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Trends in influenza vaccine coverage in pregnant women, 2008 to 2012

tetano

Editor, Senior Moderator
Perm J. 2013 Spring;17(2):31-6. doi: 10.7812/TPP/12-115.
Trends in influenza vaccine coverage in pregnant women, 2008 to 2012.
Henninger M, Crane B, Naleway A.
Source

Senior Research Associate at The Center for Health Research in Portland, OR. E-mail: michelle.l.henninger@kpchr.org .
Abstract
CONTEXT:

Pregnant women are at increased risk of severe influenza-related complications and hospitalizations and are a priority group for influenza vaccination.
OBJECTIVE:

To examine coverage of seasonal and pandemic influenza A (H1N1) vaccines in pregnant women in a managed care setting, from 2008 to 2012.
DESIGN:

Retrospective cohort study of 10,145 pregnant women.
MAIN OUTCOME MEASURES:

H1N1 and seasonal influenza vaccination rates.
RESULTS:

Seasonal influenza vaccine coverage increased from 38% to 63% between the 2008-2009 and 2010-2011 seasons, and then dropped to 61% in 2011-2012. Vaccine coverage was higher in women considered at high risk of influenza complications, increasing from 43% in 2008-2009 to 71% in 2010-2011, before decreasing to 69% in 2011-2012. H1N1 vaccine coverage was greater than seasonal influenza coverage in 2009-2010 in the overall pregnant population (61% vs 53%) and in the high-risk group (64% vs 59%). We observed statistically significant differences in vaccination rates by trimester, gravidity, maternal age, and race/ethnicity.
CONCLUSIONS:

Vaccination rates increased significantly from 2008 to 2011, then dropped slightly in 2011-2012. Continued efforts are needed to ensure adequate vaccination coverage in this high-risk population.

PMID:
23704840
[PubMed - in process]
PMCID:
PMC3662276

http://www.ncbi.nlm.nih.gov/pubmed/23704840
 
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