Determinants of seasonal influenza vaccination in pregnant women in Valencia, Spain

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Title: Determinants of seasonal influenza vaccination in pregnant women in Valencia, Spain
Authors: Vila-Candel, Rafael | Navarro Illana, Pedro | Navarro Illana, Esther | Castro-Sánchez, Enrique | Duke, Kiri | Soriano-Vidal, Francisco Javier | Tuells, José | Díez-Domingo, Javier
Research Group/s: Grupo Balmis de Investigación en Salud Comunitaria e Historia de la Ciencia
Center, Department or Service: Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia
Keywords: Influenza Vaccines | Pregnancy | Acceptance | Influenza vaccine coverage
Knowledge Area: Enfermería
Issue Date: 21-Nov-2016
Publisher: BioMed Central
Citation: BMC Public Health. 2016, 16:1173. doi:10.1186/s12889-016-3823-1
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.
Sponsor: This project has been funded by a grant awarded by Hospital Universitario de la Ribera PBR24/15.
ISSN: 1471-2458
DOI: 10.1186/s12889-016-3823-1
Language: eng
Type: info:eu-repo/semantics/article
Rights: © The Author(s). 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.
Peer Review: si
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Appears in Collections:Cátedra Balmis de Vacunología - Publicaciones
INV - BISCHA - Artículos de Revistas

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