Knowledge, Attitudes and Beliefs Related to Seasonal Influenza Vaccine among Pregnant Women in Thailand

Details

• Alternative Title:
  Vaccine
• Personal Author:
  Ditsungnoen, Darunee ; Greenbaum, Adena ; Praphasiri, Prabda ; Dawood, Fatimah S. ; Thompson, Mark G. ; Yoocharoen, Pornsak ; Lindblade, Kim A. ; Olsen, Sonja J. ; Muangchana, Charung
• Description:
  Background ; In 2009, Thailand recommended pregnant women be prioritized for influenza vaccination. Vaccine uptake among Thai pregnant women is lower than other high-risk groups. ; Methods ; During December 2012-April 2013, we conducted a cross-sectional survey of a convenience sample of Thai pregnant women aged ≥15 years attending antenatal clinics at public hospitals in 8 of 77 provinces. A self-administered questionnaire covered knowledge, attitudes, and beliefs related to influenza vaccination using the Health Belief Model. We examined factors associated with willingness to be vaccinated using log-binomial regression models. ; Results ; The survey was completed by 1,031 (96%) of 1,072 pregnant women approached. A total of 627 (61%) women had heard about influenza vaccine and were included in the analysis, of whom 262 (42%) were willing to be vaccinated, 155 (25%) had received a healthcare provider recommendation for influenza vaccination and 25 (4%) had received the influenza vaccine during the current pregnancy. In unadjusted models, high levels of perceptions of susceptibility (prevalence ratio PR 1.5, 95% CI 1.2–2.0), high levels of belief in the benefits of vaccination (PR 2.3, 95% CI 1.7–3.1), moderate (PR 1.7, 95% CI 1.2–2.3) and high (PR 3.4, 95% CI 2.6–4.5) levels of encouragement by others to be vaccinated (i.e., cues to action) were positively associated with willingness to be vaccinated. Moderate (PR 0.5, 95% CI 0.4–0.7) and high levels of (PR 0.5, 95% CI 0.4–0.8) perceived barriers were negatively associated with willingness to be vaccinated. In the final adjusted model, only moderate (PR 1.5, 95% CI 1.1–2.0) and high levels of cues to action (PR 2.7, 95% CI 2.0–3.6) were statistically associated with willingness to be vaccinated. ; Conclusion ; Cues to action were associated with willingness to be vaccinated and can be used to inform communication strategies during the vaccine campaign to increase influenza vaccination among Thai pregnant women.
• Subjects:
  • Adolescent
  • Adult
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Influenza Vaccines
  • Influenza, Human
  • Middle Aged
  • Patient Acceptance of Health Care
  • Pregnancy
  More +
• Keywords:
  • Seasonal influenza vaccine
  • pregnant women
  • Thailand
• Source:
  Vaccine. 34(18):2141-2146
• Pubmed ID:
  26854910
• Pubmed Central ID:
  PMC4811693
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  34
• Issue:
  18
• Download URL:
  https://stacks.cdc.gov/view/cdc/38746/cdc_38746_DS1.pdf
• File Type:
  [PDF - 125.18 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:40813d49cd1aa2e7e39f65a481fb5654af9fc121f60c4382d5c63dd8ef6f9951