Imperial College London
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MR DERRYN LOVETT

Faculty of Medicine, School of Public Health

Honorary Research Assistant
 
 
 
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Contact

 

+44 (0)20 7594 1551d.lovett Website

 
 
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Location

 

309Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Woodcock:2023:10.3399/BJGP.2022.0078,
author = {Woodcock, T and Novov, V and Skirrow, H and Butler, J and Lovett, D and Adeleke, Y and Blair, M and Saxena, S and Majeed, F and Aylin, P},
doi = {10.3399/BJGP.2022.0078},
journal = {British Journal of General Practice},
pages = {e148--e155},
title = {Health and socio-demographic characteristics associated with uptake of seasonal influenza vaccination amongst pregnant women: retrospective cohort study},
url = {http://dx.doi.org/10.3399/BJGP.2022.0078},
volume = {73},
year = {2023}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Pregnant women are at increased risk from influenza, yet maternal influenza vaccination levels remain suboptimal. This study aimed to estimate associations between socio-demographic and health characteristics and seasonal influenza vaccination uptake among pregnant women and understand trends over time to inform interventions to improve vaccine coverage. A retrospective cohort study using linked electronic health records of women in North West London with at least one pregnancy overlapping with an influenza season between September 2010 and February 2020. We used a multivariable mixed-effects logistic regression model to identify associations between characteristics of interest and primary outcome of influenza vaccination. 451,954 pregnancies, among 260,744 women, were included. In 85,376 (18.9%) pregnancies women were vaccinated against seasonal influenza. Uptake increased from 8.4% in 2010/11 to 26.3% in 2018/19, dropping again to 21.1% in 2019/20. Uptake was lowest among women: aged 15-19 years (12%) or over 40 years (15%; OR 1.17, 95% CI 1.10 to 1.24); of Black ethnicity (14.1%; OR 0.55, 95% CI 0.53 to 0.57), or unknown ethnicity (9.9%; OR 0.42, 95% CI 0.39 to 0.46), lived in more deprived areas (OR least vs most deprived 1.16, 95% CI 1.11 to 1.21), or with no known risk factors for severe influenza. Seasonal influenza vaccine uptake in pregnant women increased in the past decade, prior to the COVID-19 pandemic, but remained suboptimal. We recommend approaches to reducing health inequalities should focus on women of Black ethnicity, younger and older women, and women living in areas of greater socio-economic deprivation.
AU  - Woodcock,T
AU  - Novov,V
AU  - Skirrow,H
AU  - Butler,J
AU  - Lovett,D
AU  - Adeleke,Y
AU  - Blair,M
AU  - Saxena,S
AU  - Majeed,F
AU  - Aylin,P
DO  - 10.3399/BJGP.2022.0078
EP  - 155
PY  - 2023///
SN  - 0960-1643
SP  - 148
TI  - Health and socio-demographic characteristics associated with uptake of seasonal influenza vaccination amongst pregnant women: retrospective cohort study
T2  - British Journal of General Practice
UR  - http://dx.doi.org/10.3399/BJGP.2022.0078
UR  - https://bjgp.org/content/73/727/e148/tab-article-info
UR  - http://hdl.handle.net/10044/1/100430
VL  - 73
ER  -
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