Enhancing uptake of influenza maternal vaccine

Ellingson, Mallory K.; Dudley, Matthew Z.; Limaye, Rupali J.; Salmon, Daniel A.; O’Leary, Sean T.; Omer, Saad B.

doi:10.1080/14760584.2019.1562907

Cited by 65 publications

(59 citation statements)

References 79 publications

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“…However, our study has demonstrated that factors specific to the vaccine, perhaps more so than the disease are highly influential. Interventions recommended to improve maternal vaccination uptake have ranged from text reminders for prospective mothers to educational videos and motivational interviewing techniques for HCPs [110][111][112]. Based on the results of this review, interventions designed to impact maternal vaccine uptake should continue to encourage individualised HCP recommendations.…”

Section: Discussionmentioning

confidence: 99%

Factors that influence vaccination decision-making among pregnant women: A systematic review and meta-analysis

et al. 2020

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Background The most important factor influencing maternal vaccination uptake is healthcare professional (HCP) recommendation. However, where data are available, one-third of pregnant women remain unvaccinated despite receiving a recommendation. Therefore, it is essential to understand the significance of other factors and distinguish between vaccines administered routinely and during outbreaks. This is the first systematic review and meta-analysis (PROSPERO: CRD 42019118299) to examine the strength of the relationships between identified factors and maternal vaccination uptake. Methods We searched MEDLINE, Embase Classic & Embase, PsycINFO, CINAHL Plus, Web of Science, IBSS, LILACS, AfricaWideInfo, IMEMR, and Global Health databases for studies reporting factors that influence maternal vaccination. We used random-effects models to calculate pooled odds ratios (OR) of being vaccinated by vaccine type. Findings We screened 17,236 articles and identified 120 studies from 30 countries for inclusion. Of these, 49 studies were eligible for meta-analysis. The odds of receiving a pertussis or influenza vaccination were ten to twelve-times higher among pregnant women who received a recommendation from HCPs. During the 2009 influenza pandemic an HCP recommendation increased the odds of antenatal H1N1 vaccine uptake six times (OR 6.76, 95% CI 3.12-14.64, I 2 = 92.00%). Believing there was potential for vaccine-induced harm had a negative influence on seasonal (OR 0.22, 95% CI 0.11-0.44 I 2 = 84.00%) and pandemic influenza vaccine uptake (OR 0.16, 95% CI 0.09-0.29, I 2 = 89.48%), reducing the odds of being

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Section: Discussionmentioning

confidence: 99%

Factors that influence vaccination decision-making among pregnant women: A systematic review and meta-analysis

et al. 2020

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“…Thus, in a research study [ 33 ] such as the present one, after a specific training program for midwives, the probabilities of the women who received the flu vaccine during pregnancy were significantly greater after the implementation of the program. The midwives were able to establish a relationship of trust, availability, and support during the decision-making process of the pregnant women related their health and that of their future child, and also performed promotion and mother—child education activities as part of their habitual activities [ 34 , 35 , 36 ] On the other hand, the midwives asked for more time, resources and continuous training [ 37 , 38 , 39 ]. The recommendation of the professional health worker, having the vaccine available and free in the consultation itself, were favorable factors as observed in our study [ 28 , 40 ].…”

Section: Discussionmentioning

confidence: 99%

Influenza Vaccination Experiences of Pregnant Women as a Predictor of the Intention to Become Vaccinated in Future Pregnancies in Spain

2020

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A good perception of the vaccines administered during pregnancy favors immunization coverage, which is still not optimal for the influenza vaccine. To understand the predisposition towards vaccination in future pregnancies, a study was performed that evaluated the experiences of women with the vaccine or influenza. A cross-sectional study was conducted through telephone interviews given to a total of 683 postpartum women in two health departments from the Valencia Community (Spain). This interview asked about their intention of becoming vaccinated in future pregnancies and whether they were favor or against vaccination. Most of them, 98.5% (n = 673 [95% CI: 97.6–99.4]) (p < 0.001) declared having received the systematic vaccines throughout their lives. The ones who were vaccinated against influenza, 91.9% (n = 387 [95% CI: 89.2–94.6]) (p < 0.001) manifested they would do so in future pregnancies. The probability of future non-vaccination was modeled, which was related to an unfavorable opinion towards vaccines (OR = 4.07 [95% CI: 2.01–8.24]) (p < 0.001), having suffered from influenza during pregnancy (OR = 3.84 [95% CI: 1.41–10.42]) (p < 0.05), and not having been vaccinated during previous pregnancies (OR = 38.47 [95% CI: 23.58–62.76]) (p < 0.001). Vaccination during pregnancy increases the intent of vaccination in the future.

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“…Vaccinating pregnant women is generally regarded as safe [159][160][161][162][163][164][165]. However, some hesitancy over influenza vaccination is present in this population and the benefit of protecting both the mother and the fetus needs to be conveyed as outweighing the risk of potential side effects [223][224][225][226].…”

Section: Increasing Vaccination Rates For Influenzamentioning

confidence: 99%

Influenza Virus and Vaccination

2020

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Influenza virus infections represent a serious public health problem causing contagious respiratory disease and substantial morbidity and mortality in humans, resulting in a considerable economic burden worldwide. Notably, the number of deaths due to influenza exceeds that of any other known pathogen. Moreover, influenza infections can differ in their intensity, from mild respiratory disease to pneumonia, which can lead to death. Articles in this Special Issue have addressed different aspects of influenza in human health, and the advances in influenza research leading to the development of better therapeutics and vaccination strategies, with a special focus on the study of factors associated with innate or adaptive immune responses to influenza vaccination and/or infection.

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Enhancing uptake of influenza maternal vaccine

Cited by 65 publications

References 79 publications

Factors that influence vaccination decision-making among pregnant women: A systematic review and meta-analysis

Factors that influence vaccination decision-making among pregnant women: A systematic review and meta-analysis

Influenza Vaccination Experiences of Pregnant Women as a Predictor of the Intention to Become Vaccinated in Future Pregnancies in Spain

Influenza Virus and Vaccination

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