tetano
Editor, Senior Moderator
Int J Gynaecol Obstet
. 2023 Apr 24.
doi: 10.1002/ijgo.14797. Online ahead of print.
Pregnancy vaccination predictive factors and uptake profiles among Italian women: A cross-sectional survey study on a large population
Amerigo Ferrari[SUP] 1 [/SUP], Giaele Moretti[SUP] 1 [/SUP], Ilaria Corazza[SUP] 1 [/SUP], Paolo Mannella[SUP] 2 [/SUP], Tommaso Simoncini[SUP] 2 [/SUP], Manila Bonciani[SUP] 1 3 [/SUP]
Affiliations
Abstract
Objectives: To assess influenza and Tdap (tetanus, diphtheria, pertussis) vaccine coverage during pregnancy, explore key socioeconomic and maternity pathway-related predictors of vaccination, and detect specific patterns of vaccination uptake.
Methods: The authors cross-sectionally analyzed self-reported data obtained from the systematic survey on the maternity pathways of Tuscany. They selected all pregnant women that completed from March 2019 to June 2022 the third-trimester questionnaire (n = 25 160), which included two dichotomous items on influenza and Tdap vaccination, as well as socioeconomic and pathway-related questions. Multilevel logistic models were performed to assess vaccination predictors and cluster analysis to identify vaccination patterns.
Results: Vaccination coverage was higher for pertussis (56.5%) than for influenza (18.9%). The main predictors of vaccination were high socioeconomic status, attending private gynecologists, and receiving vaccine information. Three clusters were identified: cluster 1 included women receiving both Tdap and influenza vaccines; cluster 2 included women receiving no vaccinations; and cluster 3 included women receiving only the pertussis vaccine. Although women from cluster 3 were of middle to low education status, vaccine information was the main adherence determinant also in this group.
Conclusions: Health workers and policymakers should focus on groups of pregnant women less prone to vaccination to promote vaccination information and encourage wider uptake and coverage.
Keywords: Italy; influenza; patient-reported data; pertussis; pregnancy; vaccine/vaccination.
. 2023 Apr 24.
doi: 10.1002/ijgo.14797. Online ahead of print.
Pregnancy vaccination predictive factors and uptake profiles among Italian women: A cross-sectional survey study on a large population
Amerigo Ferrari[SUP] 1 [/SUP], Giaele Moretti[SUP] 1 [/SUP], Ilaria Corazza[SUP] 1 [/SUP], Paolo Mannella[SUP] 2 [/SUP], Tommaso Simoncini[SUP] 2 [/SUP], Manila Bonciani[SUP] 1 3 [/SUP]
Affiliations
- PMID: 37096291
- DOI: 10.1002/ijgo.14797
Abstract
Objectives: To assess influenza and Tdap (tetanus, diphtheria, pertussis) vaccine coverage during pregnancy, explore key socioeconomic and maternity pathway-related predictors of vaccination, and detect specific patterns of vaccination uptake.
Methods: The authors cross-sectionally analyzed self-reported data obtained from the systematic survey on the maternity pathways of Tuscany. They selected all pregnant women that completed from March 2019 to June 2022 the third-trimester questionnaire (n = 25 160), which included two dichotomous items on influenza and Tdap vaccination, as well as socioeconomic and pathway-related questions. Multilevel logistic models were performed to assess vaccination predictors and cluster analysis to identify vaccination patterns.
Results: Vaccination coverage was higher for pertussis (56.5%) than for influenza (18.9%). The main predictors of vaccination were high socioeconomic status, attending private gynecologists, and receiving vaccine information. Three clusters were identified: cluster 1 included women receiving both Tdap and influenza vaccines; cluster 2 included women receiving no vaccinations; and cluster 3 included women receiving only the pertussis vaccine. Although women from cluster 3 were of middle to low education status, vaccine information was the main adherence determinant also in this group.
Conclusions: Health workers and policymakers should focus on groups of pregnant women less prone to vaccination to promote vaccination information and encourage wider uptake and coverage.
Keywords: Italy; influenza; patient-reported data; pertussis; pregnancy; vaccine/vaccination.