{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T01:02:29Z","timestamp":1775610149787,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,12,31]],"date-time":"2014-12-31T00:00:00Z","timestamp":1419984000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Although influenza vaccination is an important component of antenatal care and is recommended and funded by the Australian government, vaccination uptake has been low.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study compared seasonal influenza vaccination uptake among pregnant Western Australian (<jats:styled-content style=\"fixed-case\">WA<\/jats:styled-content>) women and identified factors associated with vaccination uptake.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Adult women who were pregnant during the 2012 and 2013 influenza vaccination seasons were selected at random and invited to complete a computer\u2010assisted telephone interview survey about whether they received influenza vaccination during pregnancy. Data analyses were weighted to the age distribution of women of reproductive age in <jats:styled-content style=\"fixed-case\">WA<\/jats:styled-content>. Multivariate logistic regression was used to identify factors associated with vaccination uptake.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between 2012 and 2013, the proportion of <jats:styled-content style=\"fixed-case\">WA<\/jats:styled-content> women whose antenatal care provider recommended influenza vaccination increased from 37.6 to 62.1% and vaccination uptake increased from 23.0 to 36.5%. The antenatal care provider's advice to have influenza vaccine was the single most important factor associated with vaccination (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 11.1, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 7.9\u201315.5). Most women (63.7%) were vaccinated in general practice, 18.8% in a public hospital antenatal clinic and 11.0% at their workplace. Wanting to protect their infant from infection (91.2%) and having the vaccine recommended by their <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content> (60.0%) or obstetrician (51.0%) were commonly reported reasons for vaccination; worrying about side effects was a common reason for nonvaccination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>To optimise maternal and infant health outcomes, Australian antenatal care providers and services need to incorporate both the recommendation and delivery of influenza vaccination into routine antenatal care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12292","type":"journal-article","created":{"date-parts":[[2014,12,31]],"date-time":"2014-12-31T06:52:05Z","timestamp":1420008725000},"page":"131-137","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":61,"title":["Antenatal care provider's advice is the key determinant of influenza vaccination uptake in pregnant women"],"prefix":"10.1111","volume":"55","author":[{"given":"Donna B.","family":"Mak","sequence":"first","affiliation":[{"name":"Department of Health Communicable Disease Control Directorate Department of Health Western Australia"},{"name":"School of Medicine University of Notre Dame Fremantle Western Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3879-6193","authenticated-orcid":false,"given":"Annette K.","family":"Regan","sequence":"additional","affiliation":[{"name":"Department of Health Communicable Disease Control Directorate Department of Health Western Australia"},{"name":"School of Pathology and Laboratory Medicine University of Western Australia Western Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Joyce","sequence":"additional","affiliation":[{"name":"Epidemiology Branch Department of Health Western Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robyn","family":"Gibbs","sequence":"additional","affiliation":[{"name":"Department of Health Communicable Disease Control Directorate Department of Health Western Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul V.","family":"Effler","sequence":"additional","affiliation":[{"name":"Department of Health Communicable Disease Control Directorate Department of Health Western Australia"},{"name":"School of Pathology and Laboratory Medicine University of Western Australia Western Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,12,31]]},"reference":[{"key":"e_1_2_5_2_1","volume-title":"The Australian Immunisation Handbook","author":"National Health and Medical Research Council","year":"2013"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2007.10.040"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0908481"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2010.192"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0708630"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e2794"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2009.09.034"},{"key":"e_1_2_5_9_1","unstructured":"Royal Australian and New Zealand College of Obstetricians and Gynaecologists.Influenza Vaccination for Pregnant Women (C\u2010Obs 45). 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