Determinants of seasonal influenza vaccination in pregnant women in Valencia, Spain.
Identifieur interne : 000156 ( Main/Exploration ); précédent : 000155; suivant : 000157Determinants of seasonal influenza vaccination in pregnant women in Valencia, Spain.
Auteurs : R. Vila-Candel [Espagne] ; P. Navarro-Illana [Espagne] ; E. Navarro-Illana [Espagne] ; E. Castro-Sánchez [Royaume-Uni] ; Kiri Duke [Espagne] ; F J Soriano-Vidal [Espagne] ; J. Tuells [Espagne] ; J. Díez-Domingo [Espagne]Source :
- BMC public health [ 1471-2458 ] ; 2016.
Descripteurs français
- KwdFr :
- Acceptation des soins par les patients (psychologie), Adulte (MeSH), Complications infectieuses de la grossesse (prévention et contrôle), Complications infectieuses de la grossesse (psychologie), Espagne (MeSH), Femelle (MeSH), Femmes enceintes (psychologie), Grippe humaine (prévention et contrôle), Grippe humaine (psychologie), Grossesse (MeSH), Humains (MeSH), Immunisation (psychologie), Saisons (MeSH), Vaccination (psychologie), Vaccins antigrippaux (usage thérapeutique), Études rétrospectives (MeSH).
- MESH :
- prévention et contrôle : Complications infectieuses de la grossesse, Grippe humaine.
- psychologie : Acceptation des soins par les patients, Complications infectieuses de la grossesse, Femmes enceintes, Grippe humaine, Immunisation, Vaccination.
- usage thérapeutique : Vaccins antigrippaux.
- Adulte, Espagne, Femelle, Grossesse, Humains, Saisons, Études rétrospectives.
English descriptors
- KwdEn :
- Adult (MeSH), Female (MeSH), Humans (MeSH), Immunization (psychology), Influenza Vaccines (therapeutic use), Influenza, Human (prevention & control), Influenza, Human (psychology), Patient Acceptance of Health Care (psychology), Pregnancy (MeSH), Pregnancy Complications, Infectious (prevention & control), Pregnancy Complications, Infectious (psychology), Pregnant Women (psychology), Retrospective Studies (MeSH), Seasons (MeSH), Spain (MeSH), Vaccination (psychology).
- MESH :
- chemical , therapeutic use : Influenza Vaccines.
- prevention & control : Influenza, Human, Pregnancy Complications, Infectious.
- psychology : Immunization, Influenza, Human, Patient Acceptance of Health Care, Pregnancy Complications, Infectious, Pregnant Women, Vaccination.
- Adult, Female, Humans, Pregnancy, Retrospective Studies, Seasons, Spain.
Abstract
BACKGROUND
In most countries the coverage of seasonal influenza vaccination in pregnant women is low. We investigated the acceptance, reasons for rejection and professional involvement related to vaccine information in pregnant women in Valencia, Spain.
METHODS
Observational retrospective study in 200 pregnant women, 100 vaccinated and 100 unvaccinated, were interviewed during the 2014/2015 vaccination campaign. Electronic medical records, immunization registry and telephone interviews were used to determine reasons for vaccination and immunization rejection.
RESULTS
40.5% of pregnant women in the health department were vaccinated. The midwife was identified as source of information for 89% of women. The vaccine was rejected due to low perceptions of risk of influenza infection (23%), lack of information (19%), considering the vaccine as superfluous (16%), close proximity of delivery date (13%) and fear of side effects (12%).
CONCLUSION
Pregnant women in Spain declined to be vaccinated due to under-estimation of the risk of contracting or being harmed by influenza, and lack of information. Interventions aiming to optimize vaccination coverage should include information addressing the safety and effectiveness of the current vaccine together with improved professional training and motivation.
DOI: 10.1186/s12889-016-3823-1
PubMed: 27871262
PubMed Central: PMC5117491
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Tuells</name><affiliation wicri:level="1"><nlm:affiliation>Cátedra de Vacunología Balmis, University of Alicante, Carretera de San Vicente del Raspeig, s/n. 03690, San Vicente del Raspeig, Alicante, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Cátedra de Vacunología Balmis, University of Alicante, Carretera de San Vicente del Raspeig, s/n. 03690, San Vicente del Raspeig, Alicante</wicri:regionArea><wicri:noRegion>Alicante</wicri:noRegion></affiliation></author><author><name sortKey="Diez Domingo, J" sort="Diez Domingo, J" uniqKey="Diez Domingo J" first="J" last="Díez-Domingo">J. Díez-Domingo</name><affiliation wicri:level="1"><nlm:affiliation>Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Vaccine Research, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana, FISABIO-Public Health, Avda. Catalunya, 21. 46020, Valencia, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Vaccine Research, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana, FISABIO-Public Health, Avda. 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Vila-Candel</name><affiliation wicri:level="1"><nlm:affiliation>Midwifery at La Ribera Hospital Health Department, Carretera Corbera, km 1, 46600, Alzira, Valencia, Spain. rvila@hospital-ribera-.com.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Midwifery at La Ribera Hospital Health Department, Carretera Corbera, km 1, 46600, Alzira, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain. rvila@hospital-ribera-.com.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author><author><name sortKey="Navarro Illana, P" sort="Navarro Illana, P" uniqKey="Navarro Illana P" first="P" last="Navarro-Illana">P. Navarro-Illana</name><affiliation wicri:level="1"><nlm:affiliation>Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author><author><name sortKey="Navarro Illana, E" sort="Navarro Illana, E" uniqKey="Navarro Illana E" first="E" last="Navarro-Illana">E. Navarro-Illana</name><affiliation wicri:level="1"><nlm:affiliation>Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author><author><name sortKey="Castro Sanchez, E" sort="Castro Sanchez, E" uniqKey="Castro Sanchez E" first="E" last="Castro-Sánchez">E. Castro-Sánchez</name><affiliation wicri:level="1"><nlm:affiliation>National Institute for Health Research Health Protection Research Unit (NIHR HPRU) In Healthcare Associated Infection and Antimicrobial Resistance at Imperial College London, Du Cane Road, London, W12 0NN, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>National Institute for Health Research Health Protection Research Unit (NIHR HPRU) In Healthcare Associated Infection and Antimicrobial Resistance at Imperial College London, Du Cane Road, London, W12 0NN</wicri:regionArea><wicri:noRegion>W12 0NN</wicri:noRegion></affiliation></author><author><name sortKey="Duke, Kiri" sort="Duke, Kiri" uniqKey="Duke K" first="Kiri" last="Duke">Kiri Duke</name><affiliation wicri:level="1"><nlm:affiliation>Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author><author><name sortKey="Soriano Vidal, F J" sort="Soriano Vidal, F J" uniqKey="Soriano Vidal F" first="F J" last="Soriano-Vidal">F J Soriano-Vidal</name><affiliation wicri:level="1"><nlm:affiliation>Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Xàtiva-Ontinyent Health Department, Ausias March, 46.800, Xativa, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Xàtiva-Ontinyent Health Department, Ausias March, 46.800, Xativa</wicri:regionArea><wicri:noRegion>Xativa</wicri:noRegion></affiliation></author><author><name sortKey="Tuells, J" sort="Tuells, J" uniqKey="Tuells J" first="J" last="Tuells">J. Tuells</name><affiliation wicri:level="1"><nlm:affiliation>Cátedra de Vacunología Balmis, University of Alicante, Carretera de San Vicente del Raspeig, s/n. 03690, San Vicente del Raspeig, Alicante, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Cátedra de Vacunología Balmis, University of Alicante, Carretera de San Vicente del Raspeig, s/n. 03690, San Vicente del Raspeig, Alicante</wicri:regionArea><wicri:noRegion>Alicante</wicri:noRegion></affiliation></author><author><name sortKey="Diez Domingo, J" sort="Diez Domingo, J" uniqKey="Diez Domingo J" first="J" last="Díez-Domingo">J. Díez-Domingo</name><affiliation wicri:level="1"><nlm:affiliation>Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Vaccine Research, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana, FISABIO-Public Health, Avda. Catalunya, 21. 46020, Valencia, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Vaccine Research, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana, FISABIO-Public Health, Avda. Catalunya, 21. 46020, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC public health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Immunization (psychology)</term><term>Influenza Vaccines (therapeutic use)</term><term>Influenza, Human (prevention & control)</term><term>Influenza, Human (psychology)</term><term>Patient Acceptance of Health Care (psychology)</term><term>Pregnancy (MeSH)</term><term>Pregnancy Complications, Infectious (prevention & control)</term><term>Pregnancy Complications, Infectious (psychology)</term><term>Pregnant Women (psychology)</term><term>Retrospective Studies (MeSH)</term><term>Seasons (MeSH)</term><term>Spain (MeSH)</term><term>Vaccination (psychology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par les patients (psychologie)</term><term>Adulte (MeSH)</term><term>Complications infectieuses de la grossesse (prévention et contrôle)</term><term>Complications infectieuses de la grossesse (psychologie)</term><term>Espagne (MeSH)</term><term>Femelle (MeSH)</term><term>Femmes enceintes (psychologie)</term><term>Grippe humaine (prévention et contrôle)</term><term>Grippe humaine (psychologie)</term><term>Grossesse (MeSH)</term><term>Humains (MeSH)</term><term>Immunisation (psychologie)</term><term>Saisons (MeSH)</term><term>Vaccination (psychologie)</term><term>Vaccins antigrippaux (usage thérapeutique)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Influenza Vaccines</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" qualifier="psychologie" xml:lang="fr"><term>Acceptation des soins par les patients</term><term>Complications infectieuses de la grossesse</term><term>Femmes enceintes</term><term>Grippe humaine</term><term>Immunisation</term><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Immunization</term><term>Influenza, Human</term><term>Patient Acceptance of Health Care</term><term>Pregnancy Complications, Infectious</term><term>Pregnant Women</term><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Vaccins antigrippaux</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Pregnancy</term><term>Retrospective Studies</term><term>Seasons</term><term>Spain</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Espagne</term><term>Femelle</term><term>Grossesse</term><term>Humains</term><term>Saisons</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>In most countries the coverage of seasonal influenza vaccination in pregnant women is low. We investigated the acceptance, reasons for rejection and professional involvement related to vaccine information in pregnant women in Valencia, Spain.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Observational retrospective study in 200 pregnant women, 100 vaccinated and 100 unvaccinated, were interviewed during the 2014/2015 vaccination campaign. Electronic medical records, immunization registry and telephone interviews were used to determine reasons for vaccination and immunization rejection.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>40.5% of pregnant women in the health department were vaccinated. The midwife was identified as source of information for 89% of women. The vaccine was rejected due to low perceptions of risk of influenza infection (23%), lack of information (19%), considering the vaccine as superfluous (16%), close proximity of delivery date (13%) and fear of side effects (12%).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Pregnant women in Spain declined to be vaccinated due to under-estimation of the risk of contracting or being harmed by influenza, and lack of information. Interventions aiming to optimize vaccination coverage should include information addressing the safety and effectiveness of the current vaccine together with improved professional training and motivation.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">27871262</PMID><DateCompleted><Year>2017</Year><Month>08</Month><Day>07</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2458</ISSN><JournalIssue CitedMedium="Internet"><Volume>16</Volume><Issue>1</Issue><PubDate><Year>2016</Year><Month>11</Month><Day>21</Day></PubDate></JournalIssue><Title>BMC public health</Title><ISOAbbreviation>BMC Public Health</ISOAbbreviation></Journal><ArticleTitle>Determinants of seasonal influenza vaccination in pregnant women in Valencia, Spain.</ArticleTitle><Pagination><MedlinePgn>1173</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND">In most countries the coverage of seasonal influenza vaccination in pregnant women is low. We investigated the acceptance, reasons for rejection and professional involvement related to vaccine information in pregnant women in Valencia, Spain.</AbstractText><AbstractText Label="METHODS">Observational retrospective study in 200 pregnant women, 100 vaccinated and 100 unvaccinated, were interviewed during the 2014/2015 vaccination campaign. Electronic medical records, immunization registry and telephone interviews were used to determine reasons for vaccination and immunization rejection.</AbstractText><AbstractText Label="RESULTS">40.5% of pregnant women in the health department were vaccinated. The midwife was identified as source of information for 89% of women. The vaccine was rejected due to low perceptions of risk of influenza infection (23%), lack of information (19%), considering the vaccine as superfluous (16%), close proximity of delivery date (13%) and fear of side effects (12%).</AbstractText><AbstractText Label="CONCLUSION">Pregnant women in Spain declined to be vaccinated due to under-estimation of the risk of contracting or being harmed by influenza, and lack of information. Interventions aiming to optimize vaccination coverage should include information addressing the safety and effectiveness of the current vaccine together with improved professional training and motivation.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Vila-Candel</LastName><ForeName>R</ForeName><Initials>R</Initials><Identifier Source="ORCID">0000-0002-3734-2480</Identifier><AffiliationInfo><Affiliation>Midwifery at La Ribera Hospital Health Department, Carretera Corbera, km 1, 46600, Alzira, Valencia, Spain. rvila@hospital-ribera-.com.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain. rvila@hospital-ribera-.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Navarro-Illana</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Navarro-Illana</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Castro-Sánchez</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>National Institute for Health Research Health Protection Research Unit (NIHR HPRU) In Healthcare Associated Infection and Antimicrobial Resistance at Imperial College London, Du Cane Road, London, W12 0NN, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Duke</LastName><ForeName>Kiri</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Soriano-Vidal</LastName><ForeName>F J</ForeName><Initials>FJ</Initials><AffiliationInfo><Affiliation>Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Xàtiva-Ontinyent Health Department, Ausias March, 46.800, Xativa, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tuells</LastName><ForeName>J</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Cátedra de Vacunología Balmis, University of Alicante, Carretera de San Vicente del Raspeig, s/n. 03690, San Vicente del Raspeig, Alicante, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Díez-Domingo</LastName><ForeName>J</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Vaccine Research, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana, FISABIO-Public Health, Avda. Catalunya, 21. 46020, Valencia, Spain.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>11</Month><Day>21</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Public Health</MedlineTA><NlmUniqueID>100968562</NlmUniqueID><ISSNLinking>1471-2458</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007114" MajorTopicYN="N">Immunization</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007252" MajorTopicYN="N">Influenza Vaccines</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010342" MajorTopicYN="N">Patient Acceptance of Health Care</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</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><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D037841" MajorTopicYN="N">Pregnant Women</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012621" MajorTopicYN="N">Seasons</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N">Spain</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Acceptance</Keyword><Keyword MajorTopicYN="Y">Influenza Vaccines</Keyword><Keyword MajorTopicYN="Y">Influenza vaccine coverage</Keyword><Keyword MajorTopicYN="Y">Pregnancy</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>08</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>11</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>11</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>11</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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Vila-Candel</name></noRegion><name sortKey="Diez Domingo, J" sort="Diez Domingo, J" uniqKey="Diez Domingo J" first="J" last="Díez-Domingo">J. Díez-Domingo</name><name sortKey="Diez Domingo, J" sort="Diez Domingo, J" uniqKey="Diez Domingo J" first="J" last="Díez-Domingo">J. Díez-Domingo</name><name sortKey="Duke, Kiri" sort="Duke, Kiri" uniqKey="Duke K" first="Kiri" last="Duke">Kiri Duke</name><name sortKey="Navarro Illana, E" sort="Navarro Illana, E" uniqKey="Navarro Illana E" first="E" last="Navarro-Illana">E. Navarro-Illana</name><name sortKey="Navarro Illana, P" sort="Navarro Illana, P" uniqKey="Navarro Illana P" first="P" last="Navarro-Illana">P. 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