Adherence and Concordance of Influenza and Pertussis Vaccination Coverage in Pregnant Women in Spain

Please use this identifier to cite or link to this item:
Información del item - Informació de l'item - Item information
Title: Adherence and Concordance of Influenza and Pertussis Vaccination Coverage in Pregnant Women in Spain
Authors: Rodríguez-Blanco, Noelia | Tuells, José | Vila-Candel, Rafael | Nolasco, Andreu
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 | Pregnancy | Immunisation | Vaccine coverage | Pertussis vaccine | Midwife | Nominal records
Knowledge Area: Enfermería
Issue Date: 14-Feb-2019
Publisher: MDPI
Citation: Rodríguez-Blanco N, Tuells J, Vila-Candel R, Nolasco A. Adherence and Concordance of Influenza and Pertussis Vaccination Coverage in Pregnant Women in Spain. International Journal of Environmental Research and Public Health. 2019; 16(4):543. doi:10.3390/ijerph16040543
Abstract: Background: Pregnant women should receive two vaccines during pregnancy due to maternal-foetal complications and risks as well as the influenza and pertussis vaccinations. The goal was to evaluate vaccination coverage against influenza and pertussis in pregnant women, following midwife professional advice during the pregnancy follow-up; Methods: Prospective cohort study of 1017 pregnancies during the vaccination campaign in 2015–2016. To estimate the degree of consistency between the coverage declared by mothers and that registered in the Nominal Vaccination Registry (NVR), we used the Cohen’s kappa index (k); Results: 95.4% were registered in the NVR. Vaccination coverage recorded against influenza was 64.2% (95% CI: 61.2–67.2), and 89.8% (95% CI: 87.9–91.7) against pertussis. The coverage of the pregnant women interviewed was 61.7% (95% CI: 58.1–67.3)) for influenza and 92.3% (95% CI: 91.4–95.3) for pertussis. Subsequent interviews of 67.2% of the women produced a kappa agreement index between the data obtained from interviews and those recorded in the NVR of 0.974 (IC95%: 98.0–99.6) for influenza, and 0.921 (IC95%: 98.1–99.7) for pertussis. The women identified midwives as the main source of vaccination information and advice 88.4% (IC95%: 85.8–90.9); Conclusions: The NVR is an effective platform for estimating immunisation coverage in pregnant women. The degree of agreement between declared vaccinations and registered vaccinations was high for both vaccines.
ISSN: 1661-7827 (Print) | 1660-4601 (Online)
DOI: 10.3390/ijerph16040543
Language: eng
Type: info:eu-repo/semantics/article
Rights: © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (
Peer Review: si
Publisher version:
Appears in Collections:INV - BISCHA - Artículos de Revistas
Cátedra Balmis de Vacunología - Publicaciones

Files in This Item:
Files in This Item:
File Description SizeFormat 
Thumbnail2019_Rodriguez-Blanco_etal_IntJEnvironResPublicHealth.pdf730,51 kBAdobe PDFOpen Preview

This item is licensed under a Creative Commons License Creative Commons