What determines uptake of pertussis vaccine in pregnancy? A cross sectional survey in an ethnically diverse population of pregnant women in London

摘要: Abstract Introduction Following the major outbreak of pertussis and 14 infant deaths across England in 2012, Department Health (DH) introduced UK's first maternal vaccination programme. Data published by Public (PHE) suggest uptake vaccine varies considerably country. The reasons for this heterogeneity need to be addressed optimise impact Objective To assess antenatal influenza a leading NHS Trust London explore awareness attitudes pregnant women towards Design A cross sectional survey was conducted an ethnically diverse group 200 accessing care at Imperial Healthcare Trust. Quantitative data tabulated content analysis carried out on free text. Qualitative divided into themes accepting or declining vaccine. Results Awareness programme 63% (126/200) with actual only 26.0% (52/200). Women had received information from multiple sources, primarily General Practitioners (GP) midwives. 34.0% (68/200) were offered their GP practice, 24% reported meaningful discussion about it. Uptake differed up 15.0% between ethnicities. showed that could significantly enhanced if recommended familiar healthcare professional. Feeling uninformed, lack professional encouragement uncertainties risk benefit greatest barriers uptake. Conclusion Vaccine cohort poor. Understanding target audience engaging key groups who influence women's decision-making is essential. Knowledgeable health professionals recommend provide accurate timely increase success important