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Table 5 Quality assessment of studies

From: Determinants of influenza vaccine hesitancy among pregnant women in Europe: a systematic review

Author

Year

Study design

Sample size

Risks of bias

Overall quality

Blanchard-Rohner et al.

2012

Cross-sectional study, quantitative questionnaire

261

Selection bias: women without Swiss nationality were included in the sample

Moderate

Bödeker et al.

2014

Cross-sectional study, quantitative questionnaire

1030

Selection bias: overrepresentation of women who are generally more interested in health topics,

exclusion of women with insufficient knowledge of German language

Reporting bias: vaccination status was self-reported

Moderate

Bödeker et al.

2015

Longitudinal study, quantitative, standardized questionnaire

838

Selection bias:

overrepresentation of women with a higher educational level, underrepresentation of women with immigration backgrounds

Reporting bias: vaccination status was self-reported

Low

Descamps et al.

2019

Interview and medical records

11,752

Selection bias: underrepresentation of women with immigration backgrounds

Moderate

Maltezou et al.

2019

Cross-sectional study, quantitative, standardized questionnaire

304

Selection bias: low percentage of women in sample who were not vaccinated

Moderate

Maurici et al.

2015

Cross-sectional study, quantitative, standardized questionnaire

309

Selection bias:

overrepresentation of women who were generally more interested in health topics

Reporting bias: vaccination status was self-reported

Low

O’Shea et al.

2018

Cross-sectional study, qualitative, semi-structured interviews

198

Selection bias: exclusion of women with immigration background, underrepresentation of non-vaccinated women

Low

Prospero et al.

2019

Cross-sectional study, quantitative questionnaire

366

Selection bias: women who were generally more interested in health topics, high percentage of women in third trimester, overrepresentation of women with negative attitudes toward vaccination

Low

Tuells et al.

2018

Cross-sectional, descriptive study

1569

Selection bias not further specified

Moderate

Vila-Candel et al.

2016

Cross-sectional study, qualitative telephone interviews

200

Selection bias: overrepresentation of women with health-seeking behavior

Moderate

Wilcox et al.

2019

Cross-sectional study, quantitative and qualitative questionnaire

314

Selection bias:

possibly missing subsets of population who were anti-vaccination

Reporting bias: self-report of vaccine status

Low