[Factors that influence the uptake of pertussis vaccine in pregnant women in Uruguay]. / Factores que influyen en la adherencia a la vacuna contra la tosferina en mujeres embarazadas en Uruguay.
Rev Chilena Infectol
; 38(3): 362-369, 2021 Jun.
Article
em Es
| MEDLINE
| ID: mdl-34479293
ABSTRACT
BACKGROUND:
Since 2015, pertussis vaccine has been offered universally and free of charge to pregnant women in Uruguay. Although it is mandatory, vaccination coverage is not yet complete.AIM:
To study the pertussis vaccination coverage in 2017 in pregnant women in two state hospitals and to search for barriere for uptaking the vaccine.METHODS:
We conducted an observational, descriptive and transversal study, using a survey in patients undergoing immediate postpartum period.RESULTS:
884 surveys were analyzed (mean age 25.2 years; 16% teenagers, most of them in a relationship and incomplete high school). 317 women (36%) were vaccinated. Main barriere for uptaking Tdap vaccine were teenage and being single were associated with a greater risk for the uptake. Not being aware of the vaccine mandatoriness and not being informed about its benefits were associated with 9,44 and 4 higher risks for not uptaking the vaccine (IC 95% 6.63-13.45 and IC 95% 2.43-6.41, respectively). Not believing in the benefits of pertussis vaccine during pregnancy was associated with 6.37 higher risk (OR 6.37; IC 95% 4.61-8.78).DISCUSSION:
Most pregnant women in this study during 2017 did not uptake pertussis vaccine and did not have medical indication for it. The lack of information about the obligation and benefits, and also patients' beliefs about the vaccination were identified as barriere. Health professionals who treat pregnant women should recommend and inform about the benefits of pertussis vaccine for women and the infant, and create the necessary perception of risk, in order to improve the vaccination coverage.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Coqueluche
/
Vacinas contra Difteria, Tétano e Coqueluche Acelular
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Infant
/
Pregnancy
País/Região como assunto:
America do sul
/
Uruguay
Idioma:
Es
Revista:
Rev Chilena Infectol
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Uruguai
País de publicação:
CHILE
/
CL