Maintaining the momentum: Key factors influencing acceptance of influenza vaccination among pregnant women following the H1N1 pandemic

Halperin, Beth; MacKinnon‐Cameron, Donna; McNeil, Shelly; Kalil, J.; Halperin, Scott A.

doi:10.4161/21645515.2014.980684

Cited by 16 publications

(22 citation statements)

References 25 publications

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“…When compared to other studies, the observed knowledge was higher. For example, in India none knew about influenza vaccination requirement during pregnancy [34], in Canada 36% knew that influenza was more severe in pregnant women [35], in the United States 51% identified that seasonal flu is more dangerous for pregnant women and 54% that the seasonal flu shot is safe in pregnancy [17]. Similarly, in Australia 23% of women believed that the vaccination during pregnancy was not safe and 30% that it would not protect them [19].…”

Section: Discussionmentioning

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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Section: Discussionmentioning

confidence: 99%

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

Napolitano

Angelillo

2017

BMC Infect Dis

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“…Six studies [12][13][14][15][16][17] reported on characteristics of patients associated with receipt or non-receipt of vaccinations during pregnancy. Seven additional studies evaluated knowledge, attitudes, beliefs and intended behavior of pregnant women toward immunization in pregnancy [18][19][20][21][22][23][24] . Given the potential effect that H1N1 media coverage and response campaigns targeting pregnant women may have had on uptake, we have presented studies on patient-level barriers and facilitators separately for cohorts prior to 2009-2010 H1N1 pandemic influenza (7) and those during the 2009-2010 H1N1 pandemic or thereafter (8).…”

Section: Patient-level Barriers and Facilitatorsmentioning

confidence: 99%

“…The Canadian literature reporting on cohorts during or following the 2009-2010 H1N1 pandemic influenza report higher rates of uptake of the influenza vaccine among pregnant women compared to the period prior to 2009-2010. This is particularly striking for the H1N1 pandemic influenza vaccine with self-reported rates of uptake of up 67-76% 13,14,24 in Quebec, Alberta and Nova Scotia and population-based estimates of 38% in Ontario 17 . Estimates of influenza vaccine uptake during pregnancy based on self-report differ from those based on population-level data.…”

Section: Patient-level Barriers and Facilitators Subsequent To 2009-2010mentioning

confidence: 99%

“…Type of provider continued to be associated with uptake of the influenza vaccine during pregnancy with women in Ontario being more likely to receive the pandemic H1N1 influenza vaccine if their prenatal care was provided by a family physician 17 . Survey-based studies from the post-H1N1 time period continue to underscore the importance of physician recommendation as a key motivator for receipt of the influenza vaccine during pregnancy 13,20,24 and one surveybased study comparing cohorts pre-and post-H1N1 suggests that this was becoming an increasingly important motivator 24 .…”

Section: Patient-level Barriers and Facilitators Subsequent To 2009-2010mentioning

confidence: 99%

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A Systematic Review of Barriers to Vaccination During Pregnancy in the Canadian Context

Poliquin

Greyson

Castillo

2019

Journal of Obstetrics and Gynaecology Canada

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Objective: While vaccination in pregnancy has the potential to dramatically impact maternal and infant morbidity and mortality, uptake of recommended vaccinations in pregnancy remains low. Our objective was to identify barriers and facilitators of vaccination during pregnancy in Canada. Methods: The MEDLINE database, as well as the table of contents of four relevant Canadian journals were screened to identify all studies that considered barriers and/or facilitators to vaccination during pregnancy, specifically in Canadian settings. Citations were screened and a narrative synthesis of findings was undertaken given the heterogeneity of study design. Results: In total, 17 studies met inclusion criteria, most with a focus on the seasonal and pandemic influenza vaccines. Facilitators and barriers were identified at the level of the patient and the provider. At both levels, knowledge was an important facilitator of vaccine acceptance during pregnancy and was notably improved in studies following the 2009 pandemic H1N1 influenza compared to earlier studies. Vaccine endorsement by a prenatal care provider and clear messages of safety for the fetus emerged as key motivators. Few studies addressed system level barriers or interventions for improving vaccine uptake during pregnancy in the Canadian setting. Conclusions: Common themes have emerged from the Canadian literature addressing barriers and facilitators of vaccination during pregnancy. However, there is a paucity of literature to suggest strategies to improve the uptake of vaccination during pregnancy in Canadian settings. Further research is urgently needed given the expanding role of vaccination during routine prenatal care.

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“…82,90 Strategies that have been found to be most effective at improving uptake in a wide range of population groups involve increasing knowledge and awareness, improving convenience and access, targeting specific groups in the community, mandating vaccinations or penalty for non-vaccination, reminders and follow-up, and engaging religious leaders. 91 Strategies that were found to be most successful at shifting attitudes and increasing knowledge included the introduction of education initiatives that embed new knowledge in to process e.g., new hospital procedures and individual plans.…”

Section: 83mentioning

confidence: 99%

Vaccines in pregnancy: The dual benefit for pregnant women and infants

Marshall

McMillan

Andrews

et al. 2016

Human Vaccines & Immunotherapeutics

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Maternal immunization has the potential to reduce the burden of infectious diseases in the pregnant woman and her infant. Many countries now recommend immunization against influenza at any stage of pregnancy and against pertussis in the third trimester. Despite evidence of the safety and effectiveness of these vaccines when administered during pregnancy, uptake generally remains low for influenza and moderate for pertussis vaccine. Enhancing confidence in both immunization providers and pregnant women by increasing the evidence-base for the safety and effectiveness of vaccines during pregnancy, improving communication and access by incorporating immunization into standard models of antenatal care are likely to improve uptake. Developing a framework for implementation of vaccines for pregnant women which is cognizant of local and national cultural, epidemiological, behavioral and societal factors will enable a smooth transition and high uptake for new vaccines currently in development for pregnant women.

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Maintaining the momentum: Key factors influencing acceptance of influenza vaccination among pregnant women following the H1N1 pandemic

Cited by 16 publications

References 25 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

A Systematic Review of Barriers to Vaccination During Pregnancy in the Canadian Context

Vaccines in pregnancy: The dual benefit for pregnant women and infants

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