Coverage of recommended vaccines during pregnancy in Flanders, Belgium. Fairly good but can we do better?

Maertens, Kirsten; Braeckman, Tessa; Blaizot, Stéphanie; Theeten, Heidi; Roelants, Mathieu; Hoppenbrouwers, Karel; Leuridan, Elke; Damme, Pierre Van; Vandermeulen, Corinne

doi:10.1016/j.vaccine.2018.03.033

Cited by 20 publications

(21 citation statements)

References 18 publications

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“…22 A previous study in Belgium reported that lower income was strongly correlated with non-vaccination, even when vaccines were available free of charge. 21 However, in the current study, we found no clear relationship between education period or income and vaccine uptake. The effect of those factors should be explored carefully in future studies to examine the existence of biases related to income.…”

Section: Discussioncontrasting

confidence: 85%

“…multivariate model in this study. A relationship between education and vaccine uptake has been reported in previous studies, 20,21 and more highly educated populations may have more opportunities to get information on influenza infection in pregnancy. 20 In Japan, influenza vaccination is voluntary and is provided at a cost of around 3500 JPY (approximately 30 USD) for a single injection.…”

Section: Discussionmentioning

confidence: 59%

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Maternal influenza vaccination relates to receiving relevant information among pregnant women in Japan

Shono

Hoshi

Kondo

2019

Human Vaccines & Immunotherapeutics

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Maternal vaccination for seasonal influenza is currently not listed as a routine vaccination in the national vaccination schedule of Japan. However, many pregnant women voluntarily receive an influenza vaccination. We explored the factors related to influenza vaccine uptake. We particularly focused on factors related to any recommendation, such as advice or suggestions from another individual. We conducted a cross-sectional web-based questionnaire survey in Japan among pregnant women or mothers who had recently given birth in March 2017 and 2018. Logistic regression models were used to determine the factors influencing vaccination uptake. Key individuals regarding maternal vaccination were examined using the network visualization software Gephi. The total number of valid responses was 2204 in 2017 and 3580 in 2018. Over 40% of respondents had been vaccinated with the seasonal influenza vaccine at some point in both years. Of the vaccinated respondents, over 80% received advice regarding the influenza vaccination. Obstetricians were the most common source of advice in both years. Among respondents who chose more than two sources, the largest link in the network of sources was found between the obstetrician and family members. Attention to public concern or potential recommenders, by public health authorities, not just pregnant women, about the benefits of maternal influenza vaccination is important.

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Section: Discussioncontrasting

confidence: 85%

Section: Discussionmentioning

confidence: 59%

Maternal influenza vaccination relates to receiving relevant information among pregnant women in Japan

Shono

Hoshi

Kondo

2019

Human Vaccines & Immunotherapeutics

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“…[30][31][32][33][34][35][36] The articles were published from 2010 to 2020. Eleven articles were from the USA, 30,32,35,41,45,46,48,59,60,65,66 six from Australia, [49][50][51]53,61,63 four from France, 31,43,47,57 two from Canada, 56,62 two from the UK 40,55 and one each from Belgium, 54 Brazil, 33 Greece, 44 Hong Kong, 64 Ireland, 52 Japan, 42 Nicaragua, 58 Singapore 34 and Spain. 36 The main characteristics of the included studies are summarized in Tables 1 and S2.…”

Section: Re Sultsmentioning

confidence: 99%

Sociodemographic and health‐related determinants of seasonal influenza vaccination in pregnancy: A systematic review and meta‐analysis of the evidence since 2000

Okoli

Reddy

Al-Yousif

et al. 2021

Acta Obstet Gynecol Scand

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Introduction: Vaccination is considered to be the most practical and effective preventative measure against influenza. It is highly recommended for population subgroups most at risk of developing complications, including pregnant women. However, seasonal influenza vaccine uptake remains suboptimal among pregnant women, even in jurisdictions with universal vaccination. We summarized the evidence on the determinants of seasonal influenza vaccine uptake during pregnancy to better understand factors that influence vaccine uptake among pregnant women. Material and methods:We systematically searched MEDLINE, Embase and CINAHL from January 2000 to February 2020 for publications in English reporting on sociodemographic and/or health-related determinants of seasonal influenza vaccine uptake during pregnancy. Two reviewers independently included studies. One reviewer extracted data and assessed study quality, and another reviewer checked extracted data and study quality assessments for errors. Disagreements were resolved through consensus, or a third reviewer. We meta-analyzed using the inverse variance, randomeffects method, and reported the odds ratios (OR) and 95% confidence intervals (CI).Results: From 1663 retrieved citations, we included 36 studies. The following factors were associated with increased seasonal influenza vaccine uptake: Older age (20

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“…However, regardless of the general public and individual health benefits of the maternal pertussis vaccine, in various countries which provide maternal pertussis vaccination for pregnant women, health care professionals (HCPs) and governments are confronted with parents' vaccine hesitancy and lower vaccine uptake among pregnant women than expected [9][10][11][12]. Providing information and education on the maternal pertussis vaccination does not seem to be sufficient in addressing these women's doubts, as hesitance remains after being informed by an HCP [13,14].…”

Section: Introductionmentioning

confidence: 99%

Decision-making on maternal pertussis vaccination among women in a vaccine-hesitant religious group: Stages and needs

et al. 2020

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Introduction As of December 2019, pregnant women in the Netherlands are offered pertussis vaccination to protect their newborn infant against pertussis infection. However, the manner in which pregnant women decide about this maternal pertussis vaccination is largely unknown. The aim of this study is to gain insight into the decision-making process regarding maternal pertussis vaccination, and to explore the related needs among the vaccine-hesitant subgroup of orthodox Protestant women. Methods Charmaz’s grounded theory approach was used to develop a decision-making framework. To construct this framework we used an explorative multimethod approach in which in-depth interviews and online focus groups were supplemented by a literature search and research group meetings. This study was carried out in a hypothetical situation since the maternal pertussis vaccination had yet to be implemented in the Dutch immunisation programme at the time of the study. Results Twenty-five orthodox Protestant women participated in an interview, an online focus group, or in both. The findings of this study resulted in a decision-making framework that included three stages of decision-making; an Orientation stage, a value-based Deliberation stage, and Final decision stage. The Orientation stage included the needs for decision-making categorised into Information needs and Conversation needs. Women indicated that -if they were to receive sufficient time for Orientation and Deliberation- they would be able to reach the stage of Final decision. Conclusion The decision-making framework resulting from our findings can be used by health care professionals to provide women with information and consultation in the decision-making process. Future studies should investigate whether the stages of and needs for decision-making can be found across other vaccine-hesitant subgroups and vaccinations.

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Coverage of recommended vaccines during pregnancy in Flanders, Belgium. Fairly good but can we do better?

Cited by 20 publications

References 18 publications

Maternal influenza vaccination relates to receiving relevant information among pregnant women in Japan

Maternal influenza vaccination relates to receiving relevant information among pregnant women in Japan

Sociodemographic and health‐related determinants of seasonal influenza vaccination in pregnancy: A systematic review and meta‐analysis of the evidence since 2000

Decision-making on maternal pertussis vaccination among women in a vaccine-hesitant religious group: Stages and needs

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