ArticleHuman vaccines & immunotherapeutics2020
Seasonal influenza vaccine uptake and vaccine refusal among pregnant women in France: results from a national survey.
Article in Human vaccines & immunotherapeutics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.
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Who cites it
33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- COVID-19 vaccine hesitancy in Ethiopia: a scoping review for equitable vaccine access.Frontiers in health services · 2025Pooled it
- COVID-19 vaccine hesitancy among pregnant women: a systematic review and meta-analysis.BMJ open · 2022Pooled it
- Determinants of influenza vaccine hesitancy among pregnant women in Europe: a systematic review.European journal of medical research · 2021Pooled it
- Maternal Vaccine Acceptance and Attitudes Before and After the COVID-19 Pandemic: A Narrative Literature Review.Vaccines · 2026Review
- Influenza and Pertussis Vaccination During Pregnancy: A Systematic Review of Vaccination Rates and Vaccination Determinants.Vaccines · 2026Review
- Influenza vaccination coverage among pregnant women during the 2023-2024 influenza season in Turkiye, a cross sectional study.BMC pregnancy and childbirth · 2026Article
- Adherence to the nirsevimab immunization campaign: analysis of sociodemographic and medico-economic influences-single-centre prospective cohort study in France.European journal of pediatrics · 2025Article
- Did the Medicaid expansion improve immunization among U.S. pregnant women?Preventive medicine reports · 2025Article
- Trends in influenza vaccination and its determinants among pregnant French women between 2015 and 2020: A single-center study.Human vaccines & immunotherapeutics · 2024Observational
- Is gravidity associated with COVID-19 vaccination among pregnant women in Jamaica?Reproductive, female and child health · 2024Article
- Maternal Vaccination in Pregnancy: An Assessment of Influenza, Pertussis, and COVID-19 Vaccination Rates in Cracow, Poland.Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- The Role of Healthcare Leaders in Promoting Vaccine Acceptance in Saudi Arabia.Journal of healthcare leadership · 2024Article
- Vaccine Hesitancy Among Parents and Its Determinants During the Era of COVID-19 in Taif City, Saudi Arabia.Cureus · 2023Article
- Article
- Characteristics associated with influenza vaccination uptake in pregnancy: a retrospective cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- Article
- Midwives' Knowledge, Attitudes, and Practice Regarding COVID-19 Vaccination for Pregnant Women: A Nationwide Web-Based Survey in Italy.Vaccines · 2023Article
- Experience and attitudes on vaccinations recommended during pregnancy: survey on an Italian sample of women and consultant gynecologists.Human vaccines & immunotherapeutics · 2022Article
- Article
- Trends of influenza vaccination coverage in pregnant women: a ten-year analysis from a French healthcare database.Scientific reports · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Pregnant women and infants are at high risk for severe influenza and many countries, including France, recommend annual influenza immunization during pregnancy. We aimed to estimate influenza vaccination and refusal rates and assess associated factors among pregnant women during the 2015-16 season in France. We used data from a national representative sample of women who gave birth in March 2016 and were interviewed before hospital discharge (N = 11,752). In the multivariable analysis, robust Poisson regression models were used to study associations with maternal characteristics and prenatal care characteristics. Influenza vaccine coverage among pregnant women was 7.4% (95% confidence interval [CI]: 6.9-7.9). Only 24.9% (95% CI: 24.2-25.7) of women said that they received a care provider proposal for vaccination and 70.4% (95% CI: 68.7-72.0) of these declined it. Vaccine uptake was associated with low parity (prevalence ratio [PR] = 2.1; 95% CI: 1.4-3.2 for parity 0 vs ≥ 3), high educational level (PR = 2.5; 95% CI: 2.0-3.2), healthcare occupation during pregnancy (PR = 1.8; 95% CI: 1.5-2.1) and preexisting conditions at risk for influenza (PR = 1.7; 95% CI: 1.3-2.2). Women were more frequently vaccinated when their main care provider was a general practitioner. Multiparae women and those with medium or low educational level were significantly more likely than others to decline influenza vaccine after a provider proposal. Influenza vaccine coverage is very low in France, mainly because of infrequent care provider proposals and also frequent women's refusals. Effective interventions should be designed to promote vaccination among medical professionals and reduce vaccine hesitancy among pregnant women.
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