Uptake of pertussis immunization in pregnancy and determinants of vaccination in Toronto, Canada.

Pregnancy Female Infant Child Humans Whooping Cough / prevention & control Vaccination Mothers Vaccination Coverage Ontario Immunization
Immunization in pregnancy Pertussis Vaccine preventable diseases

Journal

Vaccine
ISSN: 1873-2518
Titre abrégé: Vaccine
Pays: Netherlands
ID NLM: 8406899

Informations de publication

Date de publication:
13 11 2023
Historique:
received: 28 06 2023
revised: 29 09 2023
accepted: 10 10 2023
medline: 3 11 2023
pubmed: 17 10 2023
entrez: 16 10 2023
Statut: ppublish

Résumé

Pertussis causes significant morbidity and mortality in infants aged <6 months. Maternal pertussis vaccination during pregnancy has been recommended in Canada since 2018 to reduce these negative outcomes. In the absence of routine immunization coverage data, our objective was to evaluate uptake in Toronto, Canada. We recruited mother-infant pairs at The Hospital for Sick Children, Toronto, between 2018 and 2020. We performed logistic regression to examine associations between demographics and self-reported pertussis vaccination. 76/243 mothers (31.3 %) reported receiving pertussis vaccination during their most recent pregnancy. Odds of receiving vaccination more than doubled with each 1-year increase in year of pregnancy (aOR: 2.2; 95 % CI: 1.3, 3.6; p < 0.01) and among those born in Canada as compared to those not (aOR: 2.0; 95 % CI: 1.1, 3.6; p = 0.02) CONCLUSION: Uptake of pertussis vaccination during pregnancy in Ontario has increased in recent years, however coverage remains lower than desirable.

Identifiants

DOI: 10.1016/j.vaccine.2023.10.020 PMID: 37845156
pubmed: 37845156
pii: S0264-410X(23)01192-1
doi: 10.1016/j.vaccine.2023.10.020
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

6895-6898

Subventions

Organisme : CIHR
Pays : Canada

Informations de copyright

Copyright © 2023. Published by Elsevier Ltd.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Scott Halperin reports financial support was provided by Sanofi Pastuer. Scott Halperin reports financial support was provided by GlaxoSmithKline. Todd Hatchette reports financial support was provided by GlaxoSmithKline. Todd Hatchette reports financial support was provided by Pfizer. Shelly Bolotin is the Director of the Centre for Vaccine Preventable Diseases (CVPD) at the University of Toronto. The CVPD receives operational support from a mix of funding sources, including through donations from pharmaceutical companies. A robust set of governance practices are in place to safeguard the academic freedom of the CVPD.

Auteurs

James Wright (J)

Public Health Ontario, Toronto, Ontario, Canada.

Michelle Science (M)

Public Health Ontario, Toronto, Ontario, Canada; Division of Infectious Diseases, Department of Paediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada; Department of Paediatrics, University of Toronto, Toronto Canada; Centre for Vaccine Preventable Diseases, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.

Selma Osman (S)

Centre for Vaccine Preventable Diseases, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.

Callum Arnold (C)

Division of Infectious Diseases, Department of Paediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada; Department of Biology, Pennsylvania State University, University Park, PA 16802, USA; Center for Infectious Disease Dynamics, Pennsylvania State University, University Park, PA 16802, USA.

Maya Sumaida (M)

Division of Infectious Diseases, Department of Paediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada.

Natasha Crowcroft (N)

Centre for Vaccine Preventable Diseases, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; Center for Infectious Disease Dynamics, Pennsylvania State University, University Park, PA 16802, USA; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.

Shelley L Deeks (SL)

Centre for Vaccine Preventable Diseases, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; Community Health and Epidemiology, Dalhousie University.

Kevin Brown (K)

Public Health Ontario, Toronto, Ontario, Canada.

Scott Halperin (S)

Canadian Center for Vaccinology (CCfV), IWK Health Centre, Nova Scotia Health Authority (NSHA), and Dalhousie University, Halifax, Nova Scotia (NS), Canada.

Todd Hatchette (T)

Canadian Center for Vaccinology (CCfV), IWK Health Centre, Nova Scotia Health Authority (NSHA), and Dalhousie University, Halifax, Nova Scotia (NS), Canada.

Elizabeth McLachlan (E)

National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba, Canada.

Aaron Campigotto (A)

Division of Infectious Diseases, Department of Paediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada; Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto Canada.

Susan Richardson (S)

Division of Infectious Diseases, Department of Paediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada; Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto Canada.

Shelly Bolotin (S)

Public Health Ontario, Toronto, Ontario, Canada; Centre for Vaccine Preventable Diseases, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto Canada. Electronic address: shelly.bolotin@utoronto.ca.

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Classifications MeSH

questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Reproduction › Grossesse › Uptake of pertussis immunization in pregnancy...
questionsmedicales.fr › Personnes › Tranches d'âge › Nourrisson › Uptake of pertussis immunization in pregnancy...
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Uptake of pertussis immunization in pregnancy...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Uptake of pertussis immunization in pregnancy...
questionsmedicales.fr › Maladies de l'appareil respiratoire › Infections de l'appareil respiratoire › Coqueluche › Uptake of pertussis immunization in pregnancy...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Pratiques en santé publique › Prévention primaire › Immunisation › Vaccination › Uptake of pertussis immunization in pregnancy...
questionsmedicales.fr › Personnes › Parents › Mères › Uptake of pertussis immunization in pregnancy...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services de médecine préventive › Couverture vaccinale › Uptake of pertussis immunization in pregnancy...
questionsmedicales.fr › Régions géographiques › Amériques › Amérique du Nord › Canada › Ontario › Uptake of pertussis immunization in pregnancy...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Pratiques en santé publique › Prévention primaire › Immunisation › Uptake of pertussis immunization in pregnancy...