dc.contributor.author |
Howe, Anna S |
|
dc.contributor.author |
Pointon, Leah |
|
dc.contributor.author |
Gauld, Natalie |
|
dc.contributor.author |
Paynter, Janine |
|
dc.contributor.author |
Willing, Esther |
|
dc.contributor.author |
Turner, Nikki |
|
dc.coverage.spatial |
Netherlands |
|
dc.date.accessioned |
2021-08-02T03:37:07Z |
|
dc.date.available |
2021-08-02T03:37:07Z |
|
dc.date.issued |
2020-10 |
|
dc.identifier.issn |
0264-410X |
|
dc.identifier.uri |
https://hdl.handle.net/2292/55759 |
|
dc.description.abstract |
<h4>Background</h4>Immunisation is an important public health policy and measuring coverage is imperative to identify gaps and monitor trends. New Zealand (NZ), like many countries, does not routinely publish coverage of immunisations given during pregnancy. Therefore, this study examined pregnancy immunisation coverage of all pregnant NZ women between 2013 and 2018, and what factors affected uptake.<h4>Methods</h4>A retrospective cohort study of pregnant women who delivered between 2013 and 2018 was undertaken using administrative datasets. Maternity and immunisation data were linked to determine coverage of pertussis and influenza vaccinations in pregnancy. Generalised estimating equations were used to estimate the odds of receiving a vaccination during pregnancy.<h4>Results</h4>From 2013 to 2018 data were available for 323,622 pregnant women, of whom 21.7% received maternal influenza immunisations and 25.7% maternal pertussis immunisations. Coverage for both vaccines increased over time, pertussis increased from 10.2% to 43.6% and influenza from 11.2% to 30.8%. The odds of being vaccinated, with either vaccine, during pregnancy increased with increasing age and decreasing deprivation. Compared to NZ European or Other women, Māori and Pacific women had lower odds of receiving a maternal pertussis (OR:0.55, 95% CI: 0.54, 0.57; OR:0.60, 95% CI: 0.58, 0.62, respectively) and influenza (OR: 0.69, 95% CI: 0.67, 0.71; OR:0.90, 95% CI: 0.87, 0.94, respectively) immunisations during pregnancy. Women were also more likely to be vaccinated against pertussis if they received antenatal care from a General Practitioner or Obstetrician compared to a Midwife. A similar pattern was seen for influenza vaccination.<h4>Conclusion</h4>Gaps in maternal coverage for pertussis and influenza exist and work is needed to reduce immunisation inequities. |
|
dc.format.medium |
Print-Electronic |
|
dc.language |
eng |
|
dc.publisher |
Elsevier BV |
|
dc.relation.ispartofseries |
Vaccine |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.subject |
Humans |
|
dc.subject |
Whooping Cough |
|
dc.subject |
Pregnancy Complications, Infectious |
|
dc.subject |
Pertussis Vaccine |
|
dc.subject |
Influenza Vaccines |
|
dc.subject |
Vaccination |
|
dc.subject |
Retrospective Studies |
|
dc.subject |
Pregnancy |
|
dc.subject |
Pregnant Women |
|
dc.subject |
New Zealand |
|
dc.subject |
Female |
|
dc.subject |
Influenza, Human |
|
dc.subject |
Vaccination Coverage |
|
dc.subject |
Immunisation |
|
dc.subject |
Influenza |
|
dc.subject |
Maternal immunisation coverage |
|
dc.subject |
New Zealand |
|
dc.subject |
Pertussis vaccine |
|
dc.subject |
Pregnancy |
|
dc.subject |
Vaccine |
|
dc.subject |
Female |
|
dc.subject |
Humans |
|
dc.subject |
Influenza Vaccines |
|
dc.subject |
Influenza, Human |
|
dc.subject |
New Zealand |
|
dc.subject |
Pertussis Vaccine |
|
dc.subject |
Pregnancy |
|
dc.subject |
Pregnancy Complications, Infectious |
|
dc.subject |
Pregnant Women |
|
dc.subject |
Retrospective Studies |
|
dc.subject |
Vaccination |
|
dc.subject |
Vaccination Coverage |
|
dc.subject |
Whooping Cough |
|
dc.subject |
Science & Technology |
|
dc.subject |
Life Sciences & Biomedicine |
|
dc.subject |
Immunology |
|
dc.subject |
Medicine, Research & Experimental |
|
dc.subject |
Research & Experimental Medicine |
|
dc.subject |
Maternal immunisation coverage |
|
dc.subject |
Immunisation |
|
dc.subject |
Pregnancy |
|
dc.subject |
Pertussis vaccine |
|
dc.subject |
Influenza |
|
dc.subject |
Vaccine |
|
dc.subject |
New Zealand |
|
dc.subject |
VACCINATION COVERAGE |
|
dc.subject |
MATERNAL PERTUSSIS |
|
dc.subject |
POPULATION |
|
dc.subject |
STRATEGIES |
|
dc.subject |
DIPHTHERIA |
|
dc.subject |
TETANUS |
|
dc.subject |
INFANTS |
|
dc.subject |
IMPACT |
|
dc.subject |
COHORT |
|
dc.subject |
RISK |
|
dc.subject |
1117 Public Health and Health Services |
|
dc.subject |
1114 Paediatrics and Reproductive Medicine |
|
dc.subject |
Health services & systems |
|
dc.subject |
Public Health |
|
dc.subject |
Pneumonia & Influenza |
|
dc.subject |
Infectious Diseases |
|
dc.subject |
Immunization |
|
dc.subject |
Emerging Infectious Diseases |
|
dc.subject |
Vaccine Related |
|
dc.subject |
Influenza |
|
dc.subject |
Clinical Research |
|
dc.subject |
Prevention |
|
dc.subject |
Infection |
|
dc.subject |
Reproductive Health and Childbirth |
|
dc.subject |
3.4 Vaccines |
|
dc.subject |
06 Biological Sciences |
|
dc.subject |
07 Agricultural and Veterinary Sciences |
|
dc.subject |
11 Medical and Health Sciences |
|
dc.title |
Pertussis and influenza immunisation coverage of pregnant women in New Zealand. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1016/j.vaccine.2020.08.030 |
|
pubs.issue |
43 |
|
pubs.begin-page |
6766 |
|
pubs.volume |
38 |
|
dc.date.updated |
2021-07-09T03:31:11Z |
|
dc.rights.holder |
Copyright: The author |
en |
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/32868133 |
|
pubs.end-page |
6776 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Journal Article |
|
pubs.elements-id |
815773 |
|
dc.identifier.eissn |
1873-2518 |
|
dc.identifier.pii |
S0264-410X(20)31071-9 |
|