Annette K Regan1, Donna B Mak2, Yvonne L Hauck3, Robyn Gibbs2, Lauren Tracey2, Paul V Effler4. 1. School of Pathology and Laboratory Medicine, University of Western Australia, Crawley, Western Australia, Australia; Communicable Disease Control Directorate, Western Australia Department of Health, Shenton Park, Western Australia, Australia. Electronic address: Annette.Regan@health.wa.gov.au. 2. Communicable Disease Control Directorate, Western Australia Department of Health, Shenton Park, Western Australia, Australia. 3. School of Nursing, Midwifery and Paramedicine, Curtin University, Bentley, Western Australia, Australia; Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Subiaco, Western Australia, Australia. 4. School of Pathology and Laboratory Medicine, University of Western Australia, Crawley, Western Australia, Australia; Communicable Disease Control Directorate, Western Australia Department of Health, Shenton Park, Western Australia, Australia.
Abstract
BACKGROUND: Antenatal influenza vaccination is an important public health intervention for preventing serious illness in mothers and newborns, yet uptake remains low. AIM: To evaluate trends in seasonal influenza vaccine coverage and identify determinants for vaccination among pregnant women in Western Australia. METHODS: We conducted an annual telephone survey in a random sample of post-partum women who delivered a baby in Western Australia between 2012 and 2014. Women were asked whether influenza vaccination was recommended and/or received during their most recent pregnancy; women were also asked why or why they were not immunised. FINDINGS: Between 2012 and 2014, influenza vaccine coverage increased from 22.9% to 41.4%. Women who reported receiving the majority of their antenatal care from a private obstetrician were significantly more likely to have influenza vaccination recommended to them than those receiving the majority of their care from a public antenatal hospital or general practitioner (p<0.001). In 2014, the most common reason women reported for accepting influenza vaccination was to protect the baby (92.8%) and the most common reason for being unimmunised was lack of a healthcare provider recommendation (48.5%). DISCUSSION: Antenatal influenza vaccination uptake is increasing, but coverage remains below 50%. A recommendation from the principal care provider is an important predictor of maternal influenza vaccination. CONCLUSION: Antenatal care providers, including midwives, have a key role in providing appropriate information and evidence-based recommendations to pregnant women to ensure they are making informed decisions. Consistent recommendations from antenatal care providers are critical to improving influenza vaccine coverage in pregnant women.
BACKGROUND: Antenatal influenza vaccination is an important public health intervention for preventing serious illness in mothers and newborns, yet uptake remains low. AIM: To evaluate trends in seasonal influenza vaccine coverage and identify determinants for vaccination among pregnant women in Western Australia. METHODS: We conducted an annual telephone survey in a random sample of post-partum women who delivered a baby in Western Australia between 2012 and 2014. Women were asked whether influenza vaccination was recommended and/or received during their most recent pregnancy; women were also asked why or why they were not immunised. FINDINGS: Between 2012 and 2014, influenza vaccine coverage increased from 22.9% to 41.4%. Women who reported receiving the majority of their antenatal care from a private obstetrician were significantly more likely to have influenza vaccination recommended to them than those receiving the majority of their care from a public antenatal hospital or general practitioner (p<0.001). In 2014, the most common reason women reported for accepting influenza vaccination was to protect the baby (92.8%) and the most common reason for being unimmunised was lack of a healthcare provider recommendation (48.5%). DISCUSSION: Antenatal influenza vaccination uptake is increasing, but coverage remains below 50%. A recommendation from the principal care provider is an important predictor of maternal influenza vaccination. CONCLUSION: Antenatal care providers, including midwives, have a key role in providing appropriate information and evidence-based recommendations to pregnant women to ensure they are making informed decisions. Consistent recommendations from antenatal care providers are critical to improving influenza vaccine coverage in pregnant women.
Authors: Ousseny Zerbo; G Thomas Ray; Lea Zhang; Kristin Goddard; Bruce Fireman; Alyce Adams; Saad Omer; Martin Kulldorff; Nicola P Klein Journal: Am J Epidemiol Date: 2020-11-02 Impact factor: 4.897
Authors: R Vila-Candel; P Navarro-Illana; E Navarro-Illana; E Castro-Sánchez; Kiri Duke; F J Soriano-Vidal; J Tuells; J Díez-Domingo Journal: BMC Public Health Date: 2016-11-21 Impact factor: 3.295
Authors: Enrique Castro-Sánchez; Rafael Vila-Candel; Francisco J Soriano-Vidal; Esther Navarro-Illana; Javier Díez-Domingo Journal: BMJ Open Date: 2018-07-06 Impact factor: 2.692