Knowledge and attitude of pregnant women toward flu vaccination: a cross-sectional survey

Maurici, Massimo; Dugo,; Zaratti, Laura; Paulon, Luca; Pellegrini, Marta; Baiocco, Ermelinda; Rizzo, Giuseppe; Franco, Elisabetta

doi:10.3109/14767058.2015.1118033

Cited by 24 publications

(26 citation statements)

References 19 publications

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“…community or hospital-based practitioners) is the most influential. Similar to the quantitative literature, qualitative studies have shown that a recommendation by an HCP was not always sufficient [26,34,36,41,45,46,62,63,67]. Reasons for refusal despite HCP recommendation from the qualitative analysis provide insights into the effects of fear, mistrust, and a feeling of accountability [61,63,67,73,75].…”

Section: Discussionmentioning

confidence: 82%

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: 82%

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

et al. 2020

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“…As different Italian's authors showed, this high vaccination refusal is similar by the time. For example, Fabiani et al and Rizzo et al investigated influenza vaccine uptake during 2009 A/H1N1 pandemic outbreak, finding coverage rates of 2% and 4%, respectively; more recently (2017), Maurici et al and Napolitano studied immunization in pregnant women in two cross‐sectional studies conducted, respectively, in Rome and Naples: all the women recruited by Maurici were unvaccinated, while Napolitano et al found an hesitancy reaching more than 80% in their sample.…”

Section: Discussionmentioning

confidence: 99%

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

Prospero

Galmozzi

Paris

et al. 2019

Influenza Resp Viruses

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“…Indeed, women with higher knowledge regarding the usefulness of the vaccination are more willing to receive the vaccine during pregnancy [27–29] and the uptake is influenced by the low perception of the risks related to influenza [17, 20, 30, 31]. To date, there has been very little research concerning the level of knowledge and behaviors regarding seasonal influenza and the associated factors among pregnant women in Italy [32]. Therefore, the present survey was performed to achieve two primary objectives.…”

Section: Introductionmentioning

confidence: 99%

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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Knowledge and attitude of pregnant women toward flu vaccination: a cross-sectional survey

Cited by 24 publications

References 19 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

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

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

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