Knowledge and beliefs on vaccines among a sample of Italian pregnant women: results from the NAVIDAD study

Abstract Background Vaccine hesitancy is an emerging phenomenon in European countries and leads to decreasing trends in infant vaccine coverage. The aim of this study was to analyze the level of confidence and correct awareness about immunizations, which are crucial for the success of vaccination pr...

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Veröffentlicht in:European journal of public health 2020-04, Vol.30 (2), p.286-292
Hauptverfasser: Bert, Fabrizio, Olivero, Elena, Rossello, Paola, Gualano, Maria R, Castaldi, Silvana, Damiani, Gianfranco, D’Errico, Marcello M, Di Giovanni, Pamela, Fantini, Maria P, Fabiani, Leila, Gabutti, Giovanni, Loperto, Ilaria, Marranzano, Marina, Masanotti, Giuseppe, Nante, Nicola, Rosso, Annalisa, Squeri, Raffaele, Signorelli, Carlo, Siliquini, Roberta
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container_end_page 292
container_issue 2
container_start_page 286
container_title European journal of public health
container_volume 30
creator Bert, Fabrizio
Olivero, Elena
Rossello, Paola
Gualano, Maria R
Castaldi, Silvana
Damiani, Gianfranco
D’Errico, Marcello M
Di Giovanni, Pamela
Fantini, Maria P
Fabiani, Leila
Gabutti, Giovanni
Loperto, Ilaria
Marranzano, Marina
Masanotti, Giuseppe
Nante, Nicola
Rosso, Annalisa
Squeri, Raffaele
Signorelli, Carlo
Siliquini, Roberta
description Abstract Background Vaccine hesitancy is an emerging phenomenon in European countries and leads to decreasing trends in infant vaccine coverage. The aim of this study was to analyze the level of confidence and correct awareness about immunizations, which are crucial for the success of vaccination programmes. Methods As part of the NAVIDAD multicentre study, we examined vaccination confidence and complacency among a sample of 1820 pregnant women from 14 Italian cities. The questionnaire assessed the interviewee's knowledge, beliefs and misconceptions, as well as their socioeconomic status, information sources about vaccines and confidence in the Italian National Healthcare Service. Results Only 9% of women completely believed to the efficacy, necessity and safety of vaccinations. Almost 20% of them had misconceptions on most of the themes. There was a significant difference in the level of knowledge considering educational level: women with a high educational level have less probability of obtaining a low knowledge score (odds ratio (OR) 0.43 [95% confidence interval (CI) 0.34–0.54]). The level of knowledge was also influenced by the sources of information: women who received information from their general practitioner (GP) and from institutional websites had a significantly lower chance of having misconceptions (OR 0.74 [95% CI 0.58–0.96]; OR 0.59 [95% CI 0.46–0.74]). Finally, the results underlined the influence of trust in healthcare professional information on the likelihood of having misconceptions (OR 0.49 [95% CI 0.27–0.89]). Conclusions The data suggest the efficacy of GPs and institutional websites as a source of information to contrast misconceptions and underline the importance of confidence in the healthcare system to increase complacency and confidence in vaccines.
doi_str_mv 10.1093/eurpub/ckz209
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The aim of this study was to analyze the level of confidence and correct awareness about immunizations, which are crucial for the success of vaccination programmes. Methods As part of the NAVIDAD multicentre study, we examined vaccination confidence and complacency among a sample of 1820 pregnant women from 14 Italian cities. The questionnaire assessed the interviewee's knowledge, beliefs and misconceptions, as well as their socioeconomic status, information sources about vaccines and confidence in the Italian National Healthcare Service. Results Only 9% of women completely believed to the efficacy, necessity and safety of vaccinations. Almost 20% of them had misconceptions on most of the themes. There was a significant difference in the level of knowledge considering educational level: women with a high educational level have less probability of obtaining a low knowledge score (odds ratio (OR) 0.43 [95% confidence interval (CI) 0.34–0.54]). The level of knowledge was also influenced by the sources of information: women who received information from their general practitioner (GP) and from institutional websites had a significantly lower chance of having misconceptions (OR 0.74 [95% CI 0.58–0.96]; OR 0.59 [95% CI 0.46–0.74]). Finally, the results underlined the influence of trust in healthcare professional information on the likelihood of having misconceptions (OR 0.49 [95% CI 0.27–0.89]). Conclusions The data suggest the efficacy of GPs and institutional websites as a source of information to contrast misconceptions and underline the importance of confidence in the healthcare system to increase complacency and confidence in vaccines.</description><identifier>ISSN: 1101-1262</identifier><identifier>EISSN: 1464-360X</identifier><identifier>DOI: 10.1093/eurpub/ckz209</identifier><identifier>PMID: 31746999</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Confidence ; Confidence intervals ; Education ; Health care ; Health services ; Immunization ; Information sources ; Pregnancy ; Public health ; Safety ; Socioeconomic status ; Socioeconomics ; Statistical analysis ; Vaccines ; Websites ; Women</subject><ispartof>European journal of public health, 2020-04, Vol.30 (2), p.286-292</ispartof><rights>The Author(s) 2019. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved. 2019</rights><rights>The Author(s) 2019. Published by Oxford University Press on behalf of the European Public Health Association. 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The aim of this study was to analyze the level of confidence and correct awareness about immunizations, which are crucial for the success of vaccination programmes. Methods As part of the NAVIDAD multicentre study, we examined vaccination confidence and complacency among a sample of 1820 pregnant women from 14 Italian cities. The questionnaire assessed the interviewee's knowledge, beliefs and misconceptions, as well as their socioeconomic status, information sources about vaccines and confidence in the Italian National Healthcare Service. Results Only 9% of women completely believed to the efficacy, necessity and safety of vaccinations. Almost 20% of them had misconceptions on most of the themes. There was a significant difference in the level of knowledge considering educational level: women with a high educational level have less probability of obtaining a low knowledge score (odds ratio (OR) 0.43 [95% confidence interval (CI) 0.34–0.54]). The level of knowledge was also influenced by the sources of information: women who received information from their general practitioner (GP) and from institutional websites had a significantly lower chance of having misconceptions (OR 0.74 [95% CI 0.58–0.96]; OR 0.59 [95% CI 0.46–0.74]). Finally, the results underlined the influence of trust in healthcare professional information on the likelihood of having misconceptions (OR 0.49 [95% CI 0.27–0.89]). 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><jtitle>European journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Bert, Fabrizio</au><au>Olivero, Elena</au><au>Rossello, Paola</au><au>Gualano, Maria R</au><au>Castaldi, Silvana</au><au>Damiani, Gianfranco</au><au>D’Errico, Marcello M</au><au>Di Giovanni, Pamela</au><au>Fantini, Maria P</au><au>Fabiani, Leila</au><au>Gabutti, Giovanni</au><au>Loperto, Ilaria</au><au>Marranzano, Marina</au><au>Masanotti, Giuseppe</au><au>Nante, Nicola</au><au>Rosso, Annalisa</au><au>Squeri, Raffaele</au><au>Signorelli, Carlo</au><au>Siliquini, Roberta</au><aucorp>Collaborating Group</aucorp><aucorp>Collaborating Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Knowledge and beliefs on vaccines among a sample of Italian pregnant women: results from the NAVIDAD study</atitle><jtitle>European journal of public health</jtitle><addtitle>Eur J Public Health</addtitle><date>2020-04-01</date><risdate>2020</risdate><volume>30</volume><issue>2</issue><spage>286</spage><epage>292</epage><pages>286-292</pages><issn>1101-1262</issn><eissn>1464-360X</eissn><abstract>Abstract Background Vaccine hesitancy is an emerging phenomenon in European countries and leads to decreasing trends in infant vaccine coverage. The aim of this study was to analyze the level of confidence and correct awareness about immunizations, which are crucial for the success of vaccination programmes. Methods As part of the NAVIDAD multicentre study, we examined vaccination confidence and complacency among a sample of 1820 pregnant women from 14 Italian cities. The questionnaire assessed the interviewee's knowledge, beliefs and misconceptions, as well as their socioeconomic status, information sources about vaccines and confidence in the Italian National Healthcare Service. Results Only 9% of women completely believed to the efficacy, necessity and safety of vaccinations. Almost 20% of them had misconceptions on most of the themes. There was a significant difference in the level of knowledge considering educational level: women with a high educational level have less probability of obtaining a low knowledge score (odds ratio (OR) 0.43 [95% confidence interval (CI) 0.34–0.54]). The level of knowledge was also influenced by the sources of information: women who received information from their general practitioner (GP) and from institutional websites had a significantly lower chance of having misconceptions (OR 0.74 [95% CI 0.58–0.96]; OR 0.59 [95% CI 0.46–0.74]). Finally, the results underlined the influence of trust in healthcare professional information on the likelihood of having misconceptions (OR 0.49 [95% CI 0.27–0.89]). Conclusions The data suggest the efficacy of GPs and institutional websites as a source of information to contrast misconceptions and underline the importance of confidence in the healthcare system to increase complacency and confidence in vaccines.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>31746999</pmid><doi>10.1093/eurpub/ckz209</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-7259-4923</orcidid><orcidid>https://orcid.org/0000-0002-0866-7200</orcidid><oa>free_for_read</oa></addata></record>
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subjects Confidence
Confidence intervals
Education
Health care
Health services
Immunization
Information sources
Pregnancy
Public health
Safety
Socioeconomic status
Socioeconomics
Statistical analysis
Vaccines
Websites
Women
title Knowledge and beliefs on vaccines among a sample of Italian pregnant women: results from the NAVIDAD study
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