title: Determinants of seasonal influenza vaccination in pregnant women in Valencia, Spain.
abstract: In most countries the coverage of seasonal influenza vaccination in pregnant women is low. We investigated the acceptance, reasons for rejection and professional involvement related to vaccine information in pregnant women in Valencia, Spain.
  
  
  
  Observational retrospective study in 200 pregnant women, 100 vaccinated and 100 unvaccinated, were interviewed during the 2014/2015 vaccination campaign. Electronic medical records, immunization registry and telephone interviews were used to determine reasons for vaccination and immunization rejection.
  
  
  
  40.5% of pregnant women in the health department were vaccinated. The midwife was identified as source of information for 89% of women. The vaccine was rejected due to low perceptions of risk of influenza infection (23%), lack of information (19%), considering the vaccine as superfluous (16%), close proximity of delivery date (13%) and fear of side effects (12%).
  
  
  
  Pregnant women in Spain declined to be vaccinated due to under-estimation of the risk of contracting or being harmed by influenza, and lack of information. Interventions aiming to optimize vaccination coverage should include information addressing the safety and effectiveness of the current vaccine together with improved professional training and motivation.
authors.affiliation: Midwifery at La Ribera Hospital Health Department, Carretera Corbera, km 1, 46600, Alzira, Valencia, Spain. rvila@hospital-ribera-.com.|Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain. rvila@hospital-ribera-.com.
authors.forename: R
authors.identifier: 0000-0002-3734-2480
authors.initials: R
authors.lastname: Vila-Candel
authors.affiliation: Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain.
authors.forename: P
authors.initials: P
authors.lastname: Navarro-Illana
authors.affiliation: Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain.
authors.forename: E
authors.initials: E
authors.lastname: Navarro-Illana
authors.affiliation: National Institute for Health Research Health Protection Research Unit (NIHR HPRU) In Healthcare Associated Infection and Antimicrobial Resistance at Imperial College London, Du Cane Road, London, W12 0NN, UK.
authors.forename: E
authors.initials: E
authors.lastname: Castro-Sánchez
authors.affiliation: Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain.
authors.forename: Kiri
authors.initials: K
authors.lastname: Duke
authors.affiliation: Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain.|Xàtiva-Ontinyent Health Department, Ausias March, 46.800, Xativa, Spain.
authors.forename: F J
authors.initials: FJ
authors.lastname: Soriano-Vidal
authors.affiliation: Cátedra de Vacunología Balmis, University of Alicante, Carretera de San Vicente del Raspeig, s/n. 03690, San Vicente del Raspeig, Alicante, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Tuells
authors.affiliation: Faculty of Nursing, Universidad Católica de Valencia" San Vicente Mártir", c/ Espartero, 7. 46007, Valencia, Spain.|Vaccine Research, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana, FISABIO-Public Health, Avda. Catalunya, 21. 46020, Valencia, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Díez-Domingo
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007114:Immunization / Q000523:psychology*; D007252:Influenza Vaccines / Q000627:therapeutic use; D007251:Influenza, Human / Q000517:prevention & control / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000517:prevention & control / Q000523:psychology*; D037841:Pregnant People / Q000523:psychology*; D012189:Retrospective Studies; D012621:Seasons; D013030:Spain; D014611:Vaccination / Q000523:psychology*
chemical_list: D007252:Influenza Vaccines
keywords: Acceptance; Influenza Vaccines; Influenza vaccine coverage; Pregnancy