ArticleBMJ open2018
Influence of health literacy on acceptance of influenza and pertussis vaccinations: a cross-sectional study among Spanish pregnant women.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- What is the Prevalence of Low Health Literacy in European Union Member States? A Systematic Review and Meta-analysis.Journal of general internal medicine · 2021Pooled it
- Interventions to Improve Health among Reproductive-Age Women of Low Health Literacy: A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Factors that influence vaccination decision-making among pregnant women: A systematic review and meta-analysis.PloS one · 2020Pooled it
- Influenza and Pertussis Vaccination During Pregnancy: A Systematic Review of Vaccination Rates and Vaccination Determinants.Vaccines · 2026Review
- Maternal health literacy status and associated factors among pregnant women: a cross-sectional study in Chongqing, China.Frontiers in public health · 2026Article
- Health Literacy in Pregnant Women and Its Associations with Personal, Socioeconomic, and Health-Related Factors in Primary Care.Nursing reports (Pavia, Italy) · 2025Article
- Influenza vaccination hesitancy and related factors among pregnant and breastfeeding women: A cross-sectional study.Human vaccines & immunotherapeutics · 2025Article
- Disparities in Seasonal Influenza Vaccination in Europe.Immunity, inflammation and disease · 2025Review
- The relationship between vaccine hesitancy and health literacy in pregnant women: a cross-sectional study.BMC women's health · 2024Article
- Vaccination coverage during pregnancy and factors associated with refusal of recommended vaccinations: An Italian cross sectional study.Vaccine: X · 2024Article
- COVID-19 vaccine literacy: A scoping review.Human vaccines & immunotherapeutics · 2023Article
- Assessment Tools for Measuring Health Literacy and Digital Health Literacy in a Hospital Setting: A Scoping Review.Healthcare (Basel, Switzerland) · 2023Article
- Maternal vaccination against pertussis as part of the national immunization program: a qualitative evaluation among obstetric care providers one year after the implementation in December 2019.BMC health services research · 2023Article
- The Association of Health Literacy with Intention to Vaccinate and Vaccination Status: A Systematic Review.Vaccines · 2022Review
- Developing a Short Assessment of Environmental Health Literacy (SA-EHL).International journal of environmental research and public health · 2022Article
- Challenges and solutions to employing natural language processing and machine learning to measure patients' health literacy and physician writing complexity: The ECLIPPSE study.Journal of biomedical informatics · 2021Article
- Evaluating Health Literacy among Adolescent and Young Adult Pregnant Women from a Low-Income Area of Northeast Brazil.International journal of environmental research and public health · 2020Article
- The Acceptance of Key Public Health Interventions by the Polish Population Is Related to Health Literacy, But Not eHealth Literacy.International journal of environmental research and public health · 2020Article
- Influence of Puerperal Health Literacy on Tobacco Use during Pregnancy among Spanish Women: A Transversal Study.International journal of environmental research and public health · 2020Article
- Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
Abstract
objectivesImmunisations against influenza and
settingUniversity hospital in Valencia (Spain).
participants119 women who gave birth at a hospital in Valencia (Spain) between November 2015 and May 2016. Women in the immediate postpartum period (more than 27 weeks of gestation), between November 2015 and May 2016 were included in the study. Women with impairments, language barriers or illiteracy which prevented completion of the questionnaires, or those who were under 18 years were excluded from enrolment. PRIMARY AND SECONDARY OUTCOME MEASURES: HL level; influenza and pertussis immunisation rate; reasons for rejection of vaccination.
results119 participants were included (mean age 32.3±5.5 years, 52% primiparous, 95% full-term deliveries). A higher education level was associated with Short Assessment of Health Literacy for Spanish Adults _50 (adjusted R
conclusionsInfluenza vaccination rate was suboptimal in our study. Women with high HL were more likely to decline immunisation. Information from professionals needs to match patients' HL levels to reduce negative perceptions of vaccination.
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Registered trials
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