Eve Dubé1, Dominique Gagnon2, Kyla Kaminsky3, Courtney R Green3, Manale Ouakki2, Julie A Bettinger4, Nicholas Brousseau2, Eliana Castillo5, Natasha S Crowcroft6, S Michelle Driedger7, Devon Greyson4, Deshayne Fell8, William Fisher9, Arnaud Gagneur10, Maryse Guay10, Donna Halperin11, Scott A Halperin12, Shannon MacDonald13, Samantha B Meyer14, Nancy M Waite15, Kumanan Wilson16, Holly O Witteman17, Mark Yudin18, Jocelynn L Cook3. 1. Institut national de santé publique du Québec, Québec, QC. Electronic address: eve.dube@inspq.qc.ca. 2. Institut national de santé publique du Québec, Québec, QC. 3. Society of Obstetricians and Gynaecologists of Canada, Ottawa, ON. 4. Vaccine Evaluation Center, University of British Columbia, Vancouver, BC. 5. Cumming School of Medicine, University of Alberta, Edmonton, AB. 6. Public Health Ontario, Toronto, ON. 7. Department of Community Health Science, University of Manitoba, Winnipeg, MB. 8. School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON. 9. Department of Psychology, Western University, London, ON. 10. Department of Community Health Medicine, Université de Sherbrooke, Sherbrooke, QC. 11. St. Francis Xavier University, Antigonish, NS. 12. Department of Pediatrics, Dalhousie University, Halifax, NS. 13. School of Public Health, University of Alberta, Edmonton, AB. 14. School of Public Health, University of Waterloo, Waterloo, ON. 15. School of Pharmacy, University of Waterloo, Waterloo, ON. 16. Ottawa Hospital Research Institute, Ottawa, ON. 17. Family Medicine Department, Université Laval, Québec, QC. 18. St. Michael's Hospital, Toronto, ON.
Abstract
OBJECTIVE: Influenza vaccine uptake among Canadian pregnant individuals is suboptimal. Failure to incorporate vaccination into routine prenatal care and a lack of recommendations from healthcare providers are recognized as barriers to vaccination. The aim of this study was to assess Canadian maternity care providers' knowledge, attitudes, and practices regarding influenza vaccination in pregnancy. METHODS: A cross-sectional Web-based questionnaire was sent during July and August 2017 to family physicians, obstetricians-gynaecologists, midwives, pharmacists, and nurses who care for pregnant individuals. A multivariable logistic regression model was used to determine variables independently associated with providers' recommendation of the influenza vaccine in pregnancy. RESULTS: The analysis included 1061 providers. Most participants (85%) reported being vaccinated against influenza themselves, and 72% reported recommending the influenza vaccine to all of their pregnant patients during the previous influenza season. Participants' attitudes regarding influenza vaccination during pregnancy were generally positive: 64% strongly agreed that pregnant individuals are at an increased risk of complications from influenza, and 69% strongly agreed that it is safe to vaccinate pregnant individuals against influenza. The main determinants of participants' recommendations for influenza vaccination to all pregnant patients were following official recommendations on influenza vaccination, discussing vaccines with most or all pregnant individuals seen in their practice, and being vaccinated themselves during the previous influenza season. CONCLUSION: Enhancing influenza vaccine uptake in pregnancy is largely dependent on maternity care providers' recommendations. This study provides valuable insight on providers' knowledge, attitudes, and practices.
OBJECTIVE: Influenza vaccine uptake among Canadian pregnant individuals is suboptimal. Failure to incorporate vaccination into routine prenatal care and a lack of recommendations from healthcare providers are recognized as barriers to vaccination. The aim of this study was to assess Canadian maternity care providers' knowledge, attitudes, and practices regarding influenza vaccination in pregnancy. METHODS: A cross-sectional Web-based questionnaire was sent during July and August 2017 to family physicians, obstetricians-gynaecologists, midwives, pharmacists, and nurses who care for pregnant individuals. A multivariable logistic regression model was used to determine variables independently associated with providers' recommendation of the influenza vaccine in pregnancy. RESULTS: The analysis included 1061 providers. Most participants (85%) reported being vaccinated against influenza themselves, and 72% reported recommending the influenza vaccine to all of their pregnant patients during the previous influenza season. Participants' attitudes regarding influenza vaccination during pregnancy were generally positive: 64% strongly agreed that pregnant individuals are at an increased risk of complications from influenza, and 69% strongly agreed that it is safe to vaccinate pregnant individuals against influenza. The main determinants of participants' recommendations for influenza vaccination to all pregnant patients were following official recommendations on influenza vaccination, discussing vaccines with most or all pregnant individuals seen in their practice, and being vaccinated themselves during the previous influenza season. CONCLUSION: Enhancing influenza vaccine uptake in pregnancy is largely dependent on maternity care providers' recommendations. This study provides valuable insight on providers' knowledge, attitudes, and practices.
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