Evidence map›Paper›PMID 30099856›Full record

ArticleInfluenza and other respiratory viruses2019

Factors influencing refusing of flu vaccination among pregnant women in Italy: Healthcare workers' role.

Emilia Prospero, Sara Galmozzi, Valentina Paris, Gessica Felici, Pamela Barbadoro, Antonella D'Alleva, Gemma Zocco, Andrea Ciavattini

Open access · goldAbstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.

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  17. Factors Associated With Influenza Vaccination During Pregnancy: A Real-World Evidence-Based Study.Inquiry : a journal of medical care organization, provision and financing
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Emilia ProsperoDepartment of Biomedical Sciences, Section of Hygiene, Università Politecnica delle Marche, Ancona, Italy.
Sara GalmozziDepartment of Biomedical Sciences, Section of Hygiene, Università Politecnica delle Marche, Ancona, Italy.
Valentina ParisWoman's Health Sciences Department, Gynecologic Section, AOU Ospedali Riuniti Ancona, Ancona, Italy.
Gessica FeliciWoman's Health Sciences Department, Gynecologic Section, AOU Ospedali Riuniti Ancona, Ancona, Italy.
Pamela BarbadoroDepartment of Biomedical Sciences, Section of Hygiene, Università Politecnica delle Marche, Ancona, Italy.
Antonella D'AllevaDepartment of Biomedical Sciences, Section of Hygiene, Università Politecnica delle Marche, Ancona, Italy.
Gemma ZoccoDepartment of Biomedical Sciences, Section of Hygiene, Università Politecnica delle Marche, Ancona, Italy.ORCID 0000-0002-2167-3197
Andrea CiavattiniWoman's Health Sciences Department, Gynecologic Section, AOU Ospedali Riuniti Ancona, Ancona, Italy.
Marche Polytechnic University · ITOspedali Riuniti di Ancona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPregnant women are at increased risk of influenza complications. Influenza vaccine provides them a substantial protection.

objectiveThe aim of this study was to investigate determinants associated with non-adherence to influenza vaccine recommendations in pregnant women in Italy.

methodsA cross-sectional study has been carried out among pregnant women attending their follow-up visit in some mother and child services in a Region of Italy from October 2016 to January 2017. The study protocol was approved by the local research Ethics. A self-administered close-ended questionnaire has been administered to the pregnant women. Differences in background, socio-demographic characteristics, knowledge and attitudes towards flu vaccine were tested in vaccinated and unvaccinated women. Multivariate analysis was performed to control for confounding factors.

resultsThree hundred and sixty-six women answered the survey (97% response rate) and 96.1% (348) declared of being unvaccinated against influenza during the 2016-2017 influenza season. Frequent reasons for refusing vaccination were drugs objection and concerns about vaccines' effects. According to the refusal attitude, influenza knowledge was low in the group. Moreover, analysis showed that low adherence to vaccination is associated to lacking promotion of vaccination to pregnant women carried out by healthcare workers (P < 0.005).

conclusionsHealthcare workers have a key role in assisting women during the gestational period, so their active involvement in vaccination promotion is essential. It is necessary to improve health care workers' knowledge about vaccine relevance in protecting pregnancy and their communication skills to properly inform pregnant women.

Indexed as

Health Knowledge, Attitudes, PracticeVaccination RefusalAdolescentAdultCross-Sectional StudiesFemaleHealth PersonnelHumansImmunization ProgramsInfluenza VaccinesMiddle AgedPatient Acceptance of Health CarePregnancyPregnancy Complications, InfectiousSurveys and QuestionnairesVaccinationInfluenza Vaccinesflu vaccinationhealthcare workershesitancypregnant women

Identifiers

PMID30099856
PMCPMC6379633
OpenAlexW2886020105

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.