Use of Information Sources on Vaccine-Preventable Diseases in Pregnant Women: An Experience in Ferrara, Italy
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
- WHO. The Power of Vaccines: Still not Fully Utilized—Ten Years in Public Health 2007–2017. Available online: https://www.who.int/publications/10-year-review/vaccines/en/ (accessed on 16 September 2019).
- Centers for Disease Control and Prevention (CDC). Ten Great Public Health Achievements—Worldwide, 2001–2010. MMWR Morb. Mortal. Wkly. Rep. 2011, 60, 814–818. [Google Scholar]
- WHO. Global Vaccine Action Plan 2011–2020. Available online: https://www.who.int/immunization/global_vaccine_action_plan/GVAP_doc_2011_2020/en/ (accessed on 25 September 2019).
- Datta, S.S.; O’Connor, P.M.; Jankovic, D.; Muscat, M.; Ben Mamou, M.C.; Singh, S.; Kaloumenos, T.; Reef, S.; Papania, M.; Butler, R. Progress and Challenges in Measles and Rubella Elimination in the WHO European Region. Vaccine 2018, 36, 5408–5415. [Google Scholar] [CrossRef] [PubMed]
- Consiglio Superiore di Sanità. Piano Nazionale Prevenzione Vaccinale. Available online: http://www.salute.gov.it/portale/documentazione/p6_2_2_1.jsp?lingua=italiano&id=2571 (accessed on 16 September 2019).
- ECDC. Monthly Measles and Rubella Monitoring Report. Available online: https://ecdc.europa.eu/sites/portal/files/documents/measles-monthly-report-may-2019.pdf (accessed on 23 May 2019).
- Istituto Superiore di Sanità. Copertura Vaccinale in Italia. Available online: https://www.epicentro.iss.it/vaccini/dati_Ita#morbillo (accessed on 26 September 2019).
- Ministero della Salute. Conversione in Legge, n.119. Con Modificazioni, Del Decreto-Legge 7 Giugno 2017 n. 73, Recante Disposizioni Urgenti in Materia Di Prevenzione Vaccinale; Ministero della Salute: Rome, Italy, 31 July 2017.
- Cartabellotta, N.; Luceri, R.; Cottafava, E.; Mosti, M. Vaccinazioni in Età Pediatrica: Impatto Dell’obbligo Sulle Coperture Vaccinali in Italia; Fondazione GIMBE: Bologna, Italy, 2019. [Google Scholar]
- Ames, H.M.R.; Glenton, C.; Lewin, S. Parents’ and Informal Caregivers’ Views and Experiences of Communication about Routine Childhood Vaccination: A Synthesis of Qualitative Evidence. Cochrane Database Syst. Rev. 2017. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Smith, L.E.; Amlôt, R.; Weinman, J.; Yiend, J.; Rubin, G.J. A Systematic Review of Factors Affecting Vaccine Uptake in Young Children. Vaccine 2017, 35, 6059–6069. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Jackson, C.; Cheater, F.M.; Harrison, W.; Peacock, R.; Bekker, H.; West, R.; Leese, B. Randomised Cluster Trial to Support Informed Parental Decision-Making for the MMR Vaccine. BMC Public Health 2011, 11. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Stahl, J.P.; Cohen, R.; Denis, F.; Gaudelus, J.; Martinot, A.; Lery, T.; Lepetit, H. The Impact of the Web and Social Networks on Vaccination. New Challenges and Opportunities Offered to Fight against Vaccine Hesitancy. Med. Mal. Infect. 2016, 46, 117–122. [Google Scholar] [CrossRef] [PubMed]
- Panatto, D.; Amicizia, D.; Arata, L.; Lai, P.L.; Gasparini, R. A Comprehensive Analysis of Italian Web Pages Mentioning Squalene-Based Influenza Vaccine Adjuvants Reveals a High Prevalence of Misinformation. Hum. Vaccines Immunother. 2018, 14, 969–977. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Ferro, A.; Odone, A.; Siddu, A.; Colucci, M.; Anello, P.; Longone, M.; Marcon, E.; Castiglia, P.; Bonanni, P.; Signorelli, C. Monitoring the Web to Support Vaccine Coverage: Results of Two Years of the Portal VaccinarSì. Epidemiol. Prev. 2015, 39, 88–93. [Google Scholar] [PubMed]
- MacDonald, N.E.; SAGE Working Group on Vaccine Hesitancy. Vaccine Hesitancy: Definition, Scope and Determinants. Vaccine 2015, 33, 4161–4164. [Google Scholar] [CrossRef] [PubMed]
- Gust, D.; Brown, C.; Sheedy, K.; Hibbs, B.; Weaver, D.; Nowak, G. Immunization Attitudes and Beliefs among Parents: Beyond a Dichotomous Perspective. Am. J. Health Behav. 2005, 29, 81–92. [Google Scholar] [CrossRef] [PubMed]
- Attitudes towards Compulsory Vaccination in Italy: Results from the NAVIDAD Multicentre Study. Vaccine 2018, 36, 3368–3374. [CrossRef] [PubMed] [Green Version]
- Bert, F.; Olivero, E.; Rossello, P.; Gualano, M.R.; Castaldi, S.; Damiani, G.; D’Errico, M.M.; Di Giovanni, P.; Fantini, M.P.; Fabiani, L.; et al. Knowledge and Beliefs on Vaccines among a Sample of Italian Pregnant Women: Results from the NAVIDAD Study. Eur. J. Public Health 2019. [Google Scholar] [CrossRef] [PubMed]
- Allegato dati CEDAP anno 2016—SISEPS—E-R Salute. Available online: http://salute.regione.emilia-romagna.it/siseps/sanita/cedap/files/Cedap_Allegato_dati_2016.pdf/view (accessed on 9 December 2019).
- Henrikson, N.B.; Anderson, M.L.; Opel, D.J.; Dunn, J.; Marcuse, E.K.; Grossman, D.C. Longitudinal Trends in Vaccine Hesitancy in a Cohort of Mothers Surveyed in Washington State, 2013–2015. Public Health Rep. 2017, 132, 451–454. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Brown, K.F.; Kroll, J.S.; Hudson, M.J.; Ramsay, M.; Green, J.; Long, S.J.; Vincent, C.A.; Fraser, G.; Sevdalis, N. Factors Underlying Parental Decisions about Combination Childhood Vaccinations Including MMR: A Systematic Review. Vaccine. 2010. [Google Scholar] [CrossRef] [PubMed]
- Tomeny, T.S.; Vargo, C.J.; El-Toukhy, S. Geographic and Demographic Correlates of Autism-Related Anti-Vaccine Beliefs on Twitter, 2009–2015. Soc. Sci. Med. 2017, 191, 168–175. [Google Scholar] [CrossRef] [PubMed]
- Smith, P.J.; Humiston, S.G.; Parnell, T.; Vannice, K.S.; Salmon, D.A. The Association between Intentional Delay of Vaccine Administration and Timely Childhood Vaccination Coverage. Public Health Rep. 2010, 125, 534–541. [Google Scholar] [CrossRef] [PubMed]
- Stefanelli, P.; Miglietta, A.; Pezzotti, P.; Fazio, C.; Neri, A.; Vacca, P.; Voller, F.; D’Ancona, F.P.; Guerra, R.; Iannazzo, S.; et al. Increased Incidence of Invasive Meningococcal Disease of Serogroup C/Clonal Complex 11, Tuscany, Italy, 2015 to 2016. Eurosurveillance 2016, 21. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Meningite da Meningococco C in Toscana e Lombardia 22/12/2016. Available online: https://www.epicentro.iss.it/meningite/2016 (accessed on 16 September 2019).
- Dettori, M.; Arru, B.; Azara, A.; Piana, A.; Mariotti, G.; Camerada, M.; Stefanelli, P.; Rezza, G.; Castiglia, P. In the Digital Era, Is Community Outrage a Feasible Proxy Indicator of Emotional Epidemiology? The Case of Meningococcal Disease in Sardinia, Italy. Int. J. Environ. Res. Public Health 2018, 15, 1512. [Google Scholar] [CrossRef] [PubMed] [Green Version]
n | % | ||
---|---|---|---|
Age (years) | ≤20 | 4 | 2.0 |
21–25 | 9 | 4.5 | |
26–30 | 50 | 24.9 | |
31–35 | 60 | 29.9 | |
36–40 | 58 | 28.9 | |
>40 | 20 | 10.0 | |
Previous delivery | One or more | 55 | 27.4 |
None | 146 | 72.6 | |
Nationality | Italian | 187 | 93.0 |
Foreign | 14 | 7.0 | |
Marital status | Cohabiting/married | 190 | 94.5 |
Single/divorced | 11 | 5.5 | |
Education level | College degree | 95 | 47.3 |
High school | 87 | 43.3 | |
Lower than high school | 19 | 9.5 | |
Quarter of pregnancy | First | 26 | 12.9 |
Second | 38 | 18.9 | |
Third | 137 | 68.2 | |
Employment | Office workers or teachers | 85 | 42.3 |
Entrepreneurs or freelance professionals | 18 | 9.0 | |
Labourers or artisans | 19 | 9.5 | |
Healthcare professional | 27 | 13.4 | |
Unemployed | 41 | 20.4 | |
Other | 11 | 5.5 |
Vaccination Information from Two Institutional Sources at least | |||||||
---|---|---|---|---|---|---|---|
OR | 95% CI | p ** | Adj OR * | 95% CI | p ** | ||
Previous delivery | One or more | 1000 | 1.000 | ||||
None | 0.078 | 0.033–0.186 | <0.001 | 0.042 | 0.014–0.122 | <0.001 | |
Marital status | Cohabiting/married | 1000 | 1.000 | ||||
Single/divorced | 0.367 | 0.095–1.426 | 0.148 | 0.336 | 0.069–1.634 | 0.176 | |
Nationality | Italian | 1000 | 1.000 | ||||
Foreign | 0.489 | 0.161–1.487 | 0.208 | 0.213 | 0.046–0.980 | 0.047 | |
Education level | High level | 1000 | 1.000 | ||||
Low level | 0.571 | 0.215–1.515 | 0.260 | 0.197 | 0.049–0.790 | 0.022 | |
Employment | Unemployed | 1000 | 1.000 | ||||
Employed | 0.906 | 0.456–1.800 | 0.778 | 0.604 | 0.250–1.457 | 0.262 | |
Quarter of pregnancy | First or second | 1000 | 1.000 | ||||
Third | 1261 | 0.695–2.287 | 0.445 | 1.769 | 0.824–3.796 | 0.143 | |
Age (years) | <33 | 1,000 | 1.000 | ||||
≥33 | 1,271 | 0.722–2.237 | 0.405 | 1.062 | 0.535–2.106 | 0.864 |
Disease Dangerousness Perception | Vaccination Information from two Institutional Sources at least | ||||||
---|---|---|---|---|---|---|---|
Yes | No | ||||||
n (=99) | % | n (=102) | % | OR | p * | ||
Hepatitis B | Yes | 94 | 50.5 | 92 | 49.5 | 1.644 | 0.200 |
No | 5 | 33.3 | 10 | 66.7 | |||
Poliomyelitis | Yes | 92 | 53.2 | 81 | 46.8 | 7.656 | 0.006 |
No | 7 | 25.0 | 21 | 75.0 | |||
Haemophilus influenzae b | Yes | 40 | 67.8 | 19 | 32.2 | 11.489 | 0.001 |
No | 59 | 41.5 | 83 | 58.5 | |||
Tetanus | Yes | 90 | 50.8 | 87 | 49.2 | 1.506 | 0.220 |
No | 9 | 37.5 | 15 | 62.5 | |||
Diphtheria | Yes | 74 | 54.4 | 62 | 45.6 | 4.477 | 0.034 |
No | 25 | 38.5 | 40 | 61.5 | |||
Pertussis | Yes | 75 | 54.7 | 62 | 45.3 | 5.190 | 0.023 |
No | 24 | 37.5 | 40 | 62.5 | |||
Measles | Yes | 72 | 53.3 | 63 | 46.7 | 2.738 | 0.098 |
No | 27 | 40.9 | 39 | 59.1 | |||
Rubella | Yes | 76 | 54.7 | 63 | 45.3 | 5.301 | 0.021 |
No | 23 | 37.1 | 39 | 62.9 | |||
Mumps | Yes | 61 | 51.7 | 57 | 48.3 | 0.681 | 0.409 |
No | 38 | 45.8 | 45 | 54.2 | |||
Meningitis | Yes | 98 | 50.5 | 96 | 49.5 | 3.548 | 0.060 |
No | 1 | 14.3 | 6 | 85.7 | |||
Varicella | Yes | 55 | 52.4 | 50 | 47.6 | 0.860 | 0.354 |
No | 44 | 45.8 | 52 | 54.2 | |||
HPV | Yes | 55 | 52.4 | 50 | 47.6 | 0.860 | 0.354 |
No | 44 | 45.8 | 52 | 54.2 |
© 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Share and Cite
Gabutti, G.; Carioli, U.; Gamberoni, D.; Masetti, G.; Matteo, G.; Perrone, P.; Cappadona, R.; Greco, P.; Siliquini, R.; Stefanati, A. Use of Information Sources on Vaccine-Preventable Diseases in Pregnant Women: An Experience in Ferrara, Italy. Int. J. Environ. Res. Public Health 2020, 17, 233. https://doi.org/10.3390/ijerph17010233
Gabutti G, Carioli U, Gamberoni D, Masetti G, Matteo G, Perrone P, Cappadona R, Greco P, Siliquini R, Stefanati A. Use of Information Sources on Vaccine-Preventable Diseases in Pregnant Women: An Experience in Ferrara, Italy. International Journal of Environmental Research and Public Health. 2020; 17(1):233. https://doi.org/10.3390/ijerph17010233
Chicago/Turabian StyleGabutti, Giovanni, Umberto Carioli, Diego Gamberoni, Giulia Masetti, Giulio Matteo, Paola Perrone, Rosaria Cappadona, Pantaleo Greco, Roberta Siliquini, and Armando Stefanati. 2020. "Use of Information Sources on Vaccine-Preventable Diseases in Pregnant Women: An Experience in Ferrara, Italy" International Journal of Environmental Research and Public Health 17, no. 1: 233. https://doi.org/10.3390/ijerph17010233