential explanations for these disparities include access to health services, cost of vaccine and the logistics of being vaccinated and the lack of socio-culturally appropriate education.…”

Section: Discussionmentioning

confidence: 99%

“…The qualitative data arising from the yarning circles seems to support the latter two factors as important determinants of vaccine uptake. A lack of adequate information about the vaccine, why it is needed and its safety in pregnancy have been identified as major factors behind pregnant women declining a vaccine offer [ 24 , 31 , 32 ]. The majority of both vaccinated and unvaccinated women in our study did not believe the vaccine would prevent influenza in pregnancy or that it would prevent influenza in their newborns.…”

Section: Discussionmentioning

confidence: 99%

Uptake of influenza vaccination in pregnancy amongst Australian Aboriginal and Torres Strait Islander women: a mixed-methods pilot study

et al. 2015

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BackgroundInfluenza infection during pregnancy causes significant morbidity and mortality. Immunisation against influenza is recommended during pregnancy in several countries however, there are limited data on vaccine uptake, and the determinants of vaccination, in pregnant Australian Aboriginal and/or Torres Islander women. This study aimed to collect pilot data on vaccine uptake and attitudes towards, and perceptions of, maternal influenza vaccination in this population in order to inform the development of larger studies.MethodsA mixed-methods study comprised of a cross-sectional survey and yarning circles (focus groups) amongst Aboriginal and Torres Strait Islander women attending two primary health care services. The women were between 28 weeks gestation and less than 16 weeks post-birth. These data were supplemented by data collected in an ongoing national Australian study of maternal influenza vaccination. Aboriginal research officers collected community data and data from the yarning circles which were based on a narrative enquiry framework. Descriptive statistics were used to analyse quantitative data and thematic analyses were applied to qualitative data.ResultsQuantitative data were available for 53 women and seven of these women participated in the yarning circles. The proportion of women who reported receipt of an influenza vaccine during their pregnancy was 9/53. Less than half of the participants (21/53) reported they had been offered the vaccine in pregnancy. Forty-three percent reported they would get a vaccine if they became pregnant again. Qualitative data suggested perceived benefits to themselves and their infants were important factors in the decision to be vaccinated but there was insufficient information available to women to make that choice.ConclusionsThe rates of influenza immunisation may continue to remain low for Aboriginal and/or Torres Strait Islander women during pregnancy. Access to services and recommendations by a health care worker may be factors in the lower rates. Our findings support the need for larger studies directed at monitoring and understanding the determinants of maternal influenza vaccine uptake during pregnancy in Australian Aboriginal and Torres Strait Islander women. This research will best be achieved using methods that account for the social and cultural contexts of Aboriginal and Torres Strait Islander communities in Australia.

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“…A total of 4172 seasonal influenza virus specimens were sent to the WHO Collaborating Centres by 15 NICs and influenza laboratories of the Region during the period from 2011 to 2018. The number of seasonal influenza virus samples sent to WHO CCs for vaccine strain selection increased from 142 specimens in 2011 (median 11, IQR [4][5][6][7][8][9][10][11][12][13][14][15][16] to 1473 specimens at the end of 2018 (median 89, IQR 82-174). During the same period, the number of shipments also increased from 11 shipments per year from 8 national influenza centers during 2011 to 33 shipments per year from 15 national influenza centers and influenza laboratories at the end of 2018.…”

Section: Improved Participation In Who Influenza Vaccine Strain Selecmentioning

confidence: 99%

“…We found at least 10 studies that discussed policies and recommendations about seasonal influenza vaccination. The studies were from Egypt, Iran, Kuwait, Oman, Saudi Arabia and United Arab Emirates [12][13][14][15]. Seven stud- ies were specific to the use of seasonal influenza vaccines amongst the pilgrims for hajj and Umrah and originated from Saudi Arabia and Egypt.…”

Section: Improvement In Developing Policies For the Use Of Seasonal Imentioning

confidence: 99%

Improved capacity for influenza surveillance in the WHO Eastern Mediterranean Region: Progress in a challenging setting

Malik

Abubakar

Kholy

et al. 2020

Journal of Infection and Public Health

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Acceptance and rejection of influenza vaccination by pregnant women in southern Iran

Cited by 13 publications

References 30 publications

Seasonal influenza vaccination in pregnant women: knowledge, attitudes, and behaviors in Italy

Seasonal influenza vaccination in pregnant women: knowledge, attitudes, and behaviors in Italy

Uptake of influenza vaccination in pregnancy amongst Australian Aboriginal and Torres Strait Islander women: a mixed-methods pilot study

Improved capacity for influenza surveillance in the WHO Eastern Mediterranean Region: Progress in a challenging setting

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