Articlehybrid2021

Differences between influenza and pertussis vaccination uptake in pregnancy: a multi-center survey study in Italy

Luz María Vilca · Laura Sarno · Elena Cesari · Annalisa Vidiri · Patrizio Giovanni Maria Antonazzo · Francesca Ravennati +3 more

29 citations0/0 files storedEuropean Journal of Public Health

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Vaccine Coverage and Hesitancy Bacterial Infections and Vaccines Intramuscular injections and effects

Abstract

BACKGROUND: A suboptimal maternal vaccination coverage in 2017-18 has been reported in Italy. The study aims were to (i) assess changes in maternal influenza and tetanus, diphtheria and acellular pertussis vaccination coverage during 2018-19 influenza season compared to the previous season (ii) estimate influenza vaccine coverage among maternal care providers (MCPs) and (iii) explore the characteristics of vaccine delivery to pregnant women. METHODS: We conducted a cross-sectional survey among pregnant women and MCPs about influenza and pertussis immunization during pregnancy. We also collected information regarding prenatal care characteristics and vaccine delivery among four centers in Italy. RESULTS: We recruited 483 pregnant women and 452 MCPs. The influenza and pertussis vaccine uptake among pregnant women for the season 2018-19 was 14.9% and 60.9%, respectively. MCPs' influenza vaccine uptake was 33.6%. Knowing that the flu vaccine was safe for mothers and their infants and being vaccinated in the previous influenza season were associated with higher vaccine uptake. Regarding pertussis, being a housewife was associated to lower vaccine uptake, while knowing the vaccine is effective and safe for mothers and newborns were associated with higher pertussis vaccine uptake. The single most important factor associated to higher coverage of both influenza and pertussis vaccines was receiving a health-care provider's vaccine advice. Most pregnant women (69.4%) stated that they preferred to be vaccinated in their same prenatal care setting. CONCLUSIONS: Receiving a health-care provider's vaccine advice and the availability of vaccines during prenatal care visits might improve vaccination coverage among pregnant women.

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References

2014Determinants of uptake of influenza vaccination among pregnant women – A systematic review 2018Influenza and Tdap Vaccination Coverage Among Pregnant Women — United States, April 2018 2015Knowledge and attitiudes of pregnant women and their providers towards recommendations for immunization during pregnancy 2018Vaccination knowledge and acceptability among pregnant women in Italy 2015Influenza and pertussis vaccination coverage in pregnant women 2017Seasonal influenza vaccination in pregnant women: knowledge, attitudes, and behaviors in Italy 2016Vaccines in pregnancy: The dual benefit for pregnant women and infants 2001Influenza vaccination during pregnancy. Patients' and physicians' attitudes.

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2023Vaccine hesitancy and knowledge regarding maternal immunization among reproductive age women in central Italy: a cross sectional study

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