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Factors influencing refusing of Flu Vaccination among pregnant women in Italy: health care workers's role

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  • Factors influencing refusing of Flu Vaccination among pregnant women in Italy: health care workers's role

    Influenza Other Respir Viruses. 2018 Aug 12. doi: 10.1111/irv.12600. [Epub ahead of print]
    Factors influencing refusing of Flu Vaccination among pregnant women in Italy: health care workers's role.

    Prospero E1, Galmozzi S1, Paris V2, Felici G2, Barbadoro P1, D'Alleva A1, Zocco G1, Ciavattini A2.
    Author information

    Abstract

    BACKGROUND:

    Pregnant women are at increased risk of influenza complications. Influenza vaccine provides them a substantial protection. The aim of this study was to investigate determinants associated with non-adherence to influenza vaccine recommendations in pregnant women in Italy.
    METHODS:

    A cross-sectional study has been carried out among pregnant women attending their follow-up visit in some mother and child services in a Region of Italy from October 2016 to January 2017.
    THE STUDY PROTOCOL WAS APPROVED BY THE LOCAL RESEARCH ETHICS:

    A self-administered close-ended questionnaire has been administered to the pregnant women. Differences in background, socio-demographic characteristics, knowledge and attitudes towards flu vaccine were tested in vaccinated and unvaccinated women. Multilevel analysis was performed to control for confounding factors.
    RESULTS:

    366 women answered the survey (97% response rate) and 96.1% (348) declared of being unvaccinated against influenza during the 2016-2017 influenza season. Frequent reasons for refusing vaccination were drugs objection and concerns about vaccines' effects. According to the refusal attitude, influenza knowledge were low in the group. Moreover, analysis showed that low adherence to vaccination is associated to lacking promotion of vaccination to pregnant women carried out by healthcare workers (p<0.005).
    CONCLUSION:

    Health care workers have a key role in assisting women during the gestational period, so their active involvement in vaccination promotion is essential. It is necessary to improve health care workers' knowledge about vaccine relevance in protecting pregnancy and their communication skills to properly inform pregnant women. This article is protected by copyright. All rights reserved.
    This article is protected by copyright. All rights reserved.


    KEYWORDS:

    Flu vaccination; healthcare workers; hesitancy; pregnant women

    PMID: 30099856 DOI: 10.1111/irv.12600
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