[Concordance between the antecedents of influenza vaccination referred by pregnant women and those recorded in the medical record].
Identifieur interne : 000047 ( Main/Exploration ); précédent : 000046; suivant : 000048[Concordance between the antecedents of influenza vaccination referred by pregnant women and those recorded in the medical record].
Auteurs : Joan Torres Puig-Gros ; Rosa Mar Alzuria Al SSource :
- Revista espanola de salud publica [ 2173-9110 ] ; 2018.
Descripteurs français
- KwdFr :
- MESH :
- prévention et contrôle : Complications infectieuses de la grossesse, Grippe humaine.
- Espagne, Femelle, Femmes enceintes, Grossesse, Humains, Vaccination, Vaccins antigrippaux, Études transversales.
- Wicri :
- geographic : Espagne.
English descriptors
- KwdEn :
- MESH :
- chemical : Influenza Vaccines.
- geographic : Spain.
- prevention & control : Influenza, Human, Pregnancy Complications, Infectious.
- Cross-Sectional Studies, Female, Humans, Pregnancy, Pregnant Women, Vaccination.
Abstract
OBJECTIVE
Sometimes and when a registry is not available, influenza vaccination (IV) is based on vaccination records reported by citizens. When the opportunity of comparing both information sources exists, sometimes, discrepancies between both have been observed. The objectives of this study are: to know the IV coverage in pregnant women (both referred and recorded in the clinical history), to determine the concordance between both sources of information and to quantify the lost opportunities of IV due to errors in verbalization.
METHODS
From June to September after the IV campaigns 2013/2014 and 2014/2015, a cross-sectional survey was carried out to a random sample of 657 pregnant women assisted in seven ASSIR (Public Centers for Sexual and Reproductive Care) in Catalonia. The history of IV referred by the pregnant women and those of the vaccination record of the computerized clinical history were collected. Vaccination coverage was calculated for each source of information, it was also calculated the concordance between both (Kappa index) and the proportion of pregnant women who reported receiving the IV without having received it. This indicator was analyzed according to the different variables compared to globality through the Chi-square test. The accepted statistical significance level was p less than 0.05.
RESULTS
The referred vaccination coverage was 22.2% (95% CI: 19.0% -25.4%) and 15.4% (95% CI: 12.6% -18.2%) according to the vaccination record (p = 0.0019). Despite the good concordance between both sources (Kappa = 0.738), one out of every three pregnant women who said they were vaccinated was not according to the registry. The lower concordance and the lost opportunities of IV occurred in the upper social strata, at intermediate fertile ages and when there was previous knowledge and experience of IV.
CONCLUSIONS
The coverage of IV in pregnant women continues to be low. In spite of the good concordance between both sources of information, one out of three unvaccinated believe that they have been vaccinated, as result they can lose a vaccination opportunity.
PubMed: 29537395
Affiliations:
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España.</wicri:noCountry></affiliation></author><author><name sortKey="Alzuria Al S, Rosa Mar" sort="Alzuria Al S, Rosa Mar" uniqKey="Alzuria Al S R" first="Rosa Mar" last="Alzuria Al S">Rosa Mar Alzuria Al S</name><affiliation><nlm:affiliation>Facultad de Enfermería y Fisoterapia. Universitat de Lleida. España.</nlm:affiliation><wicri:noCountry code="no comma">Facultad de Enfermería y Fisoterapia. Universitat de Lleida. España.</wicri:noCountry></affiliation><affiliation><nlm:affiliation>ASSIR Lleida-PUNSU. Instituto Catalán de la Salud. Lleida. España.</nlm:affiliation><wicri:noCountry code="no comma">ASSIR Lleida-PUNSU. Instituto Catalán de la Salud. Lleida. 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Universitat de Lleida. España.</nlm:affiliation><wicri:noCountry code="no comma">Facultad de Enfermería y Fisoterapia. Universitat de Lleida. España.</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Agencia de Salud Pública de Cataluña. Lleida. España.</nlm:affiliation><wicri:noCountry code="no comma">Agencia de Salud Pública de Cataluña. Lleida. España.</wicri:noCountry></affiliation></author><author><name sortKey="Alzuria Al S, Rosa Mar" sort="Alzuria Al S, Rosa Mar" uniqKey="Alzuria Al S R" first="Rosa Mar" last="Alzuria Al S">Rosa Mar Alzuria Al S</name><affiliation><nlm:affiliation>Facultad de Enfermería y Fisoterapia. Universitat de Lleida. España.</nlm:affiliation><wicri:noCountry code="no comma">Facultad de Enfermería y Fisoterapia. Universitat de Lleida. España.</wicri:noCountry></affiliation><affiliation><nlm:affiliation>ASSIR Lleida-PUNSU. Instituto Catalán de la Salud. Lleida. España.</nlm:affiliation><wicri:noCountry code="no comma">ASSIR Lleida-PUNSU. Instituto Catalán de la Salud. Lleida. España.</wicri:noCountry></affiliation></author></analytic><series><title level="j">Revista espanola de salud publica</title><idno type="eISSN">2173-9110</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cross-Sectional Studies (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Influenza Vaccines (MeSH)</term><term>Influenza, Human (prevention & control)</term><term>Pregnancy (MeSH)</term><term>Pregnancy Complications, Infectious (prevention & control)</term><term>Pregnant Women (MeSH)</term><term>Spain (MeSH)</term><term>Vaccination (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Complications infectieuses de la grossesse (prévention et contrôle)</term><term>Espagne (MeSH)</term><term>Femelle (MeSH)</term><term>Femmes enceintes (MeSH)</term><term>Grippe humaine (prévention et contrôle)</term><term>Grossesse (MeSH)</term><term>Humains (MeSH)</term><term>Vaccination (MeSH)</term><term>Vaccins antigrippaux (MeSH)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Influenza Vaccines</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Spain</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term><term>Pregnancy Complications, Infectious</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Complications infectieuses de la grossesse</term><term>Grippe humaine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Pregnancy</term><term>Pregnant Women</term><term>Vaccination</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Espagne</term><term>Femelle</term><term>Femmes enceintes</term><term>Grossesse</term><term>Humains</term><term>Vaccination</term><term>Vaccins antigrippaux</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Espagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>Sometimes and when a registry is not available, influenza vaccination (IV) is based on vaccination records reported by citizens. When the opportunity of comparing both information sources exists, sometimes, discrepancies between both have been observed. The objectives of this study are: to know the IV coverage in pregnant women (both referred and recorded in the clinical history), to determine the concordance between both sources of information and to quantify the lost opportunities of IV due to errors in verbalization.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>From June to September after the IV campaigns 2013/2014 and 2014/2015, a cross-sectional survey was carried out to a random sample of 657 pregnant women assisted in seven ASSIR (Public Centers for Sexual and Reproductive Care) in Catalonia. The history of IV referred by the pregnant women and those of the vaccination record of the computerized clinical history were collected. Vaccination coverage was calculated for each source of information, it was also calculated the concordance between both (Kappa index) and the proportion of pregnant women who reported receiving the IV without having received it. This indicator was analyzed according to the different variables compared to globality through the Chi-square test. The accepted statistical significance level was p less than 0.05.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The referred vaccination coverage was 22.2% (95% CI: 19.0% -25.4%) and 15.4% (95% CI: 12.6% -18.2%) according to the vaccination record (p = 0.0019). Despite the good concordance between both sources (Kappa = 0.738), one out of every three pregnant women who said they were vaccinated was not according to the registry. The lower concordance and the lost opportunities of IV occurred in the upper social strata, at intermediate fertile ages and when there was previous knowledge and experience of IV.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The coverage of IV in pregnant women continues to be low. In spite of the good concordance between both sources of information, one out of three unvaccinated believe that they have been vaccinated, as result they can lose a vaccination opportunity.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">29537395</PMID><DateCompleted><Year>2019</Year><Month>05</Month><Day>29</Day></DateCompleted><DateRevised><Year>2019</Year><Month>05</Month><Day>29</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">2173-9110</ISSN><JournalIssue CitedMedium="Internet"><Volume>92</Volume><PubDate><Year>2018</Year><Month>03</Month><Day>16</Day></PubDate></JournalIssue><Title>Revista espanola de salud publica</Title><ISOAbbreviation>Rev. Esp. Salud Publica</ISOAbbreviation></Journal><ArticleTitle>[Concordance between the antecedents of influenza vaccination referred by pregnant women and those recorded in the medical record].</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">e201803005</ELocationID><Abstract><AbstractText Label="OBJECTIVE">Sometimes and when a registry is not available, influenza vaccination (IV) is based on vaccination records reported by citizens. When the opportunity of comparing both information sources exists, sometimes, discrepancies between both have been observed. The objectives of this study are: to know the IV coverage in pregnant women (both referred and recorded in the clinical history), to determine the concordance between both sources of information and to quantify the lost opportunities of IV due to errors in verbalization.</AbstractText><AbstractText Label="METHODS">From June to September after the IV campaigns 2013/2014 and 2014/2015, a cross-sectional survey was carried out to a random sample of 657 pregnant women assisted in seven ASSIR (Public Centers for Sexual and Reproductive Care) in Catalonia. The history of IV referred by the pregnant women and those of the vaccination record of the computerized clinical history were collected. Vaccination coverage was calculated for each source of information, it was also calculated the concordance between both (Kappa index) and the proportion of pregnant women who reported receiving the IV without having received it. This indicator was analyzed according to the different variables compared to globality through the Chi-square test. The accepted statistical significance level was p less than 0.05.</AbstractText><AbstractText Label="RESULTS">The referred vaccination coverage was 22.2% (95% CI: 19.0% -25.4%) and 15.4% (95% CI: 12.6% -18.2%) according to the vaccination record (p = 0.0019). Despite the good concordance between both sources (Kappa = 0.738), one out of every three pregnant women who said they were vaccinated was not according to the registry. The lower concordance and the lost opportunities of IV occurred in the upper social strata, at intermediate fertile ages and when there was previous knowledge and experience of IV.</AbstractText><AbstractText Label="CONCLUSIONS">The coverage of IV in pregnant women continues to be low. In spite of the good concordance between both sources of information, one out of three unvaccinated believe that they have been vaccinated, as result they can lose a vaccination opportunity.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Torres Puig-Gros</LastName><ForeName>Joan</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Facultad de Enfermería y Fisoterapia. Universitat de Lleida. España.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Agencia de Salud Pública de Cataluña. Lleida. España.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alzuria Alós</LastName><ForeName>Rosa Mar</ForeName><Initials>RM</Initials><AffiliationInfo><Affiliation>Facultad de Enfermería y Fisoterapia. Universitat de Lleida. España.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>ASSIR Lleida-PUNSU. Instituto Catalán de la Salud. Lleida. España.</Affiliation></AffiliationInfo></Author></AuthorList><Language>spa</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Concordancia entre los antecedentes de vacunación antigripal referidos por las gestantes en Cataluña y los registrados en la Historia Clínica.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2018</Year><Month>03</Month><Day>16</Day></ArticleDate></Article><MedlineJournalInfo><Country>Spain</Country><MedlineTA>Rev Esp Salud Publica</MedlineTA><NlmUniqueID>9600212</NlmUniqueID><ISSNLinking>1135-5727</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007252" MajorTopicYN="Y">Influenza Vaccines</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011247" MajorTopicYN="N">Pregnancy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011251" MajorTopicYN="Y">Pregnancy Complications, Infectious</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D037841" MajorTopicYN="Y">Pregnant Women</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N" Type="Geographic">Spain</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName></MeshHeading></MeshHeadingList><OtherAbstract Type="Publisher" Language="spa"><AbstractText Label="OBJETIVO">En ocasiones y cuando no se dispone de un registro, la vacunación antigripal (VAG) se fundamenta en los antecedentes vacunales referidos por los ciudadanos. Cuando existe la posibilidad de comparar ambas fuentes de información, en ocasiones, se han observado discrepancias entre las mismas. Los objetivos de este estudio fueron: conocer la cobertura de VAG en gestantes tanto referida como registrada en la historia clínica, determinar la concordancia entre ambas fuentes de información y cuantificar las oportunidades perdidas de VAG debidas a los errores en la verbalización.</AbstractText><AbstractText Label="METODOS">De junio a septiembre después de las campañas de VAG 2013/2014 y 2014/2015 se aplicó una encuesta transversal a una muestra aleatoria de 657 gestantes atendidas en siete ASSIR (Centros Públicos de Atención Sexual y Reproductiva) de Cataluña. Se recogieron los antecedentes de VAG referidos por las gestantes y los del registro de vacunaciones de la historia clínica informatizada. Se calcularon la cobertura vacunal para cada fuente de información, la concordancia entre ambas (índice Kappa) y la proporción de gestantes que manifestaron haber recibido la VAG sin haberla recibido. Este indicador se analizó según las distintas variables comparándose con la globalidad a través de la prueba de Ji cuadrado. El nivel significación estadística aceptado fue de p menor que 0,05.</AbstractText><AbstractText Label="RESULTADOS">La cobertura vacunal referida fue del 22,2% (IC 95%: 19,0%-25,4%) y del 15,4% (IC 95%: 12,6%-18,2%) según el registro de vacunaciones (p=0,0019). A pesar de la buena concordancia entre ambas fuentes (Kappa=0,738), una de cada tres gestantes que manifestaron estar vacunadas no lo estaba según el registro. La menor concordancia y las oportunidades perdidas de VAG se produjeron en los estratos sociales altos, a edades fértiles intermedias y cuando se tenían conocimientos y experiencias previas de VAG.</AbstractText><AbstractText Label="CONCLUSIONES">La cobertura de VAG en gestantes continua siendo baja. A pesar de la buena concordancia entre ambas fuentes de información, una de cada tres no vacunadas cree estarlo, pudiendo perder una oportunidad de vacunación.</AbstractText></OtherAbstract><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Influenza vaccine</Keyword><Keyword MajorTopicYN="Y">Practices</Keyword><Keyword MajorTopicYN="Y">Pregnant women</Keyword><Keyword MajorTopicYN="Y">Vaccination</Keyword><Keyword MajorTopicYN="Y">Vaccination coverage</Keyword><Keyword MajorTopicYN="Y">Vaccine records</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>07</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2018</Year><Month>03</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>3</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>3</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>5</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">29537395</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list></list><tree><noCountry><name sortKey="Alzuria Al S, Rosa Mar" sort="Alzuria Al S, Rosa Mar" uniqKey="Alzuria Al S R" first="Rosa Mar" last="Alzuria Al S">Rosa Mar Alzuria Al S</name><name sortKey="Torres Puig Gros, Joan" sort="Torres Puig Gros, Joan" uniqKey="Torres Puig Gros J" first="Joan" last="Torres Puig-Gros">Joan Torres Puig-Gros</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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