Factors influencing refusing of flu vaccination among pregnant women in Italy: Healthcare workers’ role

Prospero, Emilia; Galmozzi, Sara; Paris, V; Felici, Gessica; Barbadoro, Pamela; D'Alleva, Antonella; Zocco, Gemma; Ciavattini, Andrea

doi:10.1111/irv.12600

Cited by 24 publications

(34 citation statements)

References 32 publications

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“…Our finding that postpartum women with comorbidities were more likely to be vaccinated for seasonal influenza is in accord with some studies of pregnant women [48,49], whereas others did not find an association [44,[50][51][52]. Pregnant women with concurrent chronic diseases are over three times more likely to be hospitalized during all three trimesters for respiratory illness following influenza infection [53,54].…”

Section: Plos Onesupporting

confidence: 87%

Knowledge, attitudes, and practices of seasonal influenza vaccination in postpartum women, Honduras

et al. 2021

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Background Influenza during pregnancy may cause serious neonatal outcomes including stillbirth, fetal distress, preterm birth, congenital abnormalities, and stunted growth. Pregnant women are the highest priority group for seasonal influenza vaccination, but low coverage has been repeatedly reported in this population. Understanding reasons for and for not receiving the seasonal influenza vaccine is needed to design communication strategies to increase vaccination coverage. This study aimed to describe knowledge, attitudes, and practices (KAP) of seasonal influenza vaccination among women giving birth in public maternity hospitals in Honduras. Methods From August 20–October 8, 2018, we conducted a cross-sectional KAP survey regarding seasonal influenza vaccinations to a sample of postpartum women who gave birth in maternity hospitals and clinics from the Ministry of Health of Honduras and Honduran Social Security Institute. We reported frequency distributions for demographics, KAP of influenza vaccine, and vaccination coverage. We used logistic regression to analyze unadjusted and adjusted associations between sociodemographic characteristics and influenza vaccination. Results We surveyed 842 postpartum women in 17 healthcare facilities. Of 534 postpartum women with term pregnancy and verified vaccinations, 417 (78.1%; 95% CI: 74.6–81.6%) were vaccinated for influenza. Factors associated with verified influenza vaccination included receipt of vaccination recommendations by a healthcare worker during prenatal check-ups (aOR: 16.46; 95% CI: 9.73–27.85), concurrent chronic disease (aOR: 5.00; 95% CI: 1.25–20.07), and influenza vaccination of other children in the household (aOR: 2.28; 95% CI: 1.19–4.39). The most cited reasons for vaccination were perceived benefits for both mother and infant and easy access. Reasons for non-vaccination were: vaccine was not offered and fear of side effects, harm to the infant, and needles or pain caused by injection. Conclusion Influenza vaccination was well received among postpartum women in Honduras. Increasing clinician recommendations for vaccination and assuring the vaccine is readily available to women during prenatal visits may increase vaccination rates.

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Section: Plos Onesupporting

confidence: 87%

Knowledge, attitudes, and practices of seasonal influenza vaccination in postpartum women, Honduras

et al. 2021

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“…Importantly, the accumulated evidence demonstrates that for parents the direct contact with a physician (pediatrician) who reliably informs about vaccinations plays a key role in improving comprehensive knowledge on vaccinations and overall vaccine confidence [ 9 , 10 , 21 , 22 , 23 , 24 ]. Indeed, the education of physicians further improves vaccine confidence in managed families (children+parents) [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

“…Parents who receive the above information about possible vaccine-related symptoms and how to deal with them from HCPs are able to accept them, which has a positive effect on their general attitude towards vaccinations. The need to pay special attention to the balance of benefits and risks for the child is also emphasized—adverse post-vaccination reactions vs. disease and its possible complications [ 18 , 22 , 23 , 24 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

The Impact of a Single Educational Lecture on the Vaccine Confidence among Pregnant Women and Young Mothers

et al. 2021

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Background: We investigated the impact of a single unstructured educational lecture about vaccinations on the vaccine confidence in volunteer participants. Methods: We conducted a survey-based study during a series of open meetings related to pregnancy and parenting. Before and after the pediatrician’s lecture related to vaccinations, listeners completed the visual analogue scales (VAS, 0–15 cm), evaluating (1) self-declared knowledge on vaccinations and (2) how they perceive the safety and efficacy of this preventive method. Results: In total, 484 women aged 30 ± 4 years participated in the lecture (pregnant = 68%; ≥1 children = 56%). Participants declared to have more comprehensive knowledge on preventive vaccinations and perceived vaccines to be safer and more useful (the role for the immunity) after vs. before the lecture (median VAS: 10.4 vs. 7.2, 10.8 vs. 8.7, and 11.0 vs. 10.4 cm, all p < 0.001). Importantly, the prevalence of vaccine-related adverse events was also assessed as being higher after the lecture (median VAS: 9.9 vs. 8.0 cm, p < 0.001). The increase in self-declared knowledge on vaccinations and perceived need for vaccinations (delta VAS—VAS after minus before the lecture, expressed as % of baseline) was lower among participants who rated the lecture less vs. more useful. Importantly, both participants who liked vs. did not like the lecture comparably rated vaccines safer after vs. before the lecture (delta VAS (median, interquartile range): 16% (0–39%) vs. 18% (2–42%), p = 0.39). Conclusions: An educational lecture on vaccinations positively impacts vaccine confidence in young adult women. Irrespective of the subjective rating of the lecture, all listeners perceived vaccinations to be safer after vs. before the speech.

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“…Lack of consciousness among HCWs about the importance of in uenza vaccination among pregnant women could lead them to skip advising pregnant women about the essentiality of in uenza vaccine during pregnancy. Many studies re ected that lack of knowledge among health care providers (HCP) could impact negatively the pregnant women uptake of in uenza vaccine since their decision was based basically on compelling advice provided by HCWs [23][24][25].…”

Section: Discussionmentioning

confidence: 99%

Vaccination Against Influenza Among Lebanese Health Care Workers in the Era of Coronavirus Disease 2019 

Abass¹,

Youssef

Berry³

2021

Preprint

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Background: Health care workers (HCWs) are at increased risk of influenza infection. Hence, the rationale for immunization to protect them and their patients particularly during the co-circulation of influenza and coronavirus disease 2019 (COVID-19). This study aims to assess knowledge, attitudes, and practices among HCWs towards the influenza vaccine and to identify the determinants of their willingness to vaccinate. Methods: Using an online survey, a cross-sectional study, was conducted in Lebanon between 14th and 28th October 2020 among HCWs. Descriptive statistics were reported using frequency and percentages for categorical variables. Multivariable logistic regression was carried out to identify the factors associated with influenza vaccine uptake. Adjusted odds ratio and their 95% confidence intervals were reported. Results: A total of 560 HCWs participated in the survey of which 72.9% were females. The majority were nurses (63.2%), married (66.1%) and aged between 30-49 years (53.9%). Nearly half of them had a good level of knowledge (≥80%). As perceived by HCWs, the availability of a sufficient quantity of vaccine will be the biggest challenge. Benefits of vaccination in enhancing patient safety, and avoiding co-infection by influenza and COVID-19 were well-acknowledged by HCWs. 32.1% of HCWs have received the influenza vaccine during the last year and 80.2% were willing to vaccinate for the current year. The influenza uptake was higher among HCWs who have received influenza vaccine in the past season (OR = 6.812, CI (3.045-15.239)), having a fair health status (OR = 3.117, CI (1.345-7.220)), good knowledge (OR=3.305, CI (1.155-9.457)), positive attitude (OR=2.305, CI (0.921-5.571)), low perception of barriers (OR= 4.130, CI (1.827-9.334)) and high perception of benefits (OR=6.264, CI (2.919-13.442) and was lower in single and divorced (OR=0.527, CI (0.284-0.978)). ConclusionAddressing misconceptions unveiled in this study through adapted training, along with economic interventions are needed to improve influenza vaccination coverage among HCWs.

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Factors influencing refusing of flu vaccination among pregnant women in Italy: Healthcare workers’ role

Abstract: Background: Pregnant women are at increased risk of influenza complications.

Cited by 24 publications

References 32 publications

Knowledge, attitudes, and practices of seasonal influenza vaccination in postpartum women, Honduras

Knowledge, attitudes, and practices of seasonal influenza vaccination in postpartum women, Honduras

The Impact of a Single Educational Lecture on the Vaccine Confidence among Pregnant Women and Young Mothers

Vaccination Against Influenza Among Lebanese Health Care Workers in the Era of Coronavirus Disease 2019

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Factors influencing refusing of flu vaccination among pregnant women in Italy: Healthcare workers’ role

Abstract: Background: Pregnant women are at increased risk of influenza complications.

Cited by 24 publications

References 32 publications

Knowledge, attitudes, and practices of seasonal influenza vaccination in postpartum women, Honduras

Knowledge, attitudes, and practices of seasonal influenza vaccination in postpartum women, Honduras

The Impact of a Single Educational Lecture on the Vaccine Confidence among Pregnant Women and Young Mothers

Vaccination Against Influenza Among Lebanese Health Care Workers in the Era of Coronavirus Disease 2019&nbsp;

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Vaccination Against Influenza Among Lebanese Health Care Workers in the Era of Coronavirus Disease 2019