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

María Isabel Fernández-Cano, Antonia Arreciado Marañón, Azahara Reyes-Lacalle, Maria Feijoo-Cid, Josep Maria Manresa-Domínguez, Laura Montero-Pons, Rosa Maria Cabedo-Ferreiro, Pere Toran-Monserrat and Gemma Falguera-Puig
Additional contact information
María Isabel Fernández-Cano: Department of Nursing, Faculty of Medicine, Universitat Autònoma de Barcelona, 08193 Bellaterra, Spain
Antonia Arreciado Marañón: Department of Nursing, Faculty of Medicine, Universitat Autònoma de Barcelona, 08193 Bellaterra, Spain
Azahara Reyes-Lacalle: Atenció a la Salut Sexual i Reproductiva de Sabadell, Direcció d’Atenció Primària Metropolitana Nord, Institut Català de la Salut, 08203 Barcelona, Spain
Maria Feijoo-Cid: Department of Nursing, Faculty of Medicine, Universitat Autònoma de Barcelona, 08193 Bellaterra, Spain
Josep Maria Manresa-Domínguez: Department of Nursing, Faculty of Medicine, Universitat Autònoma de Barcelona, 08193 Bellaterra, Spain
Laura Montero-Pons: Research Group Atenció a la Salut Sexual i Reproductiva (GRASSIR), Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), 08007 Barcelona, Spain
Rosa Maria Cabedo-Ferreiro: Research Group Atenció a la Salut Sexual i Reproductiva (GRASSIR), Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), 08007 Barcelona, Spain
Pere Toran-Monserrat: Research Support Unit Metropolitana Nord, Primary Care Research Institut Jordi Gol (IDIAPJGol), 08303 Barcelona, Spain
Gemma Falguera-Puig: Research Group Atenció a la Salut Sexual i Reproductiva (GRASSIR), Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), 08007 Barcelona, Spain

IJERPH, 2022, vol. 19, issue 7, 1-13

Abstract: 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.

Keywords: antenatal care; influenza vaccine; maternally-acquired immunity; midwife; quantitative research; pertussis vaccine; pregnant vaccination (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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