Acceptance of a post-partum influenza vaccination (cocooning) strategy for neonates in Greece

作者：Maltezou Helena C^*; Kalogriopoulou Kleopatra; Pergialiotis Vasileios; Siahanidou Tania; Skiathitou Anna V; Katerelos Panos; Goumalatsos Nikolaos; Kostis Evangelos; Antsaklis Aristides; Theodoridou Maria

来源：Vaccine, 2012, 30(40): 5871-5874.

DOI：10.1016/j.vaccine.2012.06.082

• Influenza
• Vaccine
• Mothers
• Household members
• Post-partum
• Cocooning
• Acceptance

Young infants are at increased risk for influenza-associated serious illness, onset of complications, utilization of health-care services, and hospitalization. We investigated the feasibility and acceptance of an influenza vaccination (cocooning) strategy by household contacts implemented in a maternity hospital and the neonatal unit of a pediatric hospital in Athens. A total of 224 mothers (mean age: 30.2 years) who gave birth to 242 neonates were studied. Of them, 165 (73.7%) mothers were vaccinated. Multiple logistic regression revealed that statistically significant factors associated with increased vaccination rates among mothers were: being of Roma origin (p-value = 0.002), being an immigrant (p-value = 0.025), giving birth to a neonate with birth weight %26lt;2500 g (p-value = 0.012), and residing in a family with %26gt;= 4 family members (p-value = 0.017). Of the 224 fathers, 125 (55.8%) received the influenza vaccine. Fathers of neonates whose mothers were vaccinated had 6-fold higher vaccination rates compared to fathers of neonates whose mothers refused vaccination (p-value %26lt;0.001), Overall, influenza vaccine was administered to 348 (46.9%) of a total of 742 household contacts of the 242 neonates. Upon entering the 2011-2012 influenza season, 51 (22.7%) of 224 families had all household contacts vaccinated against influenza (complete cocoon). Among parents, the statement %26quot;I do not want to receive the vaccine%26quot; was the prevalent reason for declining influenza vaccination, followed by the misconception %26quot;I am not at risk for contacting influenza%26quot; (41.1% and 38.2%, respectively).

• 出版日期2012-8-31