Maternal Care Providers' Barriers Regarding Influenza and Pertussis Vaccination During Pregnancy in Catalonia, Spain.
Identifieur interne : 000059 ( Main/Exploration ); précédent : 000058; suivant : 000060Maternal Care Providers' Barriers Regarding Influenza and Pertussis Vaccination During Pregnancy in Catalonia, Spain.
Auteurs : Luz Maria Vilca [Espagne] ; Cristina Martínez [Espagne] ; Miriam Burballa [Espagne] ; Magda Campins [Espagne]Source :
- Maternal and child health journal [ 1573-6628 ] ; 2018.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Attitude du personnel soignant (MeSH), Complications infectieuses de la grossesse (prévention et contrôle), Connaissances, attitudes et pratiques en santé (MeSH), Coqueluche (prévention et contrôle), Enquêtes et questionnaires (MeSH), Espagne (MeSH), Femelle (MeSH), Grippe humaine (prévention et contrôle), Grossesse (MeSH), Humains (MeSH), Immunisation (méthodes), Jeune adulte (MeSH), Obstétrique (statistiques et données numériques), Profession de sage-femme (MeSH), Vaccin anticoquelucheux (administration et posologie), Vaccination (psychologie), Vaccination (statistiques et données numériques), Vaccins antigrippaux (administration et posologie).
- MESH :
- administration et posologie : Vaccin anticoquelucheux, Vaccins antigrippaux.
- méthodes : Immunisation.
- prévention et contrôle : Complications infectieuses de la grossesse, Coqueluche, Grippe humaine.
- psychologie : Vaccination.
- statistiques et données numériques : Obstétrique, Vaccination.
- Adulte, Attitude du personnel soignant, Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, Espagne, Femelle, Grossesse, Humains, Jeune adulte, Profession de sage-femme.
- Wicri :
- geographic : Espagne.
English descriptors
- KwdEn :
- Adult (MeSH), Attitude of Health Personnel (MeSH), Female (MeSH), Health Knowledge, Attitudes, Practice (MeSH), Humans (MeSH), Immunization (methods), Influenza Vaccines (administration & dosage), Influenza, Human (prevention & control), Midwifery (MeSH), Obstetrics (statistics & numerical data), Pertussis Vaccine (administration & dosage), Pregnancy (MeSH), Pregnancy Complications, Infectious (prevention & control), Spain (MeSH), Surveys and Questionnaires (MeSH), Vaccination (psychology), Vaccination (statistics & numerical data), Whooping Cough (prevention & control), Young Adult (MeSH).
- MESH :
- chemical , administration & dosage : Influenza Vaccines, Pertussis Vaccine.
- geographic : Spain.
- methods : Immunization.
- prevention & control : Influenza, Human, Pregnancy Complications, Infectious, Whooping Cough.
- psychology : Vaccination.
- statistics & numerical data : Obstetrics, Vaccination.
- Adult, Attitude of Health Personnel, Female, Health Knowledge, Attitudes, Practice, Humans, Midwifery, Pregnancy, Surveys and Questionnaires, Young Adult.
Abstract
Objective Maternal care providers (MCPs), obstetrician-gynaecologists and midwives are uniquely placed to increase maternal vaccination acceptance. We aimed to assess their knowledge, attitudes and practices regarding influenza and pertussis vaccination during pregnancy. Methods We conducted an online survey among MCPs working at "Attention to Sexual and Reproductive Health" (ASSIR) Units in Catalonia region. The survey included questions about current recommendations of influenza and pertussis immunization during pregnancy, reasons for not routinely recommending vaccination and several strategies to increase vaccination uptake. Results A total of 194 MCPs completed the survey, 178 (91.8%) were female and 145 (70%) were midwives. Only 61 (31.4%) stated they vaccinated themselves annually against influenza with a significant lower uptake among midwives (26.9%) than obstetrician-gynaecologists (44.9%) (p = 0.03). Overall, 53.6% of MCPs knew influenza vaccine was indicated during first trimester but only 43.3% stated they prescribed it. Almost all MCPs (98.5%) knew pertussis vaccine was recommended and 97.4% stated they prescribed it. The most important vaccination barrier found was the concern related to vaccine adverse events (25.9%) and more midwives than obstetrician-gynaecologists expressed this concern (30.8 vs. 10%) (p = 0.02). The most popular strategies were: including vaccine recommendations in the pregnancy booklet (93.8%) and receiving vaccination training (92.3%). In the adjusted analysis, the only factor significantly associated with MCPs' prescription of influenza vaccine during second/third trimester was having been vaccinated themselves (odds ratio 3.70, 95% confidence interval 1.3-13.2). Conclusions for Practice Implementation of practical tools, continuous training and clear definition of responsibilities regarding vaccination among MCPs may have a significant impact on maternal vaccination coverage.
DOI: 10.1007/s10995-018-2481-6
PubMed: 29417364
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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(MeSH)</term><term>Vaccination (psychology)</term><term>Vaccination (statistics & numerical data)</term><term>Whooping Cough (prevention & control)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Attitude du personnel soignant (MeSH)</term><term>Complications infectieuses de la grossesse (prévention et contrôle)</term><term>Connaissances, attitudes et pratiques en santé (MeSH)</term><term>Coqueluche (prévention et contrôle)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Espagne (MeSH)</term><term>Femelle (MeSH)</term><term>Grippe humaine (prévention et contrôle)</term><term>Grossesse (MeSH)</term><term>Humains (MeSH)</term><term>Immunisation (méthodes)</term><term>Jeune adulte (MeSH)</term><term>Obstétrique (statistiques et données numériques)</term><term>Profession de sage-femme (MeSH)</term><term>Vaccin anticoquelucheux (administration et posologie)</term><term>Vaccination (psychologie)</term><term>Vaccination (statistiques et données numériques)</term><term>Vaccins antigrippaux (administration et posologie)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Influenza Vaccines</term><term>Pertussis Vaccine</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Spain</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Vaccin anticoquelucheux</term><term>Vaccins antigrippaux</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Immunization</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Immunisation</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="prévention et contrôle" xml:lang="fr"><term>Complications infectieuses de la grossesse</term><term>Coqueluche</term><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Obstetrics</term><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Obstétrique</term><term>Vaccination</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Attitude of Health Personnel</term><term>Female</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Midwifery</term><term>Pregnancy</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Attitude du personnel soignant</term><term>Connaissances, attitudes et pratiques en santé</term><term>Enquêtes et questionnaires</term><term>Espagne</term><term>Femelle</term><term>Grossesse</term><term>Humains</term><term>Jeune adulte</term><term>Profession de sage-femme</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Espagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective Maternal care providers (MCPs), obstetrician-gynaecologists and midwives are uniquely placed to increase maternal vaccination acceptance. We aimed to assess their knowledge, attitudes and practices regarding influenza and pertussis vaccination during pregnancy. Methods We conducted an online survey among MCPs working at "Attention to Sexual and Reproductive Health" (ASSIR) Units in Catalonia region. The survey included questions about current recommendations of influenza and pertussis immunization during pregnancy, reasons for not routinely recommending vaccination and several strategies to increase vaccination uptake. Results A total of 194 MCPs completed the survey, 178 (91.8%) were female and 145 (70%) were midwives. Only 61 (31.4%) stated they vaccinated themselves annually against influenza with a significant lower uptake among midwives (26.9%) than obstetrician-gynaecologists (44.9%) (p = 0.03). Overall, 53.6% of MCPs knew influenza vaccine was indicated during first trimester but only 43.3% stated they prescribed it. Almost all MCPs (98.5%) knew pertussis vaccine was recommended and 97.4% stated they prescribed it. The most important vaccination barrier found was the concern related to vaccine adverse events (25.9%) and more midwives than obstetrician-gynaecologists expressed this concern (30.8 vs. 10%) (p = 0.02). The most popular strategies were: including vaccine recommendations in the pregnancy booklet (93.8%) and receiving vaccination training (92.3%). In the adjusted analysis, the only factor significantly associated with MCPs' prescription of influenza vaccine during second/third trimester was having been vaccinated themselves (odds ratio 3.70, 95% confidence interval 1.3-13.2). Conclusions for Practice Implementation of practical tools, continuous training and clear definition of responsibilities regarding vaccination among MCPs may have a significant impact on maternal vaccination coverage.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29417364</PMID><DateCompleted><Year>2019</Year><Month>03</Month><Day>28</Day></DateCompleted><DateRevised><Year>2019</Year><Month>03</Month><Day>28</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1573-6628</ISSN><JournalIssue CitedMedium="Internet"><Volume>22</Volume><Issue>7</Issue><PubDate><Year>2018</Year><Month>07</Month></PubDate></JournalIssue><Title>Maternal and child health journal</Title><ISOAbbreviation>Matern Child Health J</ISOAbbreviation></Journal><ArticleTitle>Maternal Care Providers' Barriers Regarding Influenza and Pertussis Vaccination During Pregnancy in Catalonia, Spain.</ArticleTitle><Pagination><MedlinePgn>1016-1024</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s10995-018-2481-6</ELocationID><Abstract><AbstractText>Objective Maternal care providers (MCPs), obstetrician-gynaecologists and midwives are uniquely placed to increase maternal vaccination acceptance. We aimed to assess their knowledge, attitudes and practices regarding influenza and pertussis vaccination during pregnancy. Methods We conducted an online survey among MCPs working at "Attention to Sexual and Reproductive Health" (ASSIR) Units in Catalonia region. The survey included questions about current recommendations of influenza and pertussis immunization during pregnancy, reasons for not routinely recommending vaccination and several strategies to increase vaccination uptake. Results A total of 194 MCPs completed the survey, 178 (91.8%) were female and 145 (70%) were midwives. Only 61 (31.4%) stated they vaccinated themselves annually against influenza with a significant lower uptake among midwives (26.9%) than obstetrician-gynaecologists (44.9%) (p = 0.03). Overall, 53.6% of MCPs knew influenza vaccine was indicated during first trimester but only 43.3% stated they prescribed it. Almost all MCPs (98.5%) knew pertussis vaccine was recommended and 97.4% stated they prescribed it. The most important vaccination barrier found was the concern related to vaccine adverse events (25.9%) and more midwives than obstetrician-gynaecologists expressed this concern (30.8 vs. 10%) (p = 0.02). The most popular strategies were: including vaccine recommendations in the pregnancy booklet (93.8%) and receiving vaccination training (92.3%). In the adjusted analysis, the only factor significantly associated with MCPs' prescription of influenza vaccine during second/third trimester was having been vaccinated themselves (odds ratio 3.70, 95% confidence interval 1.3-13.2). Conclusions for Practice Implementation of practical tools, continuous training and clear definition of responsibilities regarding vaccination among MCPs may have a significant impact on maternal vaccination coverage.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Vilca</LastName><ForeName>Luz Maria</ForeName><Initials>LM</Initials><Identifier Source="ORCID">0000-0002-9217-2912</Identifier><AffiliationInfo><Affiliation>Servei de Medicina Preventiva i Epidemiologia, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Passeig Vall d'Hebron 119-129, 08035, Barcelona, Spain. draluzmaria@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Martínez</LastName><ForeName>Cristina</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Atenció a la Salut Sexual i Reproductiva Barcelona Ciutat, Àmbit d'Atenció Primària, Institut Català de la Salut, Avinguda Meridiana 428, 7a pl, 08030, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Burballa</LastName><ForeName>Miriam</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Atenció a la Salut Sexual i Reproductiva Barcelona Ciutat, Àmbit d'Atenció Primària, Institut Català de la Salut, Avinguda Meridiana 428, 7a pl, 08030, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Campins</LastName><ForeName>Magda</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Servei de Medicina Preventiva i Epidemiologia, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Passeig Vall d'Hebron 119-129, 08035, Barcelona, Spain.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>PI12/02423</GrantID><Agency>Instituto de Salud Carlos III</Agency><Country>International</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal 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MajorTopicYN="Y">Health Knowledge, Attitudes, Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007114" MajorTopicYN="N">Immunization</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007252" MajorTopicYN="N">Influenza Vaccines</DescriptorName><QualifierName UI="Q000008" MajorTopicYN="Y">administration & dosage</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008880" MajorTopicYN="Y">Midwifery</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009774" MajorTopicYN="Y">Obstetrics</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010567" MajorTopicYN="N">Pertussis Vaccine</DescriptorName><QualifierName UI="Q000008" MajorTopicYN="Y">administration & dosage</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="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N" Type="Geographic">Spain</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical 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