tetano
Editor, Senior Moderator
Aust N Z J Obstet Gynaecol. 2017 Nov 14. doi: 10.1111/ajo.12739. [Epub ahead of print]
[h=1]Antenatal influenza and pertussis vaccine uptake among Aboriginal mothers in Western Australia.[/h] Lotter K[SUP]1[/SUP], Regan AK[SUP]2,[/SUP][SUP]3[/SUP], Thomas T[SUP]2[/SUP], Effler PV[SUP]2[/SUP], Mak DB[SUP]1,[/SUP][SUP]2[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Antenatal influenza and pertussis vaccination prevent serious disease in mothers and infants. Aboriginal individuals are at increased risk of infection yet little is known about vaccine coverage among Aboriginal mothers.
[h=4]AIMS:[/h] To estimate the uptake of influenza and pertussis vaccination among pregnant Aboriginal women in Western Australia and identify barriers and enablers to vaccination.
[h=4]MATERIALS AND METHODS:[/h] Four hundred Aboriginal women, aged ≥18 years, who gave birth to a live infant between April and October 2015, were randomly selected and invited to participate in telephone interviews. Of the 387 women who did not decline, 178 had a functioning phone number and 100 completed the survey. Analyses were weighted by maternal residence.
[h=4]RESULTS:[/h] During pregnancy the majority of Aboriginal mothers were recommended influenza (66%; unweighted, 65/96 = 68%) and pertussis (65%; unweighted, 62/94 = 66%) vaccines, with 62% (unweighted, 56/94 = 56%) and 63% (unweighted, 60/93 = 65%) receiving the vaccinations, respectively. Almost all vaccinated women (98%) reported wanting to protect their baby as the reason for immunisation. Rural mothers were more likely than metropolitan mothers to have been vaccinated against influenza (odds ratio (OR) 4.1, 95% CI 1.7-10.2) and pertussis (OR 3.1, 95% CI 1.2-7.6). Recommendation by a healthcare provider was strongly associated with vaccine uptake (influenza: OR 15.6, 95% CI 4.9-49.5; pertussis: OR 13.3, 95% CI 4.6-38.0).
[h=4]CONCLUSION:[/h] Vaccination uptake among Western Australian Aboriginal mothers is comparable with rates reported for non-Aboriginal populations worldwide. Provider recommendation is the single most important factor associated with vaccination uptake, underlining the importance of integrating vaccination into routine antenatal care.
? 2017 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.
[h=4]KEYWORDS:[/h] antenatal vaccination; indigenous women; pregnancy
PMID: 29139107 DOI: 10.1111/ajo.12739
[h=1]Antenatal influenza and pertussis vaccine uptake among Aboriginal mothers in Western Australia.[/h] Lotter K[SUP]1[/SUP], Regan AK[SUP]2,[/SUP][SUP]3[/SUP], Thomas T[SUP]2[/SUP], Effler PV[SUP]2[/SUP], Mak DB[SUP]1,[/SUP][SUP]2[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Antenatal influenza and pertussis vaccination prevent serious disease in mothers and infants. Aboriginal individuals are at increased risk of infection yet little is known about vaccine coverage among Aboriginal mothers.
[h=4]AIMS:[/h] To estimate the uptake of influenza and pertussis vaccination among pregnant Aboriginal women in Western Australia and identify barriers and enablers to vaccination.
[h=4]MATERIALS AND METHODS:[/h] Four hundred Aboriginal women, aged ≥18 years, who gave birth to a live infant between April and October 2015, were randomly selected and invited to participate in telephone interviews. Of the 387 women who did not decline, 178 had a functioning phone number and 100 completed the survey. Analyses were weighted by maternal residence.
[h=4]RESULTS:[/h] During pregnancy the majority of Aboriginal mothers were recommended influenza (66%; unweighted, 65/96 = 68%) and pertussis (65%; unweighted, 62/94 = 66%) vaccines, with 62% (unweighted, 56/94 = 56%) and 63% (unweighted, 60/93 = 65%) receiving the vaccinations, respectively. Almost all vaccinated women (98%) reported wanting to protect their baby as the reason for immunisation. Rural mothers were more likely than metropolitan mothers to have been vaccinated against influenza (odds ratio (OR) 4.1, 95% CI 1.7-10.2) and pertussis (OR 3.1, 95% CI 1.2-7.6). Recommendation by a healthcare provider was strongly associated with vaccine uptake (influenza: OR 15.6, 95% CI 4.9-49.5; pertussis: OR 13.3, 95% CI 4.6-38.0).
[h=4]CONCLUSION:[/h] Vaccination uptake among Western Australian Aboriginal mothers is comparable with rates reported for non-Aboriginal populations worldwide. Provider recommendation is the single most important factor associated with vaccination uptake, underlining the importance of integrating vaccination into routine antenatal care.
? 2017 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.
[h=4]KEYWORDS:[/h] antenatal vaccination; indigenous women; pregnancy
PMID: 29139107 DOI: 10.1111/ajo.12739