Influenza and pertussis vaccination coverage in pregnant women.
Identifieur interne : 000031 ( Main/Corpus ); précédent : 000030; suivant : 000032Influenza and pertussis vaccination coverage in pregnant women.
Auteurs : Jolien Laenen ; Mathieu Roelants ; Roland Devlieger ; Corinne VandermeulenSource :
- Vaccine [ 1873-2518 ] ; 2015.
English descriptors
- KwdEn :
- Adult, Belgium (epidemiology), Educational Status, Female, Humans, Immunization Programs, Infant, Infant, Newborn, Influenza, Human (prevention & control), Pregnancy, Pregnancy Complications, Infectious (prevention & control), Pregnancy Trimester, Third, Pregnant Women, Risk, Seasons, Surveys and Questionnaires, Vaccination (statistics & numerical data), Vaccination (trends), Whooping Cough (prevention & control), Young Adult.
- MESH :
- geographic , epidemiology : Belgium.
- prevention & control : Influenza, Human, Pregnancy Complications, Infectious, Whooping Cough.
- statistics & numerical data : Vaccination.
- trends : Vaccination.
- Adult, Educational Status, Female, Humans, Immunization Programs, Infant, Infant, Newborn, Pregnancy, Pregnancy Trimester, Third, Pregnant Women, Risk, Seasons, Surveys and Questionnaires, Young Adult.
Abstract
BACKGROUND
Pregnant women have an increased risk for complications and hospitalizations when infected with the influenza virus in the second or third trimester. Additionally, infants under six months of age are most vulnerable when contracting pertussis. Immunization against influenza and pertussis during pregnancy provides protection for mother and neonate against influenza and for neonates against pertussis pending protection through infant immunization. In Belgium, a gradual increase in pertussis cases over the past decade was observed. This study was undertaken to document vaccination coverage for influenza and pertussis and factors related to vaccination status in pregnant women.
METHODS
Two hundred and fifty pregnant women completed a questionnaire during their third trimester. Vaccination data were collected and reasons for non-vaccination were noted as well as socio-demographic data which are known to influence vaccination coverage.
RESULTS
A documented vaccination coverage of 42.8% for influenza and 39.2% for pertussis was observed. Taking into account doses which were not documented, but administered according to the expectant mother, coverage for influenza would increase to 62% and for pertussis to 46%. The most important reasons for non-vaccination were the absence of a recommendation by medical staff (9.6%) and delay in vaccination (8.4%). The GP was the most important vaccinator. Pregnant women with a lower education and those with a foreign origin were more vulnerable for non-vaccination.
CONCLUSION
Incomplete documentation is the most important barrier in determining the vaccination status of pregnant women. Immunization during pregnancy needs further integration through vaccination campaigns aimed at both health care providers and pregnant women.
DOI: 10.1016/j.vaccine.2015.03.020
PubMed: 25796339
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pubmed:25796339Le document en format XML
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Electronic address: Mathieu.roelants@med.kuleuven.be.</nlm:affiliation></affiliation></author><author><name sortKey="Devlieger, Roland" sort="Devlieger, Roland" uniqKey="Devlieger R" first="Roland" last="Devlieger">Roland Devlieger</name><affiliation><nlm:affiliation>KU Leuven, University of Leuven, Department of Development and Regeneration, Department of Obstetrics and Gynaecology, University Hospitals Leuven, B-3000 Leuven, Belgium. Electronic address: Roland.devlieger@uzleuven.be.</nlm:affiliation></affiliation></author><author><name sortKey="Vandermeulen, Corinne" sort="Vandermeulen, Corinne" uniqKey="Vandermeulen C" first="Corinne" last="Vandermeulen">Corinne Vandermeulen</name><affiliation><nlm:affiliation>KU Leuven, University of Leuven, Department of Pharmaceutical and Pharmacological Sciences, Leuven University Vaccinology Center (LUVAC), B-3000 Leuven, Belgium. Electronic address: corinne.vandermeulen@uzleuven.be.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25796339</idno><idno type="pmid">25796339</idno><idno type="doi">10.1016/j.vaccine.2015.03.020</idno><idno type="wicri:Area/Main/Corpus">000031</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000031</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Influenza and pertussis vaccination coverage in pregnant women.</title><author><name sortKey="Laenen, Jolien" sort="Laenen, Jolien" uniqKey="Laenen J" first="Jolien" last="Laenen">Jolien Laenen</name><affiliation><nlm:affiliation>KU Leuven, University of Leuven, Department of Pharmaceutical and Pharmacological Sciences, Leuven University Vaccinology Center (LUVAC), B-3000 Leuven, Belgium. Electronic address: Jolien.laenen@uzleuven.be.</nlm:affiliation></affiliation></author><author><name sortKey="Roelants, Mathieu" sort="Roelants, Mathieu" uniqKey="Roelants M" first="Mathieu" last="Roelants">Mathieu Roelants</name><affiliation><nlm:affiliation>KU Leuven, University of Leuven, Department of Public Health and Primary Care, Centre for Environment and Health, Youth Health Care, B-3000 Leuven, Belgium. Electronic address: Mathieu.roelants@med.kuleuven.be.</nlm:affiliation></affiliation></author><author><name sortKey="Devlieger, Roland" sort="Devlieger, Roland" uniqKey="Devlieger R" first="Roland" last="Devlieger">Roland Devlieger</name><affiliation><nlm:affiliation>KU Leuven, University of Leuven, Department of Development and Regeneration, Department of Obstetrics and Gynaecology, University Hospitals Leuven, B-3000 Leuven, Belgium. Electronic address: Roland.devlieger@uzleuven.be.</nlm:affiliation></affiliation></author><author><name sortKey="Vandermeulen, Corinne" sort="Vandermeulen, Corinne" uniqKey="Vandermeulen C" first="Corinne" last="Vandermeulen">Corinne Vandermeulen</name><affiliation><nlm:affiliation>KU Leuven, University of Leuven, Department of Pharmaceutical and Pharmacological Sciences, Leuven University Vaccinology Center (LUVAC), B-3000 Leuven, Belgium. Electronic address: corinne.vandermeulen@uzleuven.be.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Vaccine</title><idno type="eISSN">1873-2518</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Belgium (epidemiology)</term><term>Educational Status</term><term>Female</term><term>Humans</term><term>Immunization Programs</term><term>Infant</term><term>Infant, Newborn</term><term>Influenza, Human (prevention & control)</term><term>Pregnancy</term><term>Pregnancy Complications, Infectious (prevention & control)</term><term>Pregnancy Trimester, Third</term><term>Pregnant Women</term><term>Risk</term><term>Seasons</term><term>Surveys and Questionnaires</term><term>Vaccination (statistics & numerical data)</term><term>Vaccination (trends)</term><term>Whooping Cough (prevention & control)</term><term>Young Adult</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Belgium</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term><term>Pregnancy Complications, Infectious</term><term>Whooping Cough</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Vaccination</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Educational Status</term><term>Female</term><term>Humans</term><term>Immunization Programs</term><term>Infant</term><term>Infant, Newborn</term><term>Pregnancy</term><term>Pregnancy Trimester, Third</term><term>Pregnant Women</term><term>Risk</term><term>Seasons</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Pregnant women have an increased risk for complications and hospitalizations when infected with the influenza virus in the second or third trimester. Additionally, infants under six months of age are most vulnerable when contracting pertussis. Immunization against influenza and pertussis during pregnancy provides protection for mother and neonate against influenza and for neonates against pertussis pending protection through infant immunization. In Belgium, a gradual increase in pertussis cases over the past decade was observed. This study was undertaken to document vaccination coverage for influenza and pertussis and factors related to vaccination status in pregnant women.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Two hundred and fifty pregnant women completed a questionnaire during their third trimester. Vaccination data were collected and reasons for non-vaccination were noted as well as socio-demographic data which are known to influence vaccination coverage.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A documented vaccination coverage of 42.8% for influenza and 39.2% for pertussis was observed. Taking into account doses which were not documented, but administered according to the expectant mother, coverage for influenza would increase to 62% and for pertussis to 46%. The most important reasons for non-vaccination were the absence of a recommendation by medical staff (9.6%) and delay in vaccination (8.4%). The GP was the most important vaccinator. Pregnant women with a lower education and those with a foreign origin were more vulnerable for non-vaccination.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Incomplete documentation is the most important barrier in determining the vaccination status of pregnant women. Immunization during pregnancy needs further integration through vaccination campaigns aimed at both health care providers and pregnant women.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25796339</PMID><DateCompleted><Year>2016</Year><Month>01</Month><Day>19</Day></DateCompleted><DateRevised><Year>2015</Year><Month>04</Month><Day>07</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-2518</ISSN><JournalIssue CitedMedium="Internet"><Volume>33</Volume><Issue>18</Issue><PubDate><Year>2015</Year><Month>Apr</Month><Day>27</Day></PubDate></JournalIssue><Title>Vaccine</Title><ISOAbbreviation>Vaccine</ISOAbbreviation></Journal><ArticleTitle>Influenza and pertussis vaccination coverage in pregnant women.</ArticleTitle><Pagination><MedlinePgn>2125-31</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.vaccine.2015.03.020</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0264-410X(15)00308-4</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Pregnant women have an increased risk for complications and hospitalizations when infected with the influenza virus in the second or third trimester. Additionally, infants under six months of age are most vulnerable when contracting pertussis. Immunization against influenza and pertussis during pregnancy provides protection for mother and neonate against influenza and for neonates against pertussis pending protection through infant immunization. In Belgium, a gradual increase in pertussis cases over the past decade was observed. This study was undertaken to document vaccination coverage for influenza and pertussis and factors related to vaccination status in pregnant women.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Two hundred and fifty pregnant women completed a questionnaire during their third trimester. Vaccination data were collected and reasons for non-vaccination were noted as well as socio-demographic data which are known to influence vaccination coverage.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A documented vaccination coverage of 42.8% for influenza and 39.2% for pertussis was observed. Taking into account doses which were not documented, but administered according to the expectant mother, coverage for influenza would increase to 62% and for pertussis to 46%. The most important reasons for non-vaccination were the absence of a recommendation by medical staff (9.6%) and delay in vaccination (8.4%). The GP was the most important vaccinator. Pregnant women with a lower education and those with a foreign origin were more vulnerable for non-vaccination.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Incomplete documentation is the most important barrier in determining the vaccination status of pregnant women. Immunization during pregnancy needs further integration through vaccination campaigns aimed at both health care providers and pregnant women.</AbstractText><CopyrightInformation>Copyright © 2015 Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Laenen</LastName><ForeName>Jolien</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>KU Leuven, University of Leuven, Department of Pharmaceutical and Pharmacological Sciences, Leuven University Vaccinology Center (LUVAC), B-3000 Leuven, Belgium. Electronic address: Jolien.laenen@uzleuven.be.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Roelants</LastName><ForeName>Mathieu</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>KU Leuven, University of Leuven, Department of Public Health and Primary Care, Centre for Environment and Health, Youth Health Care, B-3000 Leuven, Belgium. Electronic address: Mathieu.roelants@med.kuleuven.be.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Devlieger</LastName><ForeName>Roland</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>KU Leuven, University of Leuven, Department of Development and Regeneration, Department of Obstetrics and Gynaecology, University Hospitals Leuven, B-3000 Leuven, Belgium. Electronic address: Roland.devlieger@uzleuven.be.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vandermeulen</LastName><ForeName>Corinne</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>KU Leuven, University of Leuven, Department of Pharmaceutical and Pharmacological Sciences, Leuven University Vaccinology Center (LUVAC), B-3000 Leuven, Belgium. Electronic address: corinne.vandermeulen@uzleuven.be.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>03</Month><Day>18</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Vaccine</MedlineTA><NlmUniqueID>8406899</NlmUniqueID><ISSNLinking>0264-410X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001530" MajorTopicYN="N" Type="Geographic">Belgium</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004522" MajorTopicYN="N">Educational Status</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017589" MajorTopicYN="Y">Immunization Programs</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007231" MajorTopicYN="N">Infant, Newborn</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011247" MajorTopicYN="N">Pregnancy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011251" MajorTopicYN="N">Pregnancy Complications, Infectious</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011263" MajorTopicYN="N">Pregnancy Trimester, Third</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D037841" MajorTopicYN="N">Pregnant Women</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012306" MajorTopicYN="N">Risk</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012621" MajorTopicYN="N">Seasons</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName><QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014917" MajorTopicYN="N">Whooping Cough</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Immunization</Keyword><Keyword MajorTopicYN="N">Influenza</Keyword><Keyword MajorTopicYN="N">Pertussis</Keyword><Keyword MajorTopicYN="N">Pregnancy</Keyword><Keyword MajorTopicYN="N">Vaccination coverage</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>12</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2015</Year><Month>02</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>03</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>3</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>3</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>1</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25796339</ArticleId><ArticleId IdType="pii">S0264-410X(15)00308-4</ArticleId><ArticleId IdType="doi">10.1016/j.vaccine.2015.03.020</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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