tetano
Editor, Senior Moderator
Can J Public Health
. 2024 Apr 1.
doi: 10.17269/s41997-024-00871-z. Online ahead of print. Determinants of non-vaccination against seasonal influenza during pregnancy
David Guan[SUP] 1 2 [/SUP], Nicolas L Gilbert[SUP] 3 4 [/SUP], Mireille Guay[SUP] 1 [/SUP], Aubrey Maquiling[SUP] 1 [/SUP], Jackie Kokaua[SUP] 5 [/SUP], Isabelle Lévesque[SUP] 5 [/SUP], Vanessa Poliquin[SUP] 6 [/SUP]
Affiliations
in English, French
Objective: The objective of this study was to identify the determinants of influenza non-vaccination during pregnancy in Canada.
Methods: Biological mothers of children born between December 2018 and March 2019 were surveyed about vaccinations they had received during pregnancy, reasons for non-vaccination, obstetrical history, and demographics. Simple and multiple logistic regression models were used to measure associations between various sociodemographic factors as well as obstetrical history, and non-vaccination against influenza. We analyzed data from 2361 mothers.
Results: Factors associated with non-vaccination included being followed during pregnancy by a midwife compared to by an obstetrician-gynecologist (OR 2.02; 95% CI, 1.17‒3.50); having two or more past live births compared to none (OR 1.58; 95% CI, 1.01‒2.49); having an education level below high school diploma compared to a bachelor's degree or above (OR 2.50; 95% CI, 1.06‒5.90); and having a household income below $60,000 (OR 2.46; 95% CI, 1.42‒4.24) or between $60,000 and $99,999 (OR 2.77; 95% CI, 1.70‒4.52) compared to a household income of $140,000 or more. The province or territory of prenatal care proved to be an important factor in non-vaccination, with statistically significant odds ratios for certain provinces: OR 7.50 (95% CI, 1.40‒40.26) for Ontario, 8.23 (95% CI, 1.53‒44.23) for Newfoundland and Labrador, and 11.39 (95% CI, 2.14‒60.60) for Quebec, as compared to the territories.
Conclusion: Despite universal access to influenza vaccines in Canada during pregnancy, regional variations and socioeconomic disparities in non-vaccination are still observable.
Keywords: Canada; Influenza; Pregnancy; Vaccination.
. 2024 Apr 1.
doi: 10.17269/s41997-024-00871-z. Online ahead of print. Determinants of non-vaccination against seasonal influenza during pregnancy
David Guan[SUP] 1 2 [/SUP], Nicolas L Gilbert[SUP] 3 4 [/SUP], Mireille Guay[SUP] 1 [/SUP], Aubrey Maquiling[SUP] 1 [/SUP], Jackie Kokaua[SUP] 5 [/SUP], Isabelle Lévesque[SUP] 5 [/SUP], Vanessa Poliquin[SUP] 6 [/SUP]
Affiliations
- PMID: 38561496
- DOI: 10.17269/s41997-024-00871-z
in English, French
Objective: The objective of this study was to identify the determinants of influenza non-vaccination during pregnancy in Canada.
Methods: Biological mothers of children born between December 2018 and March 2019 were surveyed about vaccinations they had received during pregnancy, reasons for non-vaccination, obstetrical history, and demographics. Simple and multiple logistic regression models were used to measure associations between various sociodemographic factors as well as obstetrical history, and non-vaccination against influenza. We analyzed data from 2361 mothers.
Results: Factors associated with non-vaccination included being followed during pregnancy by a midwife compared to by an obstetrician-gynecologist (OR 2.02; 95% CI, 1.17‒3.50); having two or more past live births compared to none (OR 1.58; 95% CI, 1.01‒2.49); having an education level below high school diploma compared to a bachelor's degree or above (OR 2.50; 95% CI, 1.06‒5.90); and having a household income below $60,000 (OR 2.46; 95% CI, 1.42‒4.24) or between $60,000 and $99,999 (OR 2.77; 95% CI, 1.70‒4.52) compared to a household income of $140,000 or more. The province or territory of prenatal care proved to be an important factor in non-vaccination, with statistically significant odds ratios for certain provinces: OR 7.50 (95% CI, 1.40‒40.26) for Ontario, 8.23 (95% CI, 1.53‒44.23) for Newfoundland and Labrador, and 11.39 (95% CI, 2.14‒60.60) for Quebec, as compared to the territories.
Conclusion: Despite universal access to influenza vaccines in Canada during pregnancy, regional variations and socioeconomic disparities in non-vaccination are still observable.
Keywords: Canada; Influenza; Pregnancy; Vaccination.