Charles Darwin University

CDU eSpace
Institutional Repository

 
CDU Staff and Student only
 

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 and Andrews, Ross M. (2015). Uptake of influenza vaccination in pregnancy amongst Australian Aboriginal and Torres Strait Islander women: a mixed-methods pilot study. BMC Research Notes,8(Article No. 169).

Document type: Journal Article
Citation counts: Altmetric Score Altmetric Score is 7
Google Scholar Search Google Scholar
Attached Files (Some files may be inaccessible until you login with your CDU eSpace credentials)
Name Description MIMEType Size Downloads
Download this reading Meiklejohn_59151.pdf Published version application/pdf 408.55KB 5
Reading the attached file works best in Firefox, Chrome and IE 9 or later.

IRMA ID 11381xPUB67
Title Uptake of influenza vaccination in pregnancy amongst Australian Aboriginal and Torres Strait Islander women: a mixed-methods pilot study
Author 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.
Journal Name BMC Research Notes
Publication Date 2015
Volume Number 8
Issue Number Article No. 169
ISSN 1756-0500   (check CDU catalogue  open catalogue search in new window)
Scopus ID 2-s2.0-84928880046
Total Pages 8
Place of Publication United Kingdom
Publisher BioMed Central Ltd.
HERDC Category C1 - Journal Article (DIISR)
Abstract 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 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.
Keywords Influenza
Vaccine
Pregnancy
Aboriginal and Torres Strait islander Australian
Determinants
Uptake
DOI http://dx.doi.org/10.1186/s13104-015-1147-3   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
Additional Notes This is an Open Access article distributed under the terms of the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Description for Link Link to CC Attribution 4.0 License
URL https://creativecommons.org/licenses/by/4.0/au


© copyright

Every reasonable effort has been made to ensure that permission has been obtained for items included in CDU eSpace. If you believe that your rights have been infringed by this repository, please contact digitisation@cdu.edu.au.

 
Versions
Version Filter Type
Access Statistics: 12 Abstract Views, 5 File Downloads  -  Detailed Statistics
Created: Tue, 26 Jul 2016, 12:48:21 CST