Uptake of influenza vaccine by pregnant women: a cross‐sectional survey

Wiley, Kerrie; Massey, Peter; Cooper, Spring Chenoa; Wood, Nicholas; Ho, Jane; Quinn, Helen; Leask, Julie

doi:10.5694/mja12.11849

Cited by 140 publications

(138 citation statements)

References 19 publications

Supporting

Mentioning

122

Contrasting

Unclassified

Order By: Relevance

“…18,34 Thus rather than being a problem requiring change in HCP or maternal attitudes and knowledge, efforts to improve uptake could usefully focus on including these vaccines in routine care. Our study and others 15,22,23 suggest that many women would accept these immunizations if offered.…”

Section: Discussionmentioning

confidence: 99%

“…As with parental decision-making in childhood vaccination decisions, 25 HCP endorsement appears to be a key factor in the decision making process for pregnant mothers about vaccines during pregnancy. 22,23,30,33 Midwives, obstetricians and GPs play a vital role not only in raising awareness about recommended vaccines, but also in raising awareness about the importance of being protected against influenza as a pregnant mother and similarly the importance of protecting their baby against pertussis and influenza at a time related to high mortality. We found that the women in our study were not generally aware that pregnancy increases their risk of acquiring vaccine-preventable infections and that some of those who were hesitant to accept vaccination cited their low risk of infection as the reason.…”

Section: Discussionmentioning

confidence: 99%

“…Surveys of pregnant women have identified a number of factors associated with increased likelihood of immunization including prior vaccination status, 16,18 knowledge of vaccines and the diseases they prevent, 16,[19][20][21] perceived susceptibility to vaccine preventable illnesses 15,16,19 and healthcare provider (HCP) recommendation. [21][22][23] Lack of trust in vaccine information 19,24 and in the safety and effectiveness of vaccines are factors associated with reduced likelihood of maternal immunization during pregnancy. 23,24 These factors align with what is known about parental decision-making for childhood immunization 25 and the decision-making process adults undertake on their own behalf about vaccination.…”

Section: Introductionmentioning

confidence: 99%

“…[21][22][23] Lack of trust in vaccine information 19,24 and in the safety and effectiveness of vaccines are factors associated with reduced likelihood of maternal immunization during pregnancy. 23,24 These factors align with what is known about parental decision-making for childhood immunization 25 and the decision-making process adults undertake on their own behalf about vaccination. 26 However, much less is known about how pregnant women make decisions about maternal immunization including how they weigh benefits and risks and whether particular factors are important under particular conditions.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Increased awareness and health care provider endorsement is required to encourage pregnant women to be vaccinated

Collins

Alona

Tooher

et al. 2014

Human Vaccines & Immunotherapeutics

View full text Add to dashboard Cite

Maternal immunization is an important strategy recommended to protect both mothers and infants from serious infectious diseases; however uptake of maternal immunization is poor in Australia. This study aimed to gain an in-depth understanding of the decision making process and factors influencing a pregnant woman's decisions about recommended immunizations. This qualitative study used semi-structured interviews with open-ended questions to interview pregnant women. Data were analyzed using thematic analysis techniques and drew on the Health Belief Model. Pregnant women (n D 17) were asked about their attitudes toward immunization during pregnancy and their perceptions about risk during pregnancy. Women were also asked to detail their decision making process and factors influencing their decisions about immunizations in relation to pregnancy. Most of the participants were not aware of the immunizations recommended during pregnancy, in pregnancy planning or after delivery. In addition to endorsement by their health care provider (HCP), perception of risk and benefit, including risk of infection, previous vaccination experiences and assessing cost benefit play a vital role in women's decisions whether to be immunized while pregnant. Although the role of the healthcare provider in advising pregnant women about immunizations was identified as vitally important, the majority of women had not been advised of recommended vaccines by their healthcare provider. Healthcare providers are key to ensuring pregnant mothers are informed about recommended vaccines and these need to be more proactively supported and encouraged by healthcare providers. This is likely to have a positive effect on acceptance and uptake of immunization by pregnant women.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Increased awareness and health care provider endorsement is required to encourage pregnant women to be vaccinated

Collins

Alona

Tooher

et al. 2014

Human Vaccines & Immunotherapeutics

View full text Add to dashboard Cite

show abstract

“…Regardless of parental position on immunisation, trust in health professionals and services is paramount. 63,65 Studies have also explored factors influencing uptake of immunisation in adults 66,67 including those with high-risk conditions, 68 pregnant women 69,70 and minority ethnic groups. 71 The barriers appear to broadly fall into the same two categories, access and beliefs, including the perception that healthy people do not need immunisations.…”

Section: Factors Influencing the Uptake Of Immunisationmentioning

confidence: 99%

UNderstanding uptake of Immunisations in TravellIng aNd Gypsy communities (UNITING): a qualitative interview study

Jackson

Dyson

Bedford

et al. 2016

Health Technol Assess

View full text Add to dashboard Cite

Background: Gypsies, Travellers and Roma (referred to as Travellers) are less likely to access health services, including immunisation. To improve immunisation rates, we need to understand what helps and hinders individuals in these communities in taking up immunisations. Aims: (1) Investigate the barriers to and facilitators of acceptability and uptake of immunisations among six Traveller communities across four UK cities; and (2) identify possible interventions to increase uptake of immunisations in these Traveller communities that could be tested in a subsequent feasibility study. Methods: Three-phase qualitative study underpinned by the social ecological model. Phase 1: interviews with 174 Travellers from six communities: Romanian Roma (Bristol); English Gypsy/Irish Traveller (Bristol); English Gypsy (York); Romanian/Slovakian Roma (Glasgow); Scottish Showpeople (Glasgow); and Irish Traveller (London). Focus on childhood and adult vaccines. Phase 2: interviews with 39 service providers. Data were analysed using the framework approach. Interventions were identified using a modified intervention mapping approach. Phase 3: 51 Travellers and 25 service providers attended workshops and produced a prioritised list of potentially acceptable and feasible interventions. Results: There were many common accounts of barriers and facilitators across communities, particularly across the English-speaking communities. Scottish Showpeople were the most similar to the general population. Roma communities experienced additional barriers of language and being in a new country. Men, women and service providers described similar barriers and facilitators. There was widespread acceptance of childhood and adult immunisation, with current parents perceived as more positive than their elders. A minority of English-speaking Travellers worried about multiple/combined childhood vaccines, adult flu and whooping cough. Cultural concerns about vaccines offered during pregnancy and about human papillomavirus were most evident in the Bristol English Gypsy/Irish Traveller community. Language, literacy, discrimination, poor school attendance, poverty and housing were identified by Travellers and service providers as barriers for some. Trustful relationships with health professionals were important and continuity of care was valued. A few English-speaking Travellers described problems of booking and attending for immunisation. Service providers tailored their approach to Travellers, particularly the Roma. Funding cuts, NHS reforms and poor monitoring challenged their work. Five ‘top-priority’ interventions were agreed across communities and service providers to improve the immunisation among Travellers who are housed or settled on an authorised site: (1) cultural competence training for health professionals and frontline staff; (2) identification of Travellers in health records to tailor support and monitor uptake; (3) provision of a named frontline person in general practitioner practices to provide respectful and supportive service; (4) flexib...

show abstract

Influenza vaccine during pregnancy, recommendations from healthcare providers, and race/ethnicity in the United States

Xie,

Monteiro,

Gjelsvik

2024

Arch Gynecol Obstet

View full text Add to dashboard Cite

Uptake of influenza vaccine by pregnant women: a cross‐sectional survey

Cited by 140 publications

References 19 publications

Increased awareness and health care provider endorsement is required to encourage pregnant women to be vaccinated

Increased awareness and health care provider endorsement is required to encourage pregnant women to be vaccinated

UNderstanding uptake of Immunisations in TravellIng aNd Gypsy communities (UNITING): a qualitative interview study

Influenza vaccine during pregnancy, recommendations from healthcare providers, and race/ethnicity in the United States

Contact Info

Product

Resources

About