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Determinants of seasonal influenza vaccination in pregnant women in Valencia, Spain.

Vila-Candel, R., Navarro-Illana, P., Navarro-Illana, E. , Castro-Sanchez, E. ORCID: 0000-0002-3351-9496, Duke, K., Soriano-Vidal, F. J., Tuells, J. & Díez-Domingo, J. (2016). Determinants of seasonal influenza vaccination in pregnant women in Valencia, Spain.. BMC Public Health, 16(1), pp. 1-7. doi: 10.1186/s12889-016-3823-1


BACKGROUND: In most countries the coverage of seasonal influenza vaccination in pregnant women is low. We investigated the acceptance, reasons for rejection and professional involvement related to vaccine information in pregnant women in Valencia, Spain. METHODS: Observational retrospective study in 200 pregnant women, 100 vaccinated and 100 unvaccinated, were interviewed during the 2014/2015 vaccination campaign. Electronic medical records, immunization registry and telephone interviews were used to determine reasons for vaccination and immunization rejection. RESULTS: 40.5% of pregnant women in the health department were vaccinated. The midwife was identified as source of information for 89% of women. The vaccine was rejected due to low perceptions of risk of influenza infection (23%), lack of information (19%), considering the vaccine as superfluous (16%), close proximity of delivery date (13%) and fear of side effects (12%). CONCLUSION: Pregnant women in Spain declined to be vaccinated due to under-estimation of the risk of contracting or being harmed by influenza, and lack of information. Interventions aiming to optimize vaccination coverage should include information addressing the safety and effectiveness of the current vaccine together with improved professional training and motivation.

Publication Type: Article
Additional Information: This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Publisher Keywords: Influenza Vaccines; Pregnancy; Acceptance; Influenza vaccine coverage
Subjects: R Medicine > RA Public aspects of medicine
Departments: School of Health & Psychological Sciences > Nursing
SWORD Depositor:
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