TY - JOUR
T1 - Determinants of influenza and pertussis vaccine uptake in pregnant women in Ireland
T2 - A cross-sectional survey in 2017/18 influenza season
AU - Quattrocchi, A.
AU - Mereckiene, J.
AU - Fitzgerald, M.
AU - Cotter, S.
N1 - Funding Information:
We wish to thank the women who participated to the omnibus survey, the market research company (Kantar Millward Brown, Dublin) for conducting the survey, Dr Mary Codd (Centre for Support and Training in Analysis and Research (CSTAR), University College of Dublin, Ireland) for her support with statistical analysis, and Franti?ka Hrub? (EPIET coordinator) who contributed in the statistical analysis plan. The study was funded by the Health Services Executive- Health Protection Surveillance Centre. SC coordinated the study; JM and SC conceived the study; AQ, JM, SC designed the study protocol; AQ performed the data analysis and drafted the initial manuscript, AQ, JM, MF and SC contributed to the interpretation of the results, multiple reviews and critical feedback on the manuscript and gave final approval before submission.
Publisher Copyright:
© 2019 Elsevier Ltd
PY - 2019/10/8
Y1 - 2019/10/8
N2 - In Ireland seasonal influenza and pertussis vaccination during pregnancy is recommended and every year national campaigns are organised to raise awareness and improve uptake. We estimated influenza and pertussis vaccine uptake and identified factors associated with vaccination status in pregnant women in 2017/18. We conducted a face-to-face omnibus survey, with quota sampling, among women aged 18–55 years and collected socio-demographic characteristics, self-reported vaccination status, awareness of vaccine campaigns, and attitudes towards vaccination. Sample was weighted to ensure representativeness with the target population. We performed univariate and multivariable logistic regression analyses on survey data. Overall, 241 pregnant women were enrolled. Influenza and pertussis vaccine uptake was 61.7% and 49.9%, respectively. Awareness of vaccine campaign and socio-economic status (SES) were associated with both influenza and pertussis vaccine uptake. The association between SES and uptake of vaccines differed by awareness. Women aware of the influenza vaccine campaign and with mid and low SES were less likely to be vaccinated, compared to those with high SES (aOR = 0.46; 95%CI: 0.22–0.97; aOR = 0.27; 95%CI: 0.12–0.60, respectively); women not aware of the pertussis vaccine campaign and with mid and low SES were less likely to be vaccinated, compared to those aware and with high SES (aOR = 0.15; 95%CI: 0.04–0.48; aOR = 0.05; 95%CI: 0.01–0.24, respectively). General practitioner (GP) recommendation was the main reason for receiving influenza vaccine (39.2%), and 71.8% of women were recommended pertussis vaccination from their GPs. The survey reports moderate uptake of vaccines among pregnant women, inequalities in uptake by SES and identifies GPs as primary source for vaccine recommendation. We recommend multifaceted campaigns, by engaging GPs, to target all socio-economic groups.
AB - In Ireland seasonal influenza and pertussis vaccination during pregnancy is recommended and every year national campaigns are organised to raise awareness and improve uptake. We estimated influenza and pertussis vaccine uptake and identified factors associated with vaccination status in pregnant women in 2017/18. We conducted a face-to-face omnibus survey, with quota sampling, among women aged 18–55 years and collected socio-demographic characteristics, self-reported vaccination status, awareness of vaccine campaigns, and attitudes towards vaccination. Sample was weighted to ensure representativeness with the target population. We performed univariate and multivariable logistic regression analyses on survey data. Overall, 241 pregnant women were enrolled. Influenza and pertussis vaccine uptake was 61.7% and 49.9%, respectively. Awareness of vaccine campaign and socio-economic status (SES) were associated with both influenza and pertussis vaccine uptake. The association between SES and uptake of vaccines differed by awareness. Women aware of the influenza vaccine campaign and with mid and low SES were less likely to be vaccinated, compared to those with high SES (aOR = 0.46; 95%CI: 0.22–0.97; aOR = 0.27; 95%CI: 0.12–0.60, respectively); women not aware of the pertussis vaccine campaign and with mid and low SES were less likely to be vaccinated, compared to those aware and with high SES (aOR = 0.15; 95%CI: 0.04–0.48; aOR = 0.05; 95%CI: 0.01–0.24, respectively). General practitioner (GP) recommendation was the main reason for receiving influenza vaccine (39.2%), and 71.8% of women were recommended pertussis vaccination from their GPs. The survey reports moderate uptake of vaccines among pregnant women, inequalities in uptake by SES and identifies GPs as primary source for vaccine recommendation. We recommend multifaceted campaigns, by engaging GPs, to target all socio-economic groups.
KW - Campaign
KW - Influenza
KW - Pertussis
KW - Pregnant women
KW - Socio-economic status
KW - Vaccine
UR - http://www.scopus.com/inward/record.url?scp=85071950817&partnerID=8YFLogxK
U2 - 10.1016/j.vaccine.2019.09.008
DO - 10.1016/j.vaccine.2019.09.008
M3 - Article
C2 - 31515147
AN - SCOPUS:85071950817
SN - 0264-410X
VL - 37
SP - 6390
EP - 6396
JO - Vaccine
JF - Vaccine
IS - 43
ER -