Influenza and Pertussis Maternal Vaccination Coverage and Influencing Factors in Spain: A Study Based on Primary Care Records Registry

The purpose was to determine the coverage of maternal vaccination against influenza and pertussis, and the characteristics associated with being vaccinated, in a health area of Catalonia, Spain. Some 36,032 anonymized and computerized clinical records registries of pregnant women from Primary Care C...

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Bibliographic Details
Published in:International journal of environmental research and public health 2022-04, Vol.19 (7), p.4391
Main Authors: Fernández-Cano, María Isabel, Arreciado Marañón, Antonia, Reyes-Lacalle, Azahara, Feijoo-Cid, Maria, Manresa-Domínguez, Josep Maria, Montero-Pons, Laura, Cabedo-Ferreiro, Rosa Maria, Toran-Monserrat, Pere, Falguera-Puig, Gemma
Format: Article
Language:English
Subjects:
Asthma
Child
Chronic conditions
Diabetes mellitus
Diphtheria
Female
Health care
Hospitalization
Humans
Immunization
Infections
Influenza
Influenza Vaccines - therapeutic use
Influenza, Human - epidemiology
Influenza, Human - prevention & control
Medical personnel
Midwifery
Pertussis
Pregnancy
Primary care
Primary Health Care
Professionals
Public health
Registries
Reproductive health
Sociodemographics
Spain - epidemiology
Tetanus
Vaccination
Vaccination Coverage
Vaccines
Whooping cough
Whooping Cough - epidemiology
Whooping Cough - prevention & control
Womens health
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Summary:The purpose was to determine the coverage of maternal vaccination against influenza and pertussis, and the characteristics associated with being vaccinated, in a health area of Catalonia, Spain. Some 36,032 anonymized and computerized clinical records registries of pregnant women from Primary Care Centres (e-CAP database) were analysed, from between 2015 and 2018. Vaccination coverage and the association with sociodemographic variables and clinical conditions were estimated using a Poisson regression model. Maternal vaccination coverage against influenza ranged between 11.9% in 2015 and 6.8% in 2018, following a decreasing trend (p < 0.001). Coverage with the tetanus toxoid, diphtheria toxoid, and acellular pertussis vaccine varied between 49.8% in 2016 and 79.4% in 2018, following an increasing trend (p < 0.001). Having living children and suffering from obesity were factors associated with not being vaccinated against both infections. The predictive variables of vaccination against influenza were diabetes (IRR: 2.17, 95% CI: 1.42−3.30) and asthma (IRR: 2.05, 95% CI: 1.76−2.38); and for pertussis, it was asthma (IRR: 1.10, 95% CI: 1.03−1.17). Different socio-demographic factors and chronic conditions in pregnant women were associated with maternal vaccination, and which will have to be taken into account in clinical practice when implementing strategies to improve the coverage of the programme.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph19074391