Coverage of recommended vaccines during pregnancy in Flanders, Belgium. Fairly good but can we do better?

Autor: Heidi Theeten, Stéphanie Blaizot, Corinne Vandermeulen, Mathieu Roelants, Karel Hoppenbrouwers, Kirsten Maertens, Elke Leuridan, Pierre Van Damme, Tessa Braeckman
Přispěvatelé: Family Medicine and Chronic Care, Faculty of Medicine and Pharmacy
Rok vydání: 2018
Předmět:
Adult
Pediatrics
medicine.medical_specialty
Influenza vaccine
030231 tropical medicine
Family income
Influenza Vaccines/therapeutic use
03 medical and health sciences
Underserved Population
0302 clinical medicine
Belgium
Tetanus-Diphtheria-Acellular Pertussis
Immunology and Microbiology(all)
medicine
Humans
survey
030212 general & internal medicine
Pregnancy Complications
Infectious
Pertussis Vaccine
Pertussis Vaccine/therapeutic use
Pregnancy
vaccination coverage
General Veterinary
General Immunology and Microbiology
Immunization Programs
business.industry
Postpartum Period
Public Health
Environmental and Occupational Health
medicine.disease
Health Surveys
veterinary(all)
Vaccination Coverage/statistics & numerical data
Vaccination
Pregnancy Complications
Infectious/prevention & control
Infectious Diseases
Socioeconomic Factors
Immunization
Influenza Vaccines
Molecular Medicine
Gestation
Pertussis vaccine
Female
Human medicine
pregnancy
influenza
business
pregnant women
medicine.drug
Zdroj: Vaccine
ISSN: 0264-410X
DOI: 10.1016/j.vaccine.2018.03.033
Popis: Background: In Flanders, Belgium, pertussis vaccination is recommended since 2013 and available free-of-charge in every pregnancy between 24 and 32 weeks of gestation. Influenza vaccination is recommended for more than 10 years with a co-payment system in the second or third trimester of pregnancy, when pregnancy coincides with the influenza season. This study aims to estimate the coverage of pertussis and influenza vaccination during pregnancy in 2016 and to determine predictors for missing vaccination. Methods: Postpartum women were visited at home for a vaccination coverage survey using an Expanded Program on Immunization (EPI)-based two-stage cluster sampling design. Predictors for missed vaccination were identified using a multiple logistic regression model. Results: Among 481 participating women, 69.3% were vaccinated against pertussis and 47.2% were vaccinated against influenza. Moreover, 65.3% of pertussis vaccine recipients and 96.9% of influenza vaccine recipients were vaccinated within the recommended gestational window. Surprisingly, among women who were completely informed (i.e. on disease-associated risks, maternal vaccination costs and recommendations), still 12.4% were unvaccinated against pertussis and 23.9% against influenza. In the final models, the only common predictor of missing maternal pertussis and influenza vaccination was multiparity. Significant predictors of maternal pertussis vaccination were family income (less likely if unknown or low (< (sic)3000) than if moderate ((sic)3001-(sic)4000)) and hospital of delivery (less likely if >800 annual deliveries than
Databáze: OpenAIRE
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