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Uptake of influenza vaccination in pregnancy amongst Australian Aboriginal and Torres Strait Islander women: a mixed-methods pilot study

O’Grady, Kerry-Ann F; Dunbar, Melissa; Medlin, Linda G; Hall, Kerry K; Toombs, Maree; Meiklejohn, Judith; McHugh, Lisa; Massey, Peter D; Creighton, Amy; Andrews, Ross M

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BACKGROUND Influenza infection during pregnancy causes significant morbidity and mortality. Immunisation against influenza is recommended during pregnancy in several countries however, there are limited data on vaccine uptake, and the determinants of vaccination, in pregnant Australian Aboriginal and/or Torres Islander women. This study aimed to collect pilot data on vaccine uptake and attitudes towards, and perceptions of, maternal influenza vaccination in this population in order to inform...[Show more]

dc.contributor.authorO’Grady, Kerry-Ann F
dc.contributor.authorDunbar, Melissa
dc.contributor.authorMedlin, Linda G
dc.contributor.authorHall, Kerry K
dc.contributor.authorToombs, Maree
dc.contributor.authorMeiklejohn, Judith
dc.contributor.authorMcHugh, Lisa
dc.contributor.authorMassey, Peter D
dc.contributor.authorCreighton, Amy
dc.contributor.authorAndrews, Ross M
dc.date.accessioned2015-12-09T03:54:12Z
dc.date.available2015-12-09T03:54:12Z
dc.identifier.issn1756-0500
dc.identifier.urihttp://hdl.handle.net/1885/38453
dc.description.abstractBACKGROUND Influenza infection during pregnancy causes significant morbidity and mortality. Immunisation against influenza is recommended during pregnancy in several countries however, there are limited data on vaccine uptake, and the determinants of vaccination, in pregnant Australian Aboriginal and/or Torres Islander women. This study aimed to collect pilot data on vaccine uptake and attitudes towards, and perceptions of, maternal influenza vaccination in this population in order to inform the development of larger studies. METHODS A mixed-methods study comprised of a cross-sectional survey and yarning circles (focus groups) amongst Aboriginal and Torres Strait Islander women attending two primary health care services. The women were between 28 weeks gestation and less than 16 weeks post-birth. These data were supplemented by data collected in an ongoing national Australian study of maternal influenza vaccination. Aboriginal research officers collected community data and data from the yarning circles which were based on a narrative enquiry framework. Descriptive statistics were used to analyse quantitative data and thematic analyses were applied to qualitative data. RESULTS Quantitative data were available for 53 women and seven of these women participated in the yarning circles. The proportion of women who reported receipt of an influenza vaccine during their pregnancy was 9/53. Less than half of the participants (21/53) reported they had been offered the vaccine in pregnancy. Forty-three percent reported they would get a vaccine if they became pregnant again. Qualitative data suggested perceived benefits to themselves and their infants were important factors in the decision to be vaccinated but there was insufficient information available to women to make that choice. CONCLUSIONS The rates of influenza immunisation may continue to remain low for Aboriginal and/or Torres Strait Islander women during pregnancy. Access to services and recommendations by a health care worker may be factors in the lower rates. Our findings support the need for larger studies directed at monitoring and understanding the determinants of maternal influenza vaccine uptake during pregnancy in Australian Aboriginal and Torres Strait Islander women. This research will best be achieved using methods that account for the social and cultural contexts of Aboriginal and Torres Strait Islander communities in Australia.
dc.description.sponsorshipThis study was funded via a project grant from the Lowitja Institute. KFO is supported by a NHMRC Career Development Fellowship (1045157) and a Queensland Government Smart Futures Fellowship. LM & KH are supported by an Australian Post-Graduate Award and Supervisor Top Up Scholarship through the NHMRC Centre for Research Excellence in Lung Health for Aboriginal and Torres Strait Islander Children. LMcH is supported by a conjoint scholarship through UQ and QLD Health.
dc.publisherBioMed Central
dc.rights© 2015 O'Grady et al.; licensee BioMed Central. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.sourceBMC Research Notes
dc.source.urihttp://www.biomedcentral.com/1756-0500/8/169
dc.titleUptake of influenza vaccination in pregnancy amongst Australian Aboriginal and Torres Strait Islander women: a mixed-methods pilot study
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume8
dc.date.issued2015-04-29
local.identifier.absfor111706
local.identifier.ariespublicationu5427758xPUB135
local.publisher.urlhttp://www.biomedcentral.com/
local.type.statusPublished Version
local.contributor.affiliationO'Grady, Kerry-Ann, Queensland Children's Medical Research institute, Australia
local.contributor.affiliationDunbar, Melissa, Queensland University of Technology, Australia
local.contributor.affiliationMedlin, Linda G, Queensland University of Technology, Australia
local.contributor.affiliationHall, Kerry K, Queensland University of Technology, Australia
local.contributor.affiliationToombs, Maree, The University of Queensland, Australia
local.contributor.affiliationMeiklejohn, Judith, Charles Darwin University, Australia
local.contributor.affiliationMcHugh (nee Mulhearn), Lisa, College of Medicine, Biology and Environment, CMBE Research School of Population Health, Natl Centre for Epidemiology & Population Health, The Australian National University
local.contributor.affiliationMassey, Peter, Hunter New England Population Health, Australia
local.contributor.affiliationCreighton, Amy, Hunter New England Population Health, Australia
local.contributor.affiliationAndrews, Ross, Menzies School of Health Research , Australia
dc.relationhttp://purl.org/au-research/grants/nhmrc/1045157
local.identifier.essn1756-0500
local.bibliographicCitation.issue1
local.bibliographicCitation.startpage169
local.bibliographicCitation.lastpage8
local.identifier.doi10.1186/s13104-015-1147-3
dc.date.updated2016-02-24T11:36:33Z
local.identifier.scopusID2-s2.0-84928880046
CollectionsANU Research Publications

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